中医正骨手法联合穴位注射对腰椎间盘突出症的疗效观察

Clinical Study On Treatment Of Lumbar Disc Herniation Protrusion By Chinese Manipulation Nomenclature Combined With Acupoint Injection

目的:观察中医正骨手法联合穴位注射对腰椎间盘突出症(Lumbar Disc Herniation,LDH)的治疗效果.方法:选取2019年8月-2020年2月就诊于江苏省第二中医院康复科,确诊为腰椎间盘突出症的病患者60例为本研究的对象,随机分为对照组30例和观察组30例,对照组予以中医正骨手法治疗,观察组采用中医正骨手法联合穴位注射治疗,治疗前后比较2组在临床症状评分、ODI(Oswestry功能障碍指数问卷表)评分、VAS(视觉模拟评分法)、JOA评分评定腰椎功能.结果:治疗2周后2组治愈率有显著性差异(P<0.05),观察组总有效率高于对照组(P<0.05),治疗4周后2组治愈率均明显提高,观察组治愈率高于对照组(P<0.05),但2组总有效率相同(P>0.05).2组ODI、VAS评分均较治疗前显著降低(P<0.05),观察组优于对照组(P<0.05),治疗4周后观察组评分低于对照组,具有统计学差异(P<0.05).治疗2周后,2组JOA评分均较治疗前显著降低(P<0.05),观察组优于对照组(P<0.05),治疗4周后观察组评分低于对照组,具有统计学差异(P<0.05).结论:中医正骨手法联合穴位注射对腰椎间盘突出症患者的治疗效果要优于单纯中医正骨手法组.

Objective:To explore the clinical curative effects of Chinese manipulation nomenclature combined with acupoint injection for the treatment of lumbar disc hemiation(LDH).Methods:From August 2019 to February 2020 in the Department of Rehabilitation of the Second Hospital of Jiangsu Province a total of 60 patients diagnosed with lumbar disc herniation were selected and randomly divided into the control group and the observation group(30 cases in each group).The control group were treated with conventional Chinese medicine orthopedic manipulation,while the observation group were treated with traditional Chinese medicine orthopedic manipulation com-bined with acupoint injection.The changes of clinical symptom score and Oswestry dysfunction index questionnaire(ODI)score before and after treatment were compared between the two groups.Results:After two weeks of treatment,the cure rate in the observation group was twice that in the control group(P<0.05),and the total effective rate in the observation group was higher than that in the control group(P<0.05).After four weeks the cure rates in the two goups all improved,but the improvement in the observation group was higher than the treatment group(P<0.05).And the total effective rates were the same in both groups(P>0.05).The ODI and VAS scores of the two groups were significantly lower than those before treatment(P<0.05),in which the observation group was better than that in the control group(P<0.05).After 4 weeks of treatment,the scores of the observation group were lower than the control group with statistical differences(P<0.05)).After 2 weeks of treatment,the JOA scores of the two groups were significantly lower than before treatment(P<0.05),of which the observation group was better than that of the control group(P<0.05).After 4 weeks of treatment,in the observation group the scores were lower than that in the control group(P<0.05).Conclusion:Using Chinese manipulation nomenclature combined with acupoint injection on patients has a more important role in improving the clinical symptoms and reducing the Oswestry disability index than just using the Chinese manipulation nomenclature.