综合非药物中医技术联合茶歇健康操对久坐族腰椎间盘突出症的近远期疗效观察

Observation on the Short-term and Long-term Effect of Non Pharmaceutical TCM Technology Combined with Tea Break Health Exercises on Lumbar Disc Herniation in the Sedentary Group

目的:观察综合非药物中医技术联合茶歇健康操对久坐族腰椎间盘突出症的近远期疗效。方法:将50例腰椎间盘突出症患者随机分为治疗组和对照组,每组25例。对照组予林氏正骨、火针和通督调神针法治疗,治疗组在对照组治疗基础上给予小针刀和茶歇健康操治疗。2组1个疗程均为4周。观察2组临床疗效以及治疗前后视觉模拟评分法(VAS)评分、简化McGill疼痛量表(SF-MPQ)评分和Oswestry功能障碍指数(ODI)评分,并在治疗后3,6,12个月时随访患者SF-MPQ评分和ODI评分。结果:治疗组痊愈10例,显效12例,有效2例,无效1例,总有效率为96.00%;对照组痊愈2例,显效7例,有效14例,无效2例,总有效率为92.00%。2组比较,差异无统计学意义(P>0.05)。治疗后,2组VAS评分、PPI、PRI、SF-MPQ总分及ODI评分较治疗前均有改善(P<0.05);且治疗组优于对照组(P<0.05);治疗结束后3,6,12个月,治疗组SF-MPQ总分及ODI评分均低于对照组(P<0.05)。结论:综合非药物中医技术联合茶歇健康操对久坐族腰椎间盘突出症具有较好的近远期疗效。

Objective:To observe the short-term and long-term effects of Tnon pharmaceutical TCM technology combined with tea break health exercises on lumbar disc herniation in the sedentary Group.Methods:Fifty patients with lumbar disc herniation were randomly divided into a treatment group and a control group,with 25 cases in each group.The control group was treated with Lin's bone setting,fire acupuncture and acupuncture of dredging the Governor Vessel and regulating mentality,and the treatment group was treated with small needle knife and tea break healthy exercise based on the above treatment for the control group.The course of treatment for both groups was 4 weeks.The clinical efficacy,VAS,simplified SF-MPQ score and ODI score of the two groups were observed before and after treatment.The patients were followed up at the 3 rd,6 th and 12 th month after treatment.Results:In the treatment group,10 cases were recovered,12 cases were markedly effective,2 cases were effective,1 case was ineffective and the total effective rate was 96.00%;In the control group,2 cases were recovered,7 cases were markedly effective,14 cases were effective,2 cases were ineffective and the total effective rate was 92.00%.There was no significant difference between the two groups(P>0.05).After treatment,the VAS,PPI,PRI,SF-MPQ total score and ODI score of the two groups were improved compared with those before treatment(P<0.05);The treatment group was better than the control group(P<0.05);Three,six and twelve months after treatment,the total scores of SF-MPQ and ODI in the treatment group were lower than those in the control group(P<0.05).Conclusion:Non pharmaceutical TCM technology combined with tea break health exercises has good short-term and long-term effects on lumbar disc herniation in the sedentary Group.