中医针灸推拿加牵引治疗老年血瘀型腰椎间盘突出症的临床疗效观察

Clinical Observation on Senile Blood Stasis Type Lumbar Intervertebral Disc Protrusion by Acupuncture,Moxibustion and Traction

目的:观察中医针灸推拿加牵引治疗老年血瘀型腰椎间盘突出症(Lubar Intervertebral Disc Protrusion,LIDP)的临床疗效及对患者腰部关节活动度的改善情况。方法:选取选取2015年12月至2016年12月重庆市第十三人民医院收治的老年血瘀型LIDP患者120例,依据就诊序号分为观察组与对照组,每组均60例。对照组采用牵引法治疗,观察组在对照组的基础上加用中医针灸推拿法治疗。比较2组患者临床疗效、治疗前后疼痛程度、腰椎功能及腰部关节活动度改善情况。结果:治疗后观察组总有效率为96.7%,显著高于对照组的80.0%,差异有统计学意义(P<0.01);治疗后2组VAS评分、ODI指数均显著低于治疗前,且观察组明显低于对照组,差异有统计学意义(P<0.01);比较治疗前,治疗后2组患者腰部关节活动度均显著改善,差异有统计学意义(P<0.01),且观察组改善程度更明显,差异有统计学意义(P<0.01)。结论:中医针灸推拿加牵引法可显著提高老年血瘀型LIDP患者的临床疗效、可显著改善患者腰部疼痛、腿部麻木、行走障碍和直腿抬高等临床症状,改善患者的腰部关节活动度明显。

Objective： To observe the clinical efficacy of acupuncture,moxibustion and traction in senile blood stasis type lumbar intervertebral disc protrusion（ LIDP） and the improvement of lumbar joint activity in patients. Methods： All 120 cases of elderly patients with blood stasis type LIDP were randomly divided into an observation group and a control group according to the visitor numbers,60 cases in each. The control group was treated by traction method,the observation group was treated with traditional Chinese medicine acupuncture and massage on the basis of the control group. The clinical efficacy,the degree of pain,improvement of lumbar function and lumbar joint activity were compared between the 2 groups before and after treatment. Results： The total effective rate was 96. 7% in the observation group,which was significantly higher than that,80. 0%,of the control group（ P〈0. 01）. The VAS score and ODI index of the 2 groups were significantly lower than those before treatment,and those of the observation group was significantly lower than those of control group（ P〈0. 01）. After treatment,the degree of lumbar joint activity in2 groups was significantly improved（ P〈0. 01）,and the observation group was better（ P〈0. 01）. Conclusion： Acupuncture and massage plus traction method can significantly improve the clinical efficacy of elderly patients with blood stasis type LIDP,the patient＇s waist pain,leg numbness,walking disorders,straight leg elevation and other clinical symptoms,as well as the lumbar joint activity of patient.