整脊推拿手法联合腰三针对腰椎间盘突出症患者疼痛情况及生活质量的影响

The Effect of Chiropractic Combined with Lumbar Three-needle on Pain and Quality of Life in Patients with Lumbar Disc Herniation

目的:观察整脊推拿手法联合腰三针对腰椎间盘突出症(lumbar disc herniation,LDH)患者疼痛及生活质量的影响。方法:选取2017年9月-2019年3月本院84例LDH患者,采用随机数字表法分为观察组与对照组,每组42例。观察组采用整脊推拿手法联合腰三针疗法,而对照组采用传统推拿及针刺。比较两组临床疗效。评估并比较两组治疗前后视觉模拟评分(visual analogue score,VAS)、日本骨科学会评分(japanese orthopaedic association scores,JOA)及健康生活调查简表(SF-36)。结果:治疗前,两组VAS、JOA及各项SF-36评分比较,差异均无统计学意义(P>0.05);治疗后,观察组VAS、JOA及各项SF-36评分均优于对照组(P<0.05)。观察组治疗总有效率为95.24%高于对照组的80.95%(P<0.05)。结论:与常规推拿及针刺方法相比,整脊推拿手法联合腰三针治疗LDH效果显著,具有较高的临床价值。

Objective:To observe the clinical effect of chiropractic combined with lumbar three-needle in the treatment of pain and quality of life in patients with lumbar disc herniation(LDH).Method:From September 2017 to March 2019,84 LDH patients in our hospital were selected and divided into observation group and control group by random number table method,42 cases in each group.The observation group was treated with the chiropractic technique combined with the waist three-needle therapy,while the control group was treated with traditional massage and acupuncture.Clinical efficacy was compared between the two groups.Visual analogue score(VAS),Japanese orthopaedic association scores(JOA)and short form health survey(SF-36)before and after treatment were evaluated and compared between the two groups.Result:Before treatment,There were no significant differences in VAS,JOA and all SF-36 scores between the two groups(P>0.05).After treatment,VAS,JOA and all SF-36 scores in the observation group were better than those in the control group(P<0.05).The total effective rate in the observation group was 95.24%,higher than 80.95%in the control group(P<0.05).Conclusion:Compared with conventional massage and acupuncture methods,chiropractic combined with lumbar three-needle treatment of LDH has significant curative effect and high clinical value.