微波理疗联合中频治疗仪及推拿对腰椎间盘突出症患者腰椎功能及疼痛程度的影响

Effect of Microwave Physiotherapy Combined with Medium Frequency Therapeutic Apparatus and Massage on Lumbar Function and Degree of Pain in Patients with Lumbar Disc Herniation

目的:探讨微波理疗联合中频治疗仪及推拿在腰椎间盘突出症(LDH)患者中的应用效果。方法:选取2020年10月—2021年12月南昌市按摩医院收治的70例LDH患者,按随机数字表法分为对照组和观察组,各35例。两组均采取牵引治疗,在此基础上对照组予以中频治疗仪联合推拿进行治疗,观察组采用微波理疗联合中频治疗仪及推拿进行治疗,两组治疗均持续3个疗程。对比两组临床疗效、腰椎功能、腰椎疼痛程度、下肢步态、下肢运动功能及疗法安全性。结果:观察组治疗总有效率为94.29%,高于对照组的77.14%,差异有统计学意义(P<0.05)。治疗前,两组腰椎功能、腰椎疼痛程度、下肢步态、下肢运动功能比较,差异均无统计学意义(P>0.05);治疗后,观察组日本矫形外科学会(JOA)下腰痛评分表评分[(23.41±2.20)分]、Tinetti步态分析量表(TGA)评分[(9.15±0.63)分]、下肢Fugl-Meyer运动功能评定量表(FMA)评分[(28.33±2.29)分]均高于对照组的(19.99±2.75)、(7.42±0.87)、(24.16±3.38)分,简化麦吉尔疼痛问卷(SF-MPQ)中的疼痛评定指数(PRI)评分[(14.01±2.22)分]、视觉模拟评分法(VAS)评分[(1.10±0.24)分]、现时疼痛强度(PPI)评分[(1.55±0.19)分]均低于对照组的(18.33±2.72)、(1.63±0.32)、(2.02±0.23)分,差异均有统计学意义(P<0.05)。两组治疗期间均未见不良反应。结论:微波理疗联合中频治疗仪及推拿治疗LDH效果更好,能够改善腰椎功能,减轻疼痛程度,促进下肢功能恢复。

Objective:To investigate the effect of microwave physiotherapy combined with medium frequency therapeutic apparatus and massage in patients with lumbar disc herniation(LDH).Method:A total of 70 patients with LDH who were admitted to Nanchang Massage Hospital from October 2020 to December 2021 were selected and divided into the control group and the observation group according to the random number table method,with 35 cases in each group.Both groups were treated with traction,on this basis,the control group was treated with medium frequency therapeutic apparatus combined with massage,and the observation group was treated with microwave physiotherapy combined with medium frequency therapeutic apparatus and massage.Both groups were treated for 3 courses.The clinical efficacy,lumbar function,lumbar pain degree,lower limb gait,lower limb motor function and treatment safety of the two groups were compared.Result:The total effective rate of the observation group was 94.29%,which was higher than 77.14%of the control group,with a statistical difference(P<0.05).Before treatment,there were no significant differences between the two groups in lumbar function,lumbar pain degree,lower limb gait and lower limb motor function(P>0.05);after treatment,the Japanese Orthopaedic Association(JOA)low back pain rating scale score[(23.41±2.20)points],Tinetti gait analysis scale(TGA)score[(9.15±0.63)points]and lower limb Fugl-Meyer motor function assessment scale(FMA)score[(28.33±2.29)points]in the observation group were higher than(19.99±2.75),(7.42±0.87)and(24.16±3.38)points in the control group,the pain rating index(PRI)score[(14.01±2.22)points],visual analogue scale(VAS)score[(1.10±0.24)points],and present pain intensity(PPI)score[(1.55±0.19)points]in the short form McGill pain questionnaire(SF-MPQ)were lower than(18.33±2.72),(1.63±0.32),(2.02±0.23)points in the control group,the differences were statistically significant(P<0.05).No adverse reactions were observed in both two groups during treatment.Conclusion:Microwave physiotherapy combined with medium frequency therapeutic apparatus and massage has a better effect in the treatment of LDH,which can improve the function of lumbar spine,reduce the degree of pain,and promote the recovery of lower limb function.