针灸联合推拿治疗对腰椎间盘突出症患者疼痛及功能恢复的影响

Efficacy of acupuncture plus massage on pain and functional recovery in patients with lumbar disc herniation

目的:探究针灸联合推拿治疗对腰椎间盘突出症患者疼痛及功能恢复的影响。方法:选取2017年8月-2018年6月于我院治疗的90例腰椎间盘突出症患者,采用随机数字表法分为两组,各45例。对照组给予常规治疗,观察组采用针灸联合推拿治疗。对比两组临床疗效、治疗前后中医证候积分、疼痛评分(Visual Analogue Scale,VAS)及功能恢复评分(Japanese Orthopaedic Association Scores,JOA)。结果:相较于对照组观察组的治疗总有效率较高,差异有统计学意义(P<0.05);观察组治疗后各中医证候积分分别为(1.05±0.64)分、(1.12±0.87)分、(1.01±0.62)分、(0.94±0.12)分,VAS评分为(1.84±0.22)分均低于对照组(2.57±0.81)分、(2.63±0.91)分、(2.94±0.68)分、(1.38±0.36)分、(3.24±0.36)分,JOA评分为(21.33±2.46)分高于对照组(18.57±2.24)分,差异有统计学意义(P<0.05)。结论:针灸联合推拿在治疗腰椎间盘突出症中获得较好的临床效果,患处疼痛感有效缓解,腰椎功能明显改善,值得推广应用。

Objective:To investigate clinical efficacy of acupuncture plus massage on pain and functional recovery in patients with lumbar disc herniation.Methods:From August 2017 to June 2018,90 cases were divided into 2 groups,45 cases in each.The control group was given conventional western medicine,and the observation group was given acupuncture plus massage.Results:The total efficiency in the observation group was higher than the control group,P﹤0.05.After treatment,in the observation group,TCM syndrome scores were(1.05±0.64)points,(1.12±0.87)points,(1.01±0.62)points,and(0.94±0.12)points,respectively,and the VAS score was(1.84±0.22)points,lower than(2.57±0.81)points,(2.63±0.91)points,(2.94±0.68)points,(1.38±0.36)points,and(3.24±0.36)points in the control group.The JOA score in the observation group was(21.33±2.46)points,which was higher than the control group(P﹤0.05).Conclusion:Acupuncture plus massage on pain and functional recovery in patients with lumbar disc herniation shows good effects,can effectively relieve pain and lumbar spine function,and is worthy of promotion.