循经取穴推拿联合核心肌群训练对腰椎间盘突出症患者腰部疼痛及腰椎功能的影响

Effect of Acupoint Selection and Massage Along the Meridian Combined with Core Muscle Group Training on Lower Back Pain and Lumbar Function in Patients with Lumbar Disc Herniation

目的探讨循经取穴推拿联合核心肌群训练对腰椎间盘突出症患者腰部疼痛及腰椎功能的影响.方法选择2021年12月—2023年1月沂南天河康复医院收治的96例腰椎间盘突出症患者为研究对象,按随机数字表法将其分为对照组和观察组,各48例.对照组接受核心肌群训练干预,观察组接受循经取穴推拿联合核心肌群训练干预,两组均干预4周.比较两组临床疗效、疼痛程度及腰椎功能.结果观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05).干预4周后,观察组疼痛视觉模拟评分为(1.27±0.75)分,Oswesty功能障碍指数评分表中疼痛评分为(0.98±0.37)分、生活能力评分为(0.86±0.31)分、提物评分为(0.79±0.81)分、行走评分为(0.53±0.71)分、坐评分为(0.38±0.47)分、站立评分为(0.42±0.25)分、睡眠评分为(0.31±0.21)分、社会活动评分为(0.41±0.32)分、旅行评分为(0.49±0.27)分,均低于对照组,组间差异有统计学意义(P<0.05).结论循经取穴推拿联合核心肌群训练治疗腰椎间盘突出症患者较为有效,可减轻患者临床症状和疼痛程度,改善其腰椎功能.

Objective To explore the effect of acupoint selection and massage along the meridian combined with core muscle group training on lower back pain and lumbar function in patients with lumbar disc herniation.Methods 96 patients with lumbar disc herniation admitted to Yinan Tianhe Rehabilitation Hospital from December 2021 to January 2023 were selected as the study objects and were randomly divided into a control group and an observation group,with 48 patients in each group.The control group received core muscle group training intervention,while the observation group received acupoint selection and massage combined with core muscle group training intervention along the meridian for 4 weeks.Compare the clinical efficacy,degree of pain,and lumbar function between two groups.Results The clinical efficacy of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After 4 weeks of intervention,the observation group received pain Visual Analogue Scale score of(1.27±0.75)points,while the Oswesty Dysfunction Index score showed a pain score of(0.98±0.37)points,a life ability score of(0.86±0.31)points,an extract score of(0.79±0.81)points,a walking score of(0.53±0.71)points,a sitting score of(0.38±0.47)points,a standing score of(0.42±0.25)points,a sleep score of(0.31±0.21)points,a social activity score of(0.41±0.32)points,and a travel score of(0.49±0.27)points,all were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The combination of acupoint selection and massage along the meridian with core muscle group training is more effective in treating patients with lumbar disc herniation,which can alleviate clinical symptoms and pain levels,and improve lumbar function.