艾灸、拔罐结合耳针对肝肾亏虚型腰椎间盘突出症患者腰部活动度的影响

Effect of moxibustion, cupping combined with auricular acupuncture on lumbar mobility in patients with liver and kidney deficiency type lumbar disc herniation

目的探析肝肾亏虚型腰椎间盘突出症患者联合应用艾灸、拔罐结合耳针对于腰部活动度、日常生活能力产生的影响。方法按随机数字表法将2021年1月至2022年12月盐城市第一人民医院中医科加特色门诊收治的102例肝肾亏虚型腰椎间盘突出症患者划分为对照组(51例)和观察组(51例),对照组应用常规康复护理,观察组在常规康复护理的基础上联合应用艾灸、拔罐结合耳针。比较2组的腰部活动度、腰椎功能、疼痛和日常生活能力。结果干预1周、2周和4周后,观察组的腰椎前屈、后伸活动度的测定数值,以及Oswestry功能障碍指数问卷、视觉模拟评分法、日常生活能力量表评分均优于对照组,且2组均比入院时更优,均有统计学差异(P均<0.05)。结论肝肾亏虚型腰椎间盘突出症患者联合应用艾灸、拔罐结合耳针可有效缓解腰部疼痛,对于改善腰椎功能和腰部活动度具有突出效果,且可提高日常生活能力。

Objective To explore the effects of combined application of moxibustion,cupping,and auricular acupuncture on lumbar mobility and daily living ability in patients with liver and kidney deficiency type lumbar disc herniation.Methods A total of 102 patients with liver and kidney deficiency type lumbar disc herniation admitted to the Traditional Chinese Medicine Department and Special Outpatient Department of Yancheng NO.1 People's Hospital from January 2021 to December 2022 were divided into a control group(51 cases)and an observation group(51 cases)using a random number table method.The control group received routine rehabilitation care,while the observation group received a combination of moxibustion,cupping,and auricular acupuncture on the basis of routine rehabilitation care.Lumbar mobility,lumbar spine function,pain,and daily living ability were compared between the two groups.Results After 1 week,2 weeks,and 4 weeks of intervention,the measurement values of lumbar flexion and extension range of motion,as well as the Oswestry Disability Index,Visual Analogue Scale,and Activities of Daily Living Scale scores in the observation group were better than those in the control group,and both groups were better than those at admission,with statistical differences(all P<0.05).Conclusion The combination of moxibustion,cupping,and auricular acupuncture can effectively alleviate lumbar pain in patients with liver and kidney deficiency type lumbar disc herniation.It has a prominent effect on improving lumbar function and lumbar mobility,and can also enhance daily living abilities.