壮医经筋疗法配合复合手法、干扰电治疗腰椎间盘突出症的临床观察

Clinical observation on meridian therapy of Zhuang medicine combined with compound manipulation and electrical interference for treating lumbar disc herniation

目的观察壮医经筋疗法配合复合手法、干扰电治疗腰椎间盘突出症的临床疗效。方法选择200例腰椎间盘突出症患者为研究对象,按随机数字表法分为治疗组和对照组各100例。对照组予复合手法、干扰电治疗;治疗组在对照组基础上予壮医经筋疗法。两组均治疗1疗程(10 d),记录两组腰痛评分(JOA)、视觉模拟评分(VAS)、综合疗效评分并统计两组治疗总有效率。结果治疗前,两组JOA评分、VAS评分、综合疗效评分比较,差异无统计学意义(P> 0. 05);治疗后,两组以上三项评分均较术前改善,且治疗组优于对照组,差异均有统计学意义(P <0. 05)。治疗后,治疗组总有效率为94. 00%(94/100),高于对照组的84. 00%(84/100),两组比较,差异有统计学意义(P <0. 05)。结论壮医经筋疗法配合复合手法、干扰电治疗腰椎间盘突出症疗效确切。

Objective To observe the clinical efficacy of meridian therapy of Zhuang medicine combined with compound manipulation and electrical interference for treating lumbar disc herniation.Methods A total of 200 patients with lumbar disc herniation were enrolled,and were randomly divided into treatment group and control group using random number table,with 100 patients in each group. The control group was treated with compound manipulation and electrical interference. The treatment group received meridian therapy of Zhuang medicine on the basis of the control group. Both groups received one course（10 days） treatment. The backaches scale（JOA） score, Visual Analogue Scale（VAS） score and comprehensive efficacy score of both groups were recorded. And the total effectiveness rate of both groups were statistically analyzed. Results Before treatment,there were no significant differences in the JOA score,VAS score and comprehensive efficacy score between the two groups（P〉0. 05）. After treatment,the scores of the three items above were improved in both groups compared to the score before treatment,and the scores of the treatment group were superior to those of the control group（P〈0. 05）. After treatment,the total effectiveness rate of the treatment group were higher than that of the control group [94. 00%（94/100） vs. 84. 00%（84/100）,P〈0. 05]. Conclusion Meridian therapy of Zhuang medicine combined with compound manipulation and electrical interference can obtain a definite efficacy for treating lumbar disc herniation.