电针配合灸法联合腰椎牵引治疗腰椎间盘突出症患者的效果

Effects of electropuncture and moxibustion combined with lumbar traction in treatment of patients with lumbar disc herniation

目的:观察电针配合灸法联合腰椎牵引治疗腰椎间盘突出症(LDH)患者的效果。方法:回顾性分析2021年4月至2023年4月该院收治的102例LDH患者的临床资料,按照治疗方法不同将其分为对照组和研究组各51例。两组予以常规药物治疗,在此基础上,对照组予以腰椎牵引治疗,研究组在对照组基础上联合电针配合灸法治疗。比较两组临床疗效,治疗前后中医证候积分、疼痛[视觉模拟评分法(VAS)]评分、腰椎功能[下腰痛日本骨科协会评估治疗分数(JOA)]评分和腰椎曲度。结果:研究组治疗总有效率为92.16%(47/51),高于对照组的76.47%(39/51),差异有统计学意义(P<0.05);治疗后,研究组腰腿疼痛如刺、痛处拒按、腿膝乏力、手足不温等中医证候积分均低于对照组,差异有统计学意义(P<0.05);治疗后,研究组VAS评分低于对照组,下腰痛JOA评分高于对照组,差异均有统计学意义(P<0.05);治疗后,研究组腰椎曲度大于对照组,差异有统计学意义(P<0.05)。结论:电针配合灸法联合腰椎牵引治疗LDH患者可提高治疗总有效率和腰椎功能评分,降低中医证候积分和疼痛评分,改善腰椎曲度,效果优于单纯腰椎牵引治疗。

Objective:To observe effects of electropuncture and moxibustion combined with lumbar traction in treatment of patients with lumbar disc herniation(LDH).Methods:The clinical data of 102 patients with LDH admitted to this hospital from April 2021 to April 2023 were retrospectively analyzed.According to different treatment methods,they were divided into control group and study group,51 cases in each group.The two groups were treated with conventional drugs.On this basis,the control group was treated with lumbar traction,while the study group was treated with electropuncture and moxibustion on the basis of that of the control group.The clinical efficacy,the traditional Chinese medical(TCM)syndrome score,the pain[visual analogue scale(VAS)]score,the lumbar function[Japanese Orthopaedic Association(JOA)]score,and the lumbar curvature were compared between the two groups before and after the treatment.Results:The total effective rate of the study group was 92.16%(47/51),which was higher than 76.47%(39/51)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of TCM syndromes such as low back and leg pain,unpressable at pain site,leg and knee weakness,and cold limbs in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the VAS score of the study group was lower than that of the control group,and the JOA score was higher than that of the control group,the differences were statistically significant(P<0.05).Further,after the treatment,the lumbar curvature of the study group was greater than that of the control group,and the difference was statistically significant(P<0.05).Conclusions:Electropuncture and moxibustion combined with lumbar traction in the treatment of the LDH patients can improve the total effective rate and the lumbar function scores,reduce the TCM syndrome scores and the pain scores,and improve the lumbar curvature.Moreover,it is superior to simple lumbar traction treatment.