针灸对腰椎间盘突出性坐骨神经痛患者生存质量的影响

Effect of acupuncture and moxibustion on quality of life in the patients with lumbar disc herniation sciatica

目的:探讨针灸与腰椎间盘突出性坐骨神经痛患者生存质量的关系。方法:选取2017年6月-2017年12月收治的腰椎间盘突出性坐骨神经痛患者82例,随机分为对照组和治疗组各41例。治疗组采用针灸治疗辅助TDP灯照射,对照组采用超短波治疗,两组均每周治疗3次,10次为1个疗程,连续治疗2个疗程。记录两组治疗前后生存质量量表(SF-36)各个维度评分及总评分,并观察治疗组病程与生存质量的关系。结果:治疗后,治疗组PF、RP、BP、MH评分和总分分别为(54.02±8.96)分、(49.39±13.10)分、(56.34±12.27)分、(74.54±7.09)分和(60.70±8.38)分,较治疗前升高(P<0.01);对照组PF、BP评分和总分分别为(34.88±9.97)分、(33.24±9.37)分和(48.80±8.96)分,较治疗前升高(P<0.01)。治疗组PF、BP评分和总分优于对照组(P<0.01)。MH评分和总分与病程呈正相关,治疗前的MH分值和总分与病程呈负相关(P<0.01)。结论:针灸能明显提高腰椎间盘突出性坐骨神经痛患者生存质量,且患者病程是影响生存质量的影响因素。

Objective： To explore the relationship between acupuncture and moxibustion and quality of life in the patients with lumbar disc herniation sciatica. Methods： Eighty-two patients with lumbar disc herniation sciatica were selected from June to December 2017 and randomly divided into a control group and a treatment group with 41 cases in each group. The treatment group was treated with acupuncture and moxibustion and assisted with TDP light irradiation and the control group was treated with ultrashort wave therapy. Both groups were treated 3 times a week, 10 times for a course of treatment, and 2 courses of treatment were continued. The scores of each dimension and total score of the quality of life scale（SF-36） before and after treatment were recorded. The relationship between the course of disease and quality of life in the treatment group was also observed. Results： After treatment, the PF, RP, BP, MH scores and total scores in the treatment group were（54.02 ± 8.96） points,（49.39 ± 13.10） points,（56.34 ± 12.27） points,（74.54 ± 7.09） points and（60.70 ± 8.38）points, respectively, which were higher than those before treatment（P 0.01）; the PF and BP scores and total scores in the control group were（34.88 ± 9.97） points,（33.24 ± 9.37） points and（48.80±8.96） points, respectively, which were higher than those before treatment（P 0.01）. The PF and BP scores and total scores in the treatment group were better than those in the control group（P 0.01）. The MH score and total score were positively correlated with the course of the disease. The MH score and total score before treatment were negatively correlated with the course of the disease（P 0.01）. Conclusion： Acupuncture and moxibustion can significantly improve the quality of life of the patients with lumbar disc herniation sciatica and the course of the disease is the influencing factor of the quality of life.