五步复位法治疗气滞血瘀型腰椎间盘突出症的临床疗效

Clinical efficacy of five-step reduction method for treatment of qi stagnation and blood stasis type lumbar disc herniation

目的评价五步复位法治疗气滞血瘀型腰椎间盘突出症的临床疗效。方法将2018年8月至2019年12月入组的70例气滞血瘀型腰椎间盘突出症患者随机分为两组,每组各35例。治疗组采用五步复位法治疗,对照组采用传统推拿法治疗,分别比较两组患者疗效及治疗前后疼痛评分、ODI功能障碍指数。结果治疗1个疗程后,治疗组临床总有效率为91.43%,明显高于对照组的85.72%,差异有统计学意义(P<0.05),治疗组临床疗效明显优于对照组,差异有统计学意义(P<0.05)。治疗后两组VAS疼痛评分及ODI功能障碍指数均较治疗前降低,差异有统计学意义(P<0.01),且治疗后治疗组ODI指数较对照组降低更为显著,差异有统计学意义(P<0.01)。结论五步复位法能明显提高气滞血瘀型腰椎间盘突出症临床疗效,更好改善腰椎功能,且方法简便验廉,值得临床推广应用。

Objective To evaluate the clinical efficacy of the five-step reduction method in treating qi stagnation and blood stasis type lumbar disc herniation.Methods A total of 70 patients with qi stagnation and blood stasis type lumbar disc herniation who were enrolled from August 2018 to December 2019 were randomly divided into two groups,with 35 cases in each group.The treatment group was treated with the five-step reduction method,and the control group was treated with traditional Tuina therapy.The efficacy,pain scores before and after treatment,and ODI dysfunction index were compared between the two groups.Results After one course of treatment,the total effect rate in the treatment group was 91.43%which was higher than that of 85.72%in the control group,and the difference was statistically significant(P<0.05).The clinical efficacy in the treatment group was better than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the VAS pain score and ODI dysfunction index between the two groups were lower than those before treatment,and the differences were statistically significant(P<0.01).After treatment,the ODI dysfunction index in the treatment group was lower than that in the control group,and the differences were statistically significant(P<0.01).Conclusion The five-step reduction method can significantly improve the clinical efficacy of qi stagnation and blood stasis type lumbar disc herniation,and better improve the lumbar spine function.The method is simple and inexpensive,and is worthy of clinical application.