摘要
目的:观察中医针灸结合正骨推拿治疗单纯性腰椎椎间盘突出症的临床疗效。方法:选择从2014年8月—2015年8月在该院确诊为单纯腰椎椎间盘突出症的患者共94例,按照随机数字表法随机分为两组,对照组和观察组各47例。观察组采用中医针灸结合正骨推拿治疗,对照组进行常规针灸推拿治疗。比较两组患者的临床疗效、NRS评分、JOA评分和治疗后腰椎活动度及下肢感觉障碍评分进行观察比较。结果:观察组总有效率95.74%,对照组总有效率76.60%,两组比较有统计学差异(P<0.05)。两组患者治疗后NRS评分显著降低,JOA评分显著升高(P<0.05);观察组治疗后VAS评分为明显低于对照组,JOA评分明显高于对照组(P<0.05),两组患者治疗后腰椎活动度及下肢感觉障碍均有显著改善;观察组腰椎活动度及下肢感觉障碍评分明显优于对照组(P<0.05)。结论:因此运用中医针灸结合正骨推拿治疗单纯性腰椎椎间盘突出症明显优于常规针灸推拿治疗,对单纯性腰椎椎间盘的临床症状起到良好的改善作用。
Objective： To observe the clinical curative effect of acupuncture treatment of simple lumbar disc herniation combined with bone setting massage. Methods： From August 2014 to August 2015,94 cases of patients with lumbar disc herniation were diagnosed in our hospital and according to the random number table method were randomly divided into two groups： control group and observation group,47 cases in each. The observation group adopted acupuncture combined with manipulation massage treatment and the control group were treated with routine acupuncture and massage. Compare the clinical efficacy,VAS score,JOA score,score and treatment of lumbar activity and lower limb sensory score of the two groups. Results： The total effective rate of observation group was 95. 74% and the control group＇s was 76. 60%（ P〈0. 05）. After treatment,the VAS scores of the two groups were significantly decreased and the JOA score was significantly increased（ P〈0. 05）. The VAS score of the observation group was significantly lower than that of the control group. JOA score was significantly higher than that of the control group（ P〈0. 05）. Two groups＇ lumbar mobility and lower limb sensory disturbance after treatment were significantly improved. The observation group＇s lumbar activity and lower limb sensory impairment score were significantly better than those of the control group（ P〈0. 05）. Conclusion： Therefore,the use of traditional Chinese medicine acupuncture treatment of simple lumbar disc herniation is superior to conventional acupuncture and massage therapy combined with bonesetting massage and have good effect on the clinical symptoms of simple lumbar intervertebral disc.
出处
《辽宁中医杂志》
CAS
北大核心
2017年第9期1951-1953,共3页
Liaoning Journal of Traditional Chinese Medicine
关键词
腰椎间盘突出症
中医针灸
正骨推拿
lumbar disc herniation
acupuncture
bone setting massage
