隔姜铺灸联合八段锦气功治疗腰椎间盘突出症疗效研究

Effect of Ginger-separated Moxibustion Combined with Baduanjin Exercise in Treatment of Lumbar Disc Herniation

目的观察隔姜铺灸联合健身气功八段锦治疗腰椎间盘突出症(LDH)临床疗效。方法选择我院中医科收治的LDH患者126例随机法分为治疗组和对照组,对照组只给予常规中药外敷治疗,治疗组在对照组治疗基础上给予隔姜铺灸联合健身气功八段锦功能锻炼治疗,1个疗程后比较两组患者治疗效果、治疗后日本骨科协会评估治疗分数(JOA)评分、体质评分、生活质量评分、治疗的依从性。结果治疗组治疗有效率显著高于对照组(P<0.05);治疗依从性显著高于对照组(P<0.05)。治疗3周后,两组体质评分、腰椎JOA评分均较治疗前降低,生活质量评分均较治疗前提高,且治疗组体质评分、腰椎JOA评分显著低于对照组,生活质量评分显著高于对照组(P<0.05)。结论隔姜铺灸联合健身气功八段锦功能锻炼可有效改善患者腰椎间盘突出症的临床症状,改善其体质评分,具有操作简单、经济、无创等优点,患者易于接受,进而提高患者治疗依从性,有利于改善患者腰痛症状,提高生活质量,值得临床推广应用。

Objective To observe the effect of ginger-separated moxibustion combined with Baduanjin exercise in treatment of lumbar disc herniation(LDH). Methods 126 cases of patients with LDH were randomly divided into treatment group and control group. Control group was only treated with conventional Chinese medicine external application and acupuncture;treatment group was treated with ginger-separated moxibustion combined with Baduanjin exercise on the basis of control group.Results The effective rate of treatment group was significantly higher than that of control group(P<0.05),treatment compliance was significantly higher than that of control group(P<0.05). After 3 weeks of treatment,the physical fitness score and lumbar JOA score in both groups were lower than those before treatment,and the quality of life score was improved compared with that before treatment. Moreover,the physical fitness score and lumbar JOA score in treatment group were significantly lower than that in control group,and the score of quality of life was significantly higher than that in control group(P<0.05). Conclusion Ginger-separated moxibustion combined with Baduanjin exercise can effectively improve the clinical symptoms of patients with LDH,improve their physical grade,with the advantages of simple operation,economy,noninvasive,patients are easy to accept,and then improve their compliance,is beneficial to release the symptoms of low back pain,improve the quality of life,is worthy of clinical application.