中药外敷联合远红外线照射辅以辨证饮食干预腰椎间盘突出症疗效观察

Efficacy of external application of traditional Chinese medicine combined with far infrared irradiation and dialectical dietary intervention in patients with lumbar disc herniation

目的观察中药外敷联合远红外线照射辅以辨证饮食干预腰椎间盘突出症(LDH)的疗效。方法将100例LDH患者按照随机数字表法分为2组,对照组50例予常规治疗及干预,观察组50例在对照组基础上采用中药外敷联合远红外线照射辅以辨证饮食干预。比较2组临床疗效、疼痛视觉模拟评分(VAS)、日本骨科协会(JOA)评估治疗评分、症状评分、生活质量综合评定表(GQOLI-74)评分。结果观察组总有效率96.00%(48/50),对照组总有效率80.00%(40/50),观察组临床疗效优于对照组(P<0.05)。2组干预后疼痛VAS均降低(P<0.05),JOA评分均升高(P<0.05),且观察组干预后疼痛VAS低于对照组(P<0.05),JOA评分高于对照组(P<0.05)。2组干预后症状评分均较本组治疗前降低(P<0.05),且观察组干预后均低于对照组(P<0.05)。2组干预后GQOLI-74评分均升高(P<0.05),且观察组干预后高于对照组(P<0.05)。结论对LDH患者采用中药外敷联合远红外线照射辅以辨证饮食干预效果显著,能够有效改善患者临床症状,减轻疼痛程度,促进功能障碍的恢复,提高生活质量,临床上具有较好的应用价值。

Objective To observe the efficacy of external application of traditional Chinese medicine(TCM)combined with far infrared irradiation and dialectical dietary intervention in patients with lumbar disc herniation(LDH).Methods A total of 100 LDH patients were divided into a control group(n=50)and a treatment group(n=50)by a random number table.All patients were given routine treatment and nursing,those in the treatment group were additionally treated with external application of TCM with far infrared irradiation and dialectical dietary intervention,The aim was to compare the clinical efficacy,scores of visual analogue scale(VAS),Japanese Orthopaedic Association(JOA),symptom score,Generic Quality of Life Inventory-74 Scale(GQOLI-74)in the two groups.Results After intervention,the total effective rate of the treatment group was significantly higher than that of the control group(96.00%[48/50]vs 80.00%[40/50],P<0.05).Significantly lower VAS scores,higher JOA scores,decreased TCM symptom scores,and increased GQOLI-74 scores were found in the both groups(all P<0.05),the treatment group was superior to the control group for the above indexes(P<0.05).Conclusion The external application of TCM combined with far infrared irradiation and dialectical dietary intervention for LDH patients has significant effects,which can effectively improve the clinical symptoms of patients,reduce the degree of pain,promote the recovery of dysfunction,and improve the quality of life.It has good application value in clinical practice.