摘要
目的探究针灸结合正骨推拿手法对退行性腰椎滑脱患者的康复效果.方法选取北京市怀柔区雁栖医院2018年4月—2020年6月收治的92例退行性腰椎滑脱患者为研究对象,随机数表法分为对照组(行针灸治疗)与观察组(行针灸联合正骨推拿手法),每组46例.比较两组的治疗有效率、疼痛视觉模拟评分(visual analogue scale,VAS)、日本骨科协会评估治疗分数(Japanese Orthopaedic Association,JOA)及腰椎稳定性指标水平.结果观察组的治疗有效率为95.65%,高于对照组的80.43%,差异有统计学意义(P<0.05).治疗前,两组的VAS、JOA评分及各项腰椎稳定性指标水平比较,差异无统计学意义(P>0.05);治疗后,观察组的VAS、JOA评分分别为(2.47±0.38)分、(25.63±0.18)分,均优于对照组的(3.52±0.46)分、(19.49±0.62)分,观察组的各项腰椎稳定性指标水平均高于对照组,组间差异有统计学意义(P<0.05).结论针灸结合正骨推拿手法治疗退行性腰椎滑脱患者可提高临床疗效,降低疼痛指数,同时改善腰椎稳定性,效果显著.
Objective To explore the rehabilitation effect of acupuncture combined with bone-setting massage on patients with degenerative lumbar spondylolisthesis.Methods A total of 92 patients with degenerative lumbar spondylolisthesis who were admitted to Yanqi Hospital,Huairou District,Beijing City from April 2018 to June 2020 were selected as the research objects.They were divided into a control group(receiving acupuncture treatment)and an observation group(receiving acupuncture combined with bone-setting massage)by random number table method,with 46 patients in each group.The treatment response rate,visual analogue scale(VAS)score,Japanese Orthopaedic Association(JOA)score and lumbar stability indexes were compared between the two groups.Results The effective rate of the observation group was 95.65%,higher than 80.43%of the control group,the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in VAS,JOA score and various lumbar stability indexes between the two groups(P>0.05);after treatment,the VAS and JOA scores in the observation group were(2.47±0.38)points and(25.63±0.18)points,respectively,better than the control group’s(3.52±0.46)points and(19.49±0.62)points,and all lumbar stability indexes in the observation group were higher than those in the control group,the differences between groups were statistically significant(P<0.05).Conclusion Acupuncture combined with bone-setting massage for the treatment of degenerative lumbar spondylolisthesis can improve the clinical efficacy,reduce the pain index,and improve the stability of lumbar spine.
作者
彭明伟
PENG Mingwei(Department of Orthopedics,Yanqi Hospital,Huairou District,Beijing City,Beijing,101400,China)
出处
《反射疗法与康复医学》
2021年第11期28-30,49,共4页
Reflexology And Rehabilitation Medicine
关键词
针灸
正骨推拿手法
退行性腰椎滑脱
有效率
腰椎稳定性
Acupuncture
Bone-Setting massage
Degenerative lumbar spondylolisthesis
Efficient
Lumbar stability
