平衡罐联合刺血拔罐在椎间盘源性腰痛患者中的应用及对VAS评分、ODI评分、JOA评分的影响

Application of Balanced Cupping Combined with Pricking Blood with Cupping for Patients with Discogenic Low Back Pain and its Effect on VAS Score,ODI Score and JOA Score

目的:观察平衡罐联合刺血拔罐在椎间盘源性腰痛(DLBP)患者中的疗效及对疼痛视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)评分、日本骨科学会(JOA)腰痛评分的影响。方法:选择我院2018.4~2020.4收治的160例DLBP患者,随机分组为对照组和观察组各80例,对照组患者常规口服止痛药配合运动疗法,观察组在对照组基础上应用平衡罐联合刺血拔罐干预,比较两组患者疗效、腰痛程度(VAS评分)、功能障碍状况(ODI评分)、腰椎功能(JOA评分)、生活质量及满意度。结果:观察组临床治疗总有效率高于对照组,差异有统计学意义(P<0.05);干预后,两组患者VAS评分、ODI评分较干预前降低,JOA评分较治疗前升高,且观察组患者干预后的VAS评分、ODI评分低于对照组,JOA评分高于对照组,差异有统计学意义(P<0.05);随访1个月,两组患者健康调查生活质量量表各维度评分较干预前均升高,且除社会功能及情感职能维度外观察组高于对照组,差异有统计学意义(P<0.05);观察组患者干预满意度高于对照组,差异有统计学意义(P<0.05)。结论:DLBP患者以平衡罐联合刺血拔罐干预效果显著,可有效减轻患者腰部疼痛症状、改善腰椎功能,并提高患者生活质量。

Objective: To explore the efficacy of balanced cupping combined with pricking blood with cupping for patients with discogenic low back pain(DLBP) and its effect on visual analogue score(VAS),Oswestry dysfunction index(ODI) score, and low back pain score of Japanese Orthopedic Association(JOA).Methods: A total of 160 patients with DLBP admitted to our hospital from April 2018 to April 2020 were selected and randomly assigned to a controlled group and an observation group, with 80 cases in each group.The controlled group was given oral routine analgesics combined with exercise therapy, and the observation group was given balanced cupping combined with pricking blood with cupping on the basis of the controlled group.The efficacy, low back pain(VAS score),dysfunction status(ODI score),lumbar function(JOA score),quality of life and satisfaction were compared between the two groups.Results: The total effective rate of clinical treatment in the observation group was higher than that in the controlled group(P < 0.05).After intervention, the VAS score and ODI score of the two groups were lower than those before intervention while the JOA score was higher than that before treatment, and the VAS score and ODI score in the observation group after intervention were lower than those in the controlled group while the JOA score was higher than that in the controlled group(P < 0.05).At 1 month of follow-up, the scores of dimensions of health survey quality of life scale of the two groups were higher than those before intervention, and the scores in the observation group were higher than those in the controlled group except for the dimensions of social function and emotional function(P < 0.05).The intervention satisfaction in the observation group was higher than that in the controlled group(P < 0.05).Conclusion: Balanced cupping combined with pricking blood with cupping for DLBP patients has a significant intervention effect, and it can effectively relieve the symptoms of lumbar pain, improve lumbar function, and enhance the quality of life of patients.