针刺联合核心肌群训练对腰椎间盘突出症患者康复效果的影响

Effect of Acupuncture Combined with Core Muscle Group Training on Rehabilitation Effect of Patients with Lumbar Disc Herniation

目的研究针刺联合核心肌群训练对腰椎间盘突出症(LDH)患者康复效果的影响。方法选取河南宏力医院2019年1月至2019年10月收治的85例LDH患者作为研究对象,采用掷硬币法分为对照组(43例)与观察组(42例)。对照组接受核心肌群训练,观察组接受核心肌群训练联合针刺治疗,两组均干预3个月。比较两组干预3个月后康复效果,比较两组干预前及干预3个月后的腰椎功能[日本骨科学会(JOA)下腰椎功能功能评定量表]以及疼痛程度[视觉模拟评分(VAS)]。结果干预后,观察组康复有效率(92.86%)高于对照组(74.42%),差异有统计学意义(P<0.05)。干预后,两组JOA评分均上升,VAS评分均下降,且观察组JOA评分高于对照组,VAS评分低于对照组,差异有统计学意义(P<0.05)。观察组疼痛缓解时间为(5.12±1.21)d,康复时间为(13.62±2.04)d,均短于对照组[(7.15±0.74)d、(16.95±3.57)d],差异有统计学意义(P<0.05)。结论对LDH患者采用针刺联合核心肌群训练干预,可改善腰椎功能,缓解疼痛感,康复效果明显,值得临床推广应用。

Objective To study the effect of acupuncture combined with core muscle group training on the rehabilitation effect of patients with lumbar disc herniation(LDH).Methods A total of 85 patients with LDH treated in Henan Hongli Hospital from January 2019 to October 2019 were selected as research objects,and they were divided into control group(43 cases)and observation group(42 received)by coin tossing method.The control group received core muscle group training,and the observation group received core muscle group training combined with acupuncture,both groups were intervened for 3 months.The rehabilitation effect was compared between the two groups after 3 months of intervention,lumbar function[Japanese Orthopaedic Association(JOA)lower lumbar function assessment scale]and pain degree[visual analogue scale(VAS)]were compared between the two groups before and 3 months after intervention.Results After intervention,the effective rate of rehabilitation in the observation group(92.86%)was higher than that in the control group(74.42%)(P<0.05).After intervention,the JOA of both groups was increased,VAS scores were decreased,and the JOA score of the observation group was higher than that in the control group,VAS score was lower than that in the control group(P<0.05);the pain relief time of the observation group[(5.12±1.21)d],and the rehabilitation time[(13.62±2.04)d],were higher than those in the control group[(7.15±0.74)d,(16.95±3.57)d](P<0.05).Conclusion Acupuncture combined with core muscle group training intervention can improve lumbar function and relieve pain in patients with LDH,with obvious rehabilitation effect,which is worthy of clinical application.