脊柱局部正骨推拿对颈肩腰腿痛患者VAS评分及睡眠质量的影响

Effect of Local Orthopaedic Massage on VAS Score and Sleep Quality in Patients with Neck, Shoulder, Waist and Leg Pain

目的:分析脊柱局部正骨推拿对颈肩腰腿痛患者视觉模拟评分(VAS)评分及睡眠质量的影响。方法:选取我院2017年5月—2019年1月收治的颈肩腰腿痛患者144例,根据治疗方法不同均分为两组。对照组给予常规药物治疗,观察组在对照组基础上给予脊柱局部正骨推拿治疗,分析两组患者的疗效、VAS评分、主要关节功能(CASCS)评分、睡眠质量及复发率情况。结果:观察组的疗效优于对照组,差异有统计学意义(P<0.05)。两组治疗前VAS评分、CASCS评分组间比较,差异无统计学意义(P>0.05)。观察组治疗后的CASCS评分为(91.27±6.36)分,高于对照组的(74.15±5.18)分,VAS评分为(1.28±0.28)分,低于对照组的(2.48±0.33),差异有统计学意义(P<0.05)。观察组的睡眠质量优36例,良18例,中16例,差2例;对照组的睡眠质量优16例,良26例,中18例,差12例;观察组的整体睡眠质量优于对照组,差异有统计学意义(P<0.05)。观察组的复发率为6.94%,低于对照组的18.06%,差异有统计学意义(P<0.05)。结论:脊柱局部正骨推拿应用于颈肩腰腿痛可减轻患者疼痛程度,改善主要关节功能,提高睡眠质量,且复发率低。

Objective To analyze the effect of local spine massage on Visual Analogue Score(VAS) and sleep quality in patients with neck, shoulder, waist and leg pain. Methods 144 patients with neck, shoulder, low back and leg pain treated in our hospital from May 2017 to January 2019 were divided into two groups according to the different treatment methods. The control group was treated with routine drugs, and the observation group was treated with local orthopaedic massage of spine on the basis of the control group. The curative effect, VAS score, CASCS score of main joint function, sleep quality and recurrence rate of the two groups were analyzed. Results The efficacy of the observation group and the control group were compared with the control group, which the difference was statistically significant(P<0.05). The observation group was superior to the control group. The VAS score and the CASCS score of major joint function were compared between the two groups before treatment, which the difference was not statistically significant(P>0.05). After treatment, the CASCS score in the observation group was higher than that in the control group(91.27±6.36), and the VAS score in the observation group was lower than that in the control group(1.28±0.28). In the observation group, there were 36 cases of excellent sleep quality, 18 cases of good sleep quality, 16 cases of good sleep quality and 2 cases of poor sleep quality, while the control group had 16 cases of excellent sleep quality, 26 cases of good sleep quality, 18 cases of good sleep quality and 12 cases of poor sleep quality and the overall sleep quality of the observation group was better than that of the control group. The difference was statistically significant(P<0.05). The rate of recurrence in observation group was 6.94% in control group and 18. 06 % in control group. The recurrence rate in observation group was lower than that in control group(P < 0. 05). Conclusion The application of local spine massage in neck, shoulder, waist and leg pain can alleviate the pain degree, improve the main joint function, improve the quality of sleep and reduce the recurrence rate.