中医正骨推拿联合针灸对腰椎间盘突出症患者腰部活动度及功能障碍指数的影响

Effect of Chinese Medicine Bone-Setting Massage Combined with Acupuncture and Moxibustion on Lumbar Mobility and Dysfunction Index in Patients with Lumbar Disc Herniation

目的探讨中医正骨推拿联合针灸在腰椎间盘突出症(LDH)患者中的应用效果.方法选取2019年8月—2021年8月就诊于我院的86例LDH患者为研究对象,按随机数字表法分为两组,每组43例.对照组进行腰椎康复锻炼,研究组在对照组基础上采用中医正骨推拿联合针灸干预,均持续4周.对比两组的腰部活动度、腰部疼痛、腰椎功能障碍指数、腰椎功能及生活质量.结果干预后,研究组的前屈、后伸、侧屈活动度分别为(80.55±4.89)°、(25.52±2.74)°、(25.55±3.49)°,均大于对照组,组间差异有统计学意义(P<0.05).干预后,研究组的疼痛视觉模拟评分、Oswestry功能障碍指数评分分别为(1.75±0.36)分、(12.02±2.14)分,均低于对照组,组间差异有统计学意义(P<0.05).干预后,研究组的日本矫形外科学会下腰痛评分表中主观症状、临床体征、日常活动受限评分分别为(6.29±0.25)分、(4.69±0.35)分、(10.72±1.48)分,均高于对照组,组间差异有统计学意义(P<0.05).干预后,研究组的世界卫生组织生存质量测定量表中生理领域、心理领域、社会领域、环境领域评分分别为(84.28±4.29)分、(88.09±4.22)分、(85.45±5.97)分、(87.93±4.50)分,均高于对照组,组间差异有统计学意义(P<0.05).结论中医正骨推拿联合针灸能够增加LDH患者的腰部活动度,减轻腰部疼痛,促进腰椎功能恢复,提高患者的生活质量,值得临床推广使用.

Objective To investigate the effect of Chinese medicine bone-setting massage combined with acupuncture and moxibustion in patients with lumbar disc herniation(LDH).Methods A total of 86 LDH patients admitted to our hospital from August 2019 to August 2021 were selected as the study subjects,and were divided into two groups according to random number table method,with 43 patients in each group.The control group received lumbar rehabilitation exercise,and the study group received Chinese medicine bone-setting massage combined with acupuncture and moxibustion on the basis of the control group.Both groups lasted for 4 weeks.The lumbar range of motion,lumbar pain,lumbar dysfunction index,lumbar function and quality of life were compared between the two groups.Results After intervention,the activities of flexion,extension and lateral flexion in the study group were(80.55±4.89)°,(25.52±2.74)°and(25.55±3.49)°,respectively,which were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the pain visual analogue score and Oswestry disability index score in the study group were(1.75±0.36)points and(12.02±2.14)points,respectively,lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the scores of subjective symptoms,clinical signs and restricted daily activities in the Japanese Orthopaedic Association low back pain rating scale were(6.29±0.25)points,(4.69±0.35)points and(10.72±1.48)points,respectively,higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the scores of physiological,psychological,social and environmental aspects of the World Health Organization quality of life-BREF scale in the study group were(84.28±4.29)points,(88.09±4.22)points,(85.45±5.97)points and(87.93±4.50)points,respectively,which were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Chinese medicine bone-setting massage combined with acupuncture and moxibustion can increase the waist range of motion of LDH patients,reduce the waist pain,promote the recovery of lumbar function and improve the quality of life of patients,which is worthy of clinical application.