悬吊训练联合推拿对腰椎间盘突出症的效果

Effect of Suspension Training Combined with Massage on Lumbar Disc Herniation

目的:观察悬吊训练联合推拿对腰椎间盘突出症(LDH)的效果。方法:选取2019年7月-2020年12月福建中医药大学附属康复医院推拿科LDH患者60例为研究对象,随机分为治疗组和对照组,每组30例。治疗组行悬吊训练+推拿治疗,对照组行推拿治疗,1次/d,连续治疗5 d,休息2 d,治疗周期为2周。分别在治疗前、治疗2周后及治疗后1个月进行评估,采用VAS量表、ODI量表、JOA量表进行评分,并根据JOA评分,比较两组疗效。结果:治疗2周后,两组VAS、ODI评分与治疗前比较均显著降低,且治疗组VAS、ODI评分均低于对照组,差异有统计学意义(P<0.05)。治疗后1个月,治疗组VAS、ODI评分均显著低于对照组,差异有统计学意义(P<0.05)。治疗2周后、治疗后1个月,两组JOA评分均较治疗前升高,且治疗组高于对照组,差异有统计学意义(P<0.05)。治疗2周后,治疗组总有效率高于对照组,差异有统计学意义(P<0.05);治疗后1个月,治疗组与对照组总有效率比较差异无统计学意义(P>0.05)。结论:悬吊训练联合推拿对腰椎间盘突出症有较好的临床疗效,值得临床推广及应用。

Objective:To observe the effect of suspension training combined with massage on lumbar disc herniation (LDH).Method:From July 2019 to December 2020,60 LDH patients of Massage Department of Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine were selected as research subjects and randomly divided into treatment group and control group,with 30 patients in each group.The treatment group was given suspension training combined with massage therapy,and the control group received simple massage treatment once a day for 5 consecutive days with 2 days of rest,the treatment period was 2 weeks.The two groups were evaluated before treatment,after 2 weeks of treatment,and 1 month after treatment,and scored by VAS,ODI,JOA scales.The efficacy of the two groups was compared according to the JOA score.Result:After 2 weeks of treatment,VAS,ODI scores in both groups were significantly lower than those before treatment,and VAS,ODI scores in the treatment group were lower than those in the control group,the differences were statistically significant (P<0.05).One month after treatment,VAS,ODI scores in the treatment group were significantly lower than those in the control group,the differences were statistically significant (P<0.05).After 2 weeks of treatment and 1 month after treatment,JOA scores in both groups were higher than those before treatment,that in the treatment group was significantly higher than the control group,and the differences were statistically significant (P<0.05).After 2 weeks of treatment,the total effective rate in the treatment group was higher than that in the control group,and the difference was statistically significant (P<0.05);1 month after treatment,there was no significant difference in total effective rate between the treatment group and the control group (P>0.05).Conclusion:Suspension training combined with massage has a good clinical effect on lumbar disc herniation,and is worthy of clinical promotion and application.