平衡针结合颊针治疗腰椎间盘突出症疗效观察

Effect of Balance Acupuncture Combined with Buccal Acupuncture on Lumbar Lumber Disc Herniation and Its Effect on Quality of Life

目的探究平衡针结合颊针在腰椎间盘突出症治疗中的疗效及其是否影响生活质量。方法选取医院收治的腰椎间盘突出疾病(lumbar disc herniation,LDH)患者153例,采用随机抽样原则分为两组,对照组(77例)给予颊针疗法,治疗组(76例)在对照组基础上给予平衡针疗法,对比治疗后的临床疗效、日本骨科协会评估治疗分数(Japanese Orthopaedic Association Scores,JOA评分)、世界卫生组织生存质量测定量表(World Health Organization Quality Questionnaire of Life,WHOQOL-BREF)评分及下肢放射痛评分、腰痛评分、腰背肌后伸活动范围(range of motion,ROM)、直腿抬高试验阳性率、Oswestry功能障碍指数(oswestry disability index,ODI指数)。结果经过治疗后,总有效率方面治疗组显著较高(P<0.05)。治疗前两组JOA评分差异无统计学意义(P>0.05);治疗后两组日常活动能力评分、临床体征评分、主观症状评分及JOA总分显著升高(P<0.05);且治疗组升高较明显(P<0.05)。治疗前两组WHOQOL-BREF评分差异无统计学意义(P>0.05);治疗后两组心理、生理的健康、周围环境和社会关系评分显著升高(P<0.05);并且治疗组升高较明显(P<0.05)。两组治疗前临床情况差异无统计学意义(P>0.05);治疗后两组下肢放射痛评分、腰痛评分、腰背肌后伸ROM明显升高,直腿抬高试验阳性率明显降低(P<0.05);且治疗组改善较明显(P<0.05)。两组病人治疗前的ODI指数对比,差异无统计学意义(P>0.05)。治疗后,两组ODI指数均下降,研究组分值均低于对照组,差异均有统计学意义(P<0.05)。结论平衡针联合颊针治疗LDH具有较好的临床疗效,能够提高生活质量。

Objective To investigate the curative effect of balance acupuncture combined with buccal acupuncture in the treatment of lumbar disc herniation and its effect on quality of life.Methods A total of 153 patients with LDH in the hospital were selected and randomly divided into two groups.77 patients in the control group were given buccal acupuncture therapy and 76 patients in the treatment group were given balanced acupuncture therapy on the basis of the control group.The clinical efficacy,Japanese Orthopaedic Association Scores(JOA)score,World Health Organization Quality Questionnaire of Life(WHOQOL)-BREF score,lower limb radiation pain score,low back pain score,range of motion(ROM)of lumbar dorsalis muscle extension,positive rate of straight leg elevation test and oswestry disability index(ODI)were compared after treatment.ResultsAfter treatment,the total effective rate of the treatment group was obvious higher(P<0.05).There was no difference in JOA score between two groups before treatment(P>0.05).After treatment,the scores of daily activities,clinical signs,subjective symptoms and JOA in two groups increased obvious(P<0.05).And it increased obvious in the treatment group(P<0.05).There was no difference in WHOQOL-BREF score between two groups before treatment(P>0.05).After treatment,the scores of mental health,physical health,surrounding environment and social relations in two groups increased obvious(P<0.05).And it increased obviously in the treatment group(P<0.05).There was no difference in clinical conditions between two groups before treatment(P>0.05).After treatment,the lower limb radiation pain score,low back pain score and ROM of lumbar dorsalis muscle extension were obvious increased,and the positive rate of straight leg elevation test was obviously reduced in two groups(P<0.05).And that of the treatment group improved obviously(P<0.05).Before treatment,there was no obvious difference in ODI index between two groups(P>0.05).After treatment,the ODI index of two groups decreased,and the score of the study group was lower than that of the control group and the difference was statistically obvious(P<0.05).Conclusion Balance acupuncture combined with buccal acupuncture in the treatment of lumbar disc herniation has a good clinical effect,and can improve the quality of life.