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温针灸联合正骨推拿治疗对寒湿型腰椎间盘突出症患者疼痛及腰椎功能的影响 被引量:4

Effect of Warm Acupuncture and Moxibustion Combined with Bone-Setting Massage on Pain and Lumbar Function in Patients with Cold Damp Type Lumbar Disc Herniation
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摘要 目的温针灸联合正骨推拿在寒湿型腰椎间盘突出症(LDH)患者中的应用价值.方法选择2021年2月—2022年1月我院收治的62例寒湿型LDH患者为研究对象,根据随机数字表法将其分为两组,每组31例.对照组采用正骨推拿治疗,观察组在对照组基础上加用温针灸治疗,均持续治疗2周.对比两组临床疗效、疼痛程度、腰椎功能、安全性.结果观察组治疗总有效率93.55%高于对照组的74.19%,差异有统计学意义(P<0.05).治疗后,观察组疼痛数字评分(3.18±0.33)分,低于对照组的(4.83±0.58)分,日本骨科协会腰椎功能评分(22.58±2.94)分,高于对照组的(15.84±2.45)分,组间差异有统计学意义(P<0.05).两组不良反应发生率相比,差异无统计学意义(P>0.05).结论温针灸联合正骨推拿治疗能够缓解寒湿型LDH患者的疼痛症状,改善腰椎功能,且安全性较高. Objective Application value of warm acupuncture and moxibustion combined with bone-setting massage in patients with cold damp type lumbar disc herniation(LDH).Methods 62 patients with cold damp type LDH treated in the hospital from February 2021 to January 2022 were selected as the research objects and divided into two groups according to random number table method,with 31 cases in each group.The control group was treated with bone-setting massage,and the observation group was treated with warm acupuncture and moxibustion on the basis of the control group,and the treatment lasted for 2 weeks.The clinical efficacy,degree of pain,lumbar function and safety of the two groups were compared.Results The total effective rate of the observation group was 93.55%,higher than 74.19%of the control group,the difference was statistically significant(P<0.05).After treatment,the numerical rating scale score of the observation group was(3.18±0.33)points,lower than(4.83±0.58)points of the control group,and the lumbar function score of the Japanese Orthopaedic Association was(22.58±2.94)points,higher than(15.84±2.45)points of the control group,the differences between the groups were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Warm acupuncture and moxibustion combined with bone-setting massage can relieve pain symptoms and improve lumbar function in patients with cold damp type LDH,with high safety.
作者 伏秀霞 FU Xiuxia(Department of Acupuncture,Moxibustion and Massage,Linyi Hospital of Traditional Chinese Medicine,Linyi Shandong,276000,China)
出处 《反射疗法与康复医学》 2023年第6期27-29,共3页 Reflexology And Rehabilitation Medicine
关键词 腰椎间盘突出症 寒湿型 温针灸 正骨推拿 疼痛 腰椎功能 Lumbar disc herniation Cold damp type Warm acupuncture and moxibustion Bone-Setting massage Pain Lumbar function
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