针刺联合八段锦治疗腰椎间盘突出症的临床疗效观察

Clinical Efficacy Assessment on Acupuncture Combined with Baduanjin for Treating Lumbar Disc Herniation

目的:观察八段锦功法训练联合针刺治疗腰椎间盘突出症的临床疗效.方法:收集符合要求的腰椎间盘突出症患者的资料,随机分为对照组和治疗组,每组40人.对照组行针刺治疗,治疗组行针刺+八段锦功法训练.两组均治疗4周,比较治疗前及经过治疗4周后的Oswestry功能障碍指数(ODI)、视觉模拟疼痛评分法评分(VAS)、日本骨科协会评估治疗腰椎评分(JOA),记录分析各评分观察两组的临床疗效.结果:两组均有1名患者未能坚持治疗,给予剔除.对比治疗前,经治疗后两组患者ODI、VAS评分下降,JOA评分上升.对比对照组干预后,治疗组干预后ODI、VAS评分更低,JOA评分更高,且差距均具有统计学意义(P<0.05).结论:八段锦功法训练联合针刺治疗可有效改善LDH患者的临床症状,且效果优于单独使用针刺治疗.

Objective To assess clinical efficacy of Baduanjin training combined with acupuncture for treating lumbar disc herniation(LDH).Methods The qualified patients with lumbar disc herniation were collected and were divided randomly into a control group and a treatment group,40 in each group.The control group received acupuncture,and the treatment group received acupuncture combinded with Baduanjin training.Both groups were treated for 4 weeks,and the Oswestry dysfunction index(ODI),Visual analog pain scale(VAS),and Japan Orthopedic association assessment treatment lumbar vertebraescore(JOA)were compared before and after treatment for 4 weeks.The clinical efficacy of two groups was evalutaed by recording and analyzing each score.Result One patient in each group was excluded since who failed to accept successive treatment.Both ODI and VAS of two groups patients after treatment were decreased when compared to these indexes before treatment.However,JOA score was increased of two groups patients after treatment.After treatment,ODI and VAS of the treatment group were obviously lower than those of the control group.JOA score of the treatment group was significantly higher than that of the control group(P<0.05).Conclusion Baduanjin training combined with acupuncture could effectively improve the clinical symptoms of patients with LDH,and the efficacy was better than that of alone acupuncture treatment.