推拿理筋手法联合中药热敷对腰椎间盘突出症术后患者腰椎功能康复的效果观察

Effect of Massage and Tendons Manipulation Combined with Traditional Chinese Medicine Hot Compress on Lumbar Functional Rehabilitation of Patients with Lumbar Disc Herniation after Surgery

目的探讨推拿理筋手法联合中药热敷对腰椎间盘突出症(LDH)术后患者的具体影响。方法选取2022年10月—2023年10月聊城市东昌府区妇幼保健院收治的102例LDH术后患者为研究对象,按随机数字表法将其分为对照组与观察组,各51例。对照组采用常规康复干预,观察组采用推拿理筋手法联合中药热敷干预,两组干预时间均为8周。比较两组腰椎功能、疼痛程度、腰部活动度及生活质量。结果干预前,两组腰椎功能、疼痛程度、腰部活动度及生活质量比较,组间差异无统计学意义(P>0.05)。干预后,观察组Oswestry功能障碍指数评分为(23.64±2.57)分,疼痛视觉模拟评分为(2.44±1.03)分,均低于对照组的(28.41±3.12)分、(3.87±1.22)分,组间差异有统计学意义(P<0.05);观察组腰部活动度大于对照组,生活质量综合评定问卷评分高于对照组,组间差异有统计学意义(P<0.05)。结论推拿理筋手法联合中药热敷干预能有效减轻LDH患者疼痛程度,增大腰部活动度,促进患者腰椎功能恢复,改善生活质量。

Objective To investigate the specific effects of massage and tendon-healing techniques combined with traditional Chinese medicine hot compress on patients with lumbar disc herniation(LDH)after surgery.Methods A total of 102 patients with LDH after treatment in Dongchangfu Maternal and Child Health Hospital of Liaocheng City from October 2022 to October 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 51 cases in each group.The control group was treated with routine rehabilitation intervention,and the observation group was treated with massage and hot compress of traditional Chinese medicine,the intervention time of both groups was 8 weeks.Lumbar function,pain,lumbar motion and quality of life were compared between the two groups.Results Before intervention,there were no significant differences in lumbar function,pain degree,lumbar motion and quality of life between the two groups(P>0.05).After the intervention,the Oswestry Disability Index score of the observation group was(23.64±2.57)points,and the pain Visual Analogue Scale score was(2.44±1.03)points,which were lower than(28.41±3.12)points and(3.87±1.22)points of the control group,and the differences between the groups were statistically significant(P<0.05);the lumbar motion of the observation group was higher than that of the control group,and the score of the General Quality of Life Inventory-74 was higher than that of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The combination of massage and hot compress with traditional Chinese medicine can effectively reduce the pain degree of LDH patients,increase the lumbar motion,promote the recovery of lumbar function and improve the quality of life.