针刺结合按摩治疗腰椎间盘突出症疗效的对比研究

Comparative Study on the Efficacy of 240 Cases of Lumbar Disc Herniation Treated with Acupuncture and Chinese Massage

目的对比研究针刺结合按摩法、针刺法和按摩法对腰椎间盘突出症的治疗效果。方法 417例患者按首次就诊顺序随机分为针刺结合按摩组(A组)、针刺组(B组)和按摩组(C组),A组以针刺结合按摩法治疗,B组只用针刺法,C组只用按摩法。对比研究三种治疗方法对腰椎间盘突出症所致疼痛和腰腿部功能改变以及患者自我疗效评估的改善程度。结果三种治疗方案均可有效地缓解腰腿部疼痛,但三者比较,差异无统计学意义(P>0.05);在改善患者生活质量和自我疗效评估方面,A组的有效率和症状改善程度均明显优于B组和C组,差异均有统计学意义(P<0.05)。结论针刺与按摩的结合使用可以进一步提高治疗腰椎间盘突出症的临床疗效。

Objective To compare the efficacies on lumbar disc herniation among acupuncture combined with Chinese massage,simple acupuncture and simple Chinese massage.Methods According to the visit sequence,470 cases were divided randomly into an acupuncture plus Chinese massage group（A group）,a simple acupuncture group（B group）and a simple Chinese massage group（C group）.In A group,acupuncture was applied in combination with Chinese massage therapy.In B group,only acupuncture was used.In C group,only Chinese massage therapy was adopted.The improvements were compared among the three therapies in term of pain in lumbar disc herniation and the lumbar and leg motor functions as well as the self-assessment of the efficacy.Results All the three therapies effectively reduced pain in the lumbar region and leg,without statistical difference in comparison（P0.05）.In term of the improvements of life quality and self-assessment of efficacy for the patients,the effective rate and the improvements in the symptoms in A group were superior apparently to those in B and C groups,indicating statistical significant difference in comparison（P0.05）.Conclusions The combination of acupuncture and Chinese massage greatly improves the clinical efficacy on lumbar disc herniation.