藏医传统运动疗法对腰椎间盘突出症的临床疗效研究

Research on the clinical efficacy of traditional Tibetan medical therapy for lumbar disc herniation

目的:探讨藏医运动疗法对腰椎间盘突出症的治疗作用。方法:2023年1月1日—2023年2月30日选取60例腰椎间盘突出症病例,根据Excel Rand随机语句分组,选组符合藏医《四部医典》的临床诊断标准,采用对比的方法,使用腰椎间盘突出的评分量表进行评分,利用R统计软件分析数据,对腰椎间盘突出症的疗效使用广义线性模型服从泊松(poisson)误差分布检验并检测相关变量。结果:治疗一个疗程后,在临床疗效上两组患者的JOA评分和治疗有效率均有所改善,运动疗法组优于对照组。但相关变量的分析结果显示,藏医运动疗法对年龄偏大(β=-0.498206,SE=0.183250,t=-2.719,P=0.00655)和体重偏高人群(β=-0.33272,SE=0.10268,t=-3.240,P=0.00119)的腰痛和麻木症状的缓解呈递减趋势。结论:藏医运动疗法治疗腰椎间盘突出症可有效缓解疼痛,改善腰椎功能,藏医运动疗法的可实施性与可持续性强,但对于高龄及肥胖人群,需进一步制定更符合其自身体质的藏医运动疗法的临床诊疗方案。

Objective:To explore the therapeutic effect of Tibetan medicine exercise therapy on lumbar intervertebral disc herniation.Methods:From January 1,2023-February 30,2023,60 cases of lumbar disc herniation are selected.According to the Excel Rand random statement grouping,the selection group meets the clinical diagnostic standards of Tibetan medicine"The Four Medical Tantras".The scoring score table of disc herniation is scored,and the R statistics software analyzes data.The efficacy of lumbar disc herniation is used to obey the Poisson error distribution test and detect related variables.Results:After the treatment,the JOA scores and treatment efficiency of the two groups of patients in the two groups of patients were improved in clinical efficiency.The exercise therapy group was better than the control group.However,the analysis results of related variables show that Tibetan Medicine Movement therapy is too old(β=-0.498206,SE=0.183250,t=-2.719,P=0.00655)and high weight(β=-0.33272,SE=0.10268,t=-3.240,P=0.00119)of low back pain and numbness of numbness.Conclusion:Tibetan medicine therapy can effectively alleviate pain and improve lumbar spine function,improve the implementation of lumbar spondylus,and strong sustainability.However,for the elderly and obese people,it is necessary Clinical diagnosis and treatment plan.