中医骨伤手法联合针刺对腰椎间盘突出症患者疼痛症状及脊柱稳定性的影响

Effects of traditional Chinese medicine bone injury manipulation combined with acupuncture on pain symptoms and spinal stability in patients with lumbar disc herniation

目的探讨中医骨伤手法联合针刺对腰椎间盘突出症(LDH)患者疼痛症状及脊柱稳定性的影响。方法选取2020年8月至2022年8月陕西省扶风县人民医院收治的96例LDH患者作为研究对象进行前瞻性研究,按抽签法将其分为研究组(n=43,中医骨伤手法联合针刺治疗)和对照组(n=43,针刺疗法)。比较两组的临床疗效、中医证候评分、腰椎功能、疼痛程度及脊柱稳定性。结果研究组的治疗总有效率显著高于对照组(P<0.05)。治疗后,研究组的腰痛、腿痛及腿麻评分显著低于对照组及治疗前(P<0.05)。治疗后,研究组的日本骨科学会(JOA)评分显著高于对照组及治疗前,Oswestry功能障碍指数(ODI)、视觉模拟评分法(VAS)评分低于对照组及治疗前(P<0.05)。治疗后,研究组的腰椎前凸角大于对照组及治疗前,胸椎后凸角、骶骨倾斜角显著小于对照组及治疗前(P<0.05)。结论中医骨伤手法联合针刺治疗LDH效果突出,能明显降低患者中医证候评分,减轻疼痛症状,增强脊柱稳定性,改善腰椎功能。

Objective To explore the effects of traditional Chinese medicine bone injury manipulation combined with acupuncture on pain symptoms and spinal stability in patients with lumbar disc herniation(LDH).Methods A total of 96 patients with LDH admitted in the Fufeng People's Hospital from August 2020 to August 2022 were selected as the study objects for prospective study.The patients were divided into study group(n=43,treated with traditional Chinese medicine bone injury manipulation combined with acupuncture)and control group(n=43,treated with acupuncture)according to the lottery method.The clinical efficacy,TCM syndrome score,lumbar function,pain degree and spinal stability were compared between the two groups.Results The total effective rate of treatment in the study group was significantly higher than that in the control group(P<0.05).After treatment,the scores of low back pain,leg pain and leg numbness in the study group were significantly lower than those in the control group and before treatment(P<0.05).After treatment,the Japanese Orthopaedic Association(JOA)score of the study group was significantly higher than that of the control group and before treatment,and the Oswestry Disability Index(ODI)and Visual Analogue Scale(VAS)scores were lower than those of the control group and before treatment(P<0.05).After treatment,the lumbar lordosis angle of the study group was greater than that of the control group and before treatment,and the thoracic kyphosis angle and sacral tilt angle were significantly smaller than those of the control group and before treatment(P<0.05).Conclusion The traditional Chinese medicine bone injury manipulation combined with acupuncture in the treatment of LDH has outstanding effect,which can significantly reduce the TCM syndrome score of patients,relieve pain symptoms,enhance spinal stability and improve lumbar function.