温针灸联合关节松动术治疗慢性下腰痛临床研究

Clinical Study on Warming-Needle Moxibustion Combined with Joint Loosening for Chronic Low Back Pain

目的:观察温针灸联合关节松动术对慢性下腰痛患者腰部活动度、疼痛数字评分(NRS)及Oswestry功能障碍指数(ODI)的影响。方法:选取92例慢性下腰痛患者,按随机数字表法分为对照组和研究组各46例。对照组给予关节松动术治疗,研究组在对照组基础上给予温针灸治疗。比较2组临床疗效,观察2组腰部活动度、NRS评分、ODI评分、满意度评分及持续坐立时间情况。结果:研究组总有效率为93.48%,高于对照组78.26%(P<0.05)。治疗后,2组前屈、伸展、侧屈活动度及持续坐立时间均高于治疗前(P<0.05),且研究组各项指标均高于对照组(P<0.05)。治疗后,2组NRS、ODI评分较治疗前降低(P<0.05),且研究组NRS、ODI、满意度评分低于对照组(P<0.05)。结论:温针灸联合关节松动术对慢性下腰痛患者有较好的治疗效果,可增强腰部活动度,缓解腰部肌肉痉挛,促进腰部功能恢复,且患者满意度较高。

Objective:To observe the effect of the therapy of warming-needle moxibustion combined with joint loosening on the lumbar mobility,Numerical Rating Scale of Pain(NRS)and Oswestry Disability Index(ODI)in patients with chronic low back pain.Methods:A total of 92 patients with chronic low back pain were selected and divided into the control group and the study group according to the random number table method,46 cases in each group.The control group was treated with joint loosening and the study group was additionally treated with warming-needle moxibustion based on the treatment of the control group.The clinical effect was compared between the two groups.The lumbar mobility,scores of NRS,ODI and satisfaction,and continuous sitting time were observed in the two groups.Results:The total effective rate was 93.48%in the study group,higher than that of 78.26%in the control group(P<0.05).After treatment,the mobility of forward flexion,extension and lateral flexion,and the continuous sitting time in the two groups were all higher than before treatment(P<0.05),and those in the study group were higher than those in the control group(P<0.05).After treatment,the scores of NRS and ODI in the two groups were decreased when compared with those before treatment(P<0.05),and the scores of NRS,ODI and satisfaction in the study group were lower than those in the control group(P<0.05).Conclusion:The therapy of warming-needle moxibustion combined with joint loosening has a good therapeutic effect on the patients with chronic low back pain,which can enhance the lumbar mobility,relieve the lumbar muscle spasm,and promote the recovery of lumbar function,with high satisfaction.