中医针灸联合腰背肌康复训练在腰椎间盘突出症患者中的康复效果及对腰椎活动度的影响

The Rehabilitation Effect of Traditional Chinese Medicine Acupuncture and Moxibustion Combined with Lumbar and Back Muscle Rehabilitation Training in Patients with Lumbar Disc Herniation and Its Influence on Lumbar Motion

目的:探讨中医针灸联合腰背肌康复训练在腰椎间盘突出症患者中的康复效果及对腰椎活动度的影响。方法:选取2022年1—12月绵阳市肿瘤医院中医康复科收治的102例腰椎间盘突出症患者,随机分为两组,各51例。对照组选择腰背肌康复训练,研究组选择中医针灸联合腰背肌康复训练。比较两组临床疗效、疼痛程度、腰椎功能、血流动力学指标与生活质量。结果:研究组的临床疗效比对照组更高(P<0.05)。治疗1个月后,研究组的视觉模拟评分法(VAS)评分和Oswestry功能障碍指数(ODI)均比对照组更低(P<0.05);研究组的血流动力学指标均比对照组更优(P<0.05);研究组的生活质量各维度评分均比对照组更高(P<0.05)。结论:腰椎间盘突出症患者施以中医针灸联合腰背肌康复训练的效果明显,可以有效改善整体的临床症状,恢复机体血流动力学的相关指标,减轻疼痛程度,并有效改善机体的腰椎功能,提高生活质量。

Objective:To investigate the rehabilitation effect of traditional Chinese medicine acupuncture and moxibustion combined with lumbar and back muscle rehabilitation training in patients with lumbar disc herniation and the influence of lumbar motion.Method:A total of 102 patients with lumbar disc herniation admitted to Department of Traditional Chinese Medicine Rehabilitation in Mianyang Cancer Hospital from January to December 2022 were selected,and randomly divided into two groups,with 51 cases in each group.The control group underwent rehabilitation training of lumbar and back muscles,while the study group underwent rehabilitation training of traditional Chinese acupuncture combined with lumbar and back muscles.The clinical efficacy,degree of pain,lumbar spine function,hemodynamic indexs,and quality of life between two groups were compared.Result:The clinical efficacy of the study group was higher than that of the control group(P<0.05).After one month of treatment,visual analogue scale(VAS)score and Oswestry disability index(ODI)of the study group were lower than those of the control group(P<0.05).The hemodynamic indexes of the study group were better than those of the control group(P<0.05).The quality of life scores in all dimensions of the study group were higher than those in the control group(P<0.05).Conclusion:Traditional Chinese medicine acupuncture and moxibustion combined with lumbar and back muscle rehabilitation training for patients with lumbar disc herniation has obvious effects,which can effectively improve the overall clinical symptoms,restore the related indexes of body hemodynamics,reduce the degree of pain,effectively improve the lumbar function and improve the quality of life.