针灸配合身痛逐瘀汤治疗腰椎间盘突出症的效果及对患者生活质量的影响

Effect of Acupuncture and Moxibustion Combined with Shentong Zhuyu Decoction in Patients with Lumbar Disc Herniation and Its Influence on Quality of Life

目的:探讨针灸配合身痛逐瘀汤治疗腰椎间盘突出症的效果及对患者生活质量的影响。方法:选取2017年2月-2019年2月本院收治的68例腰椎间盘突出患者,按照随机数字法将其分为对照组和研究组,每组34例。对照组进行针灸治疗,研究组在对照组的基础上应用身痛逐瘀汤治疗。比较两组腰椎功能评分、ODI、VAS、下肢麻木、生活质量及症状评分。结果:治疗前,两组主观症状、临床体征、日常生活受限、膀胱功能评分比较,差异均无统计学意义(P>0.05);治疗后,两组主观症状、临床体征、日常生活受限、膀胱功能评分均高于治疗前,且研究组均高于对照组,差异均有统计学意义(P<0.05)。治疗前,两组VAS、ODI、下肢麻木评分比较,差异均无统计学意义(P>0.05);治疗后,两组VAS、ODI、下肢麻木评分均低于治疗前,且研究组均低于对照组,差异均有统计学意义(P<0.05)。治疗前,两组生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康评分比较,差异均无统计学意义(P>0.05);治疗后,两组生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康评分均高于治疗前,且研究组高于对照组,差异均有统计学意义(P<0.05)。研究组总有效率为97.1%高于对照组的76.5%,差异有统计学意义(P<0.05)。治疗前,两组喜暖恶寒、四肢湿冷、腰部板硬、脊柱侧弯评分比较,差异均无统计学意义(P>0.05);治疗后,两组喜暖恶寒、四肢湿冷、腰部板硬、脊柱侧弯评分均低于治疗前,且研究组均低于对照组,差异均有统计学意义(P<0.05)。结论:身痛逐瘀汤治疗腰椎间盘突出症效果理较好,可改善腰椎功能,提升生活质量,值得进一步推广和应用。

Objective:To investigate the effect of acupuncture and moxibustion combined with Shentong Zhuyu Decoction in patients with lumbar disc herniation and its influence on quality of life.Method:A total of 68 patients with lumbar disc herniation admitted to our hospital from February 2017 to February 2019 were selected,and they were randomly divided into control group and study group according to random number table,34 cases in each group.The control group was treated with acupuncture and moxibustion,and the study group was treated with Shentong Zhuyu Decoction on the basis of the control group.The lumbar function scores,ODI,VAS,lower limb numbness,quality of life and symptom scores were compared between two groups.Result:Before treatment,there were no significant differences in subjective symptoms,clinical signs,limitation of daily life and bladder function scores between two groups(P>0.05);after treatment,the subjective symptoms,clinical signs,limitation of daily life and bladder function scores of both groups were higher than those before treatment,and those of the study group were higher than those of the control group,the differences were statistically significant(P<0.05).Before treatment,there were no statistically significant differences in VAS,ODI and lower limb numbness scores between two groups(P>0.05);after treatment,VAS,ODI and lower limb numbness scores of both groups were lower than those before treatment,and those of the study group were lower than those of the control group,the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in physiological function,physical function,physical pain,general health,vitality,social function,emotional function and mental health scores between two groups(P>0.05);after treatment,the physiological function,physical function,physical pain,general health,vitality,social function,emotional function and mental health scores of both groups were higher than those before treatment,and those of the study group were higher than those of the control group,the differences were statistically significant(P<0.05).The total effective rate of the study group was 97.1%,which was higher than 76.5%of the control group,the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in the scores of warm and cold,wet and cold limbs,stiff lumbar plate and scoliosis(P>0.05);after treatment,the scores of warm and cold aversion,wet and cold limbs,stiff lumbar plate and scoliosis in both groups were lower than before,and the scores of study group were lower than control group,the differences were statistically significant(P<0.05).Conclusion:Shentong Zhuyu Decoction has a good effect on the treatment of lumbar disc herniation,which can improve the lumbar function and the quality of life,which is worthy of further promotion and application.