深刺关元俞联合推拿疗法对腰椎间盘突出症风寒痹证患者下肢疼痛的影响

The Influence of Deep Needling at Guanyuan Combined with Massage on Lower Limb Pain of Patients with Wind-Cold-Arthralgia Syndrome of Lumbar Disc Herniation

目的:观察深刺关元俞联合推拿疗法对腰椎间盘突出症(lumbar disc herniation,LDH)风寒痹证患者下肢疼痛的影响。方法:选取2019年3月至2021年12月在盐城市第一人民医院就诊的LDH患者76例,按照随机数字表法分为观察组和对照组,每组38例。对照组给予常规推拿疗法治疗,观察组在对照组治疗的基础上给予深刺关元俞治疗。观察两组患者临床疗效、肢体抬高情况、腰椎关节活动度、腰背伸肌群生物力学、疼痛评分等各项指标。结果:观察组有效率为100.0%,对照组有效率为84.21%,观察组有效率高于对照组,差异具有统计学意义(P<0.05);两组治疗后直腿抬高角度、腰椎前屈、腰椎后伸优于治疗前,且观察组治疗后直腿抬高角度、腰椎前屈、腰椎后伸优于对照组,差异具有统计学意义(P<0.05);两组治疗后视觉疼痛模拟评分(visual analogue scale,VAS)、现时疼痛指数(present pai intensity,PPI)、疼痛指数(pain rating index,PRI)均低于治疗前,观察组治疗后VAS评分、PPI评分、PRI评分低于对照组,差异具有统计学意义(P<0.05);观察组治疗满意度高于对照组,3个月内复发率低于对照组,差异有统计学意义(P<0.05)。结论:深刺关元俞联合推拿疗法能改善LDH寒湿痹阻证患者临床症状、肢体活动状态,提高生活质量。

Objective:To observe the influence of deep needling at Guanyuan(BL 26) combined with massage on lower limb pain of patients with wind-cold-arthralgia syndrome of lumbar disc herniation(LDH) of deep needling guanyuanshu combined with massage on lower limb pain of patients with wind-cold-arthralgia syndrome of lumbar disc herniation(LDH).Methods:A total of 76 patients with LDH who were treated in Yancheng No.1 People′s Hospital from March 2019 to December 2021 were selected and divided into the observation group and the control group according to random number table method,with 38 cases in each group.The control group was treated with conventional massage therapy,while the observation group was treated with deep needling at Guanyuan(BL 26) on the basis of the control group.The clinical efficacy,limb elevation,lumbar joint mobility,biomechanics of lumbar extensor group and pain score,etc.were observed in both groups.Results:The effective rate of the observation group was 100.0%,and that of the control group was 84.21%.The effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the straight leg elevation angle,lumbar anterior flexion and lumbar posterior extension in the two groups were better than those before treatment,and the straight leg elevation angle,lumbar anterior flexion and lumbar posterior extension in the observation group were better than those in the control group,and all the differences were statistically significant(P<0.05).The visual analogue scale(VAS),present pain intensity(PPI) and pain rating index(PRI) of the two groups after treatment were lower than those before treatment.The VAS,PPI and PRI scores of the observation group after treatment were lower than those of the control group,and all the differences were statistically significant(P<0.05).The treatment satisfaction of the observation group was higher than that of the control group,and the recurrence rate within 3 months was lower than that of the control group,and all the differences were statistically significant(P<0.05).Conclusion:Deep needling at Guanyuan(BL 26) combined with massage can improve the clinical symptoms,limb activity and quality of life of LDH patients with wind-cold-arthralgia syndrome of LDH.