“拨筋疗法”结合疼痛熥剂治疗腰椎间盘突出症患者的临床疗效

Clinical Efficacy on the Treatment of Lumbar Intervertebral Disc Herniation by"Tendon-pulling Therapy"Combined with Pain-relieving Agent

目的探讨"拨筋疗法"结合疼痛熥剂治疗腰椎间盘突出症患者的临床疗效。方法选取2018年1月至2019年6月北京市东城区社区卫生服务管理中心收治的腰椎间盘突出症患者135例作为研究对象,按治疗方法不同分为对照组(65例)与观察组(70例)。对照组予以疼痛熥剂热敷,观察组采用"拨筋疗法"结合疼痛熥剂治疗。比较两组治疗前后临床证候积分、腰腿疼痛程度、腰部功能障碍情况及腰椎功能。结果治疗前两组腰部疼痛不适、下肢疼痛与麻木、下肢行走能力、工作生活能力评分,疼痛分级指数(PRI)、视觉模拟评分法(VAS)、现时疼痛强度(PPI)评分、简化McGill疼痛量表(SF-MPQ)总分及Oswestry功能障碍指数问卷表(ODI)、腰椎功能评分表(JOA)评分比较差异无统计学意义(P>0.05);治疗后,两组各临床证候积分、PRI、VAS、PPI评分、SF-MPQ总分及JOA、ODI评分降低,且观察组低于对照组,差异有统计学意义(P<0.05)。结论"拨筋疗法"结合疼痛熥剂治疗腰椎间盘突出症将整体与局部治疗相结合,在改善患者症状,缓解疼痛,改善腰椎功能方面有良好的疗效。

Objective To explore the clinical efficacy of"tendon-pulling therapy"combined with pain-relieving agent in the treatment of patients with lumbar disc herniation.Methods A total of 135 patients with lumbar disc herniation admitted to Dongcheng District Community Health Service Management Center of Beijing from January 2018 to June 2019 were selected as the research objects and were divided into a control group(65 cases)and an observation group(70 cases)according to different treatment methods.The control group was treated with hot compress of pain lotion,and the observation group was treated with"tendon-pulling therapy"combined with pain-relieving agent.The clinical syndrome score,pain degree of waist and leg,waist dysfunction and lumbar function were compared between the 2 groups before and after treatment.Results There was no statistical difference in lumbar pain and discomfort,lower limb pain and numbness,lower limb walking ability,work and life ability,PRI,VAS,PPI,SF-MPQ,ODI and JOA between the 2 groups before treatment.After treatment,the clinical symptom scores,PRI,VAS,PPI,SF-MPQ,JOA and ODI scores of the 2 groups decreased.And the observation group was lower than the control group,the difference was statistically significant(P<0.05).Conclusion"Tendon-pulling therapy"combined with pain-relieving agent in the treatment of lumbar disc herniation combines whole and local treatment has a good effect on improving patients’symptoms,relieving pain and improving lumbar function.