蜡疗联合针刺对腰椎间盘突出症患者疼痛症状及功能康复的影响

Effect of wax therapy combined with acupuncture on pain symptoms and functional rehabilitation of patients with lumbar disc herniation

目的探讨腰椎间盘突出症(LDH)患者应用蜡疗联合针刺的干预效果。方法选取2018年4月—2020年5月于南昌市洪都中医院就诊的80例LDH患者作为研究对象,采用随机数字表法将其分为对照组与观察组,每组各40例。对照组患者采用针刺+常规护理,观察组患者在对照组的基础上加用蜡疗干预。比较两组患者的临床疗效、疼痛症状、腰椎功能及血液流变学指标。结果观察组患者的临床总有效率(97.50%)高于对照组(72.50%),干预后的视觉模拟评分法(VAS)评分低于对照组,日本骨科协会评估治疗分数(JOA)评分高于对照组,红细胞聚集指数、全血高切黏度、全血低切黏度低于对照组,差异有统计学意义(P<0.05)。结论LDH患者应用蜡疗联合针刺疗法利于缓解患者的疼痛症状,在缓解患者腰椎功能、改善血液流变学指标方面发挥着重要的作用,利于改善患者预后。

Objective To investigate the intervention effect of wax therapy combined with acupuncture on patients with lumbar disc herniation(LDH).Methods Eighty patients with LDH who were treated in Hongdu Hospital of Traditional Chinese Medicine from April 2018 to May 2020 were selected as the research objects and divided into the control group and the observation group by random number table method,with 40 cases in each group.Patients in the control group were treated with acupuncture+routine nursing,and patients in the observation group were treated with wax therapy on the basis of the control group.Clinical efficacy,pain symptoms,lumbar function and hemorheology were compared between the two groups.Results The total clinical effective rate(97.50%)of the observation group was higher than that of the control group(72.50%),the visual analog scale(VAS)score after intervention was lower than that of the control group,the Japanese Orthopaedic Association scores(JOA)score was higher than that of the control group,the erythrocyte aggregation index,high and low shear blood viscosity were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The use of wax therapy combined with acupuncture in patients with LDH is beneficial to relieve the pain symptoms of patients,and plays an important role in improving the function of the patients′lumbar spine,which is beneficial to improve the prognosis of patients.