摘要
目的:观察针灸联合推拿治疗中老年腰椎间盘突出症患者的临床疗效。方法:选择在我院接受治疗的中老年腰椎间盘突出症患者90例作为研究对象,根据随机数表法将所选对象分为观察组和对照组,观察组患者给予针灸联合推拿治疗,对照组给予单独针灸治疗。结果:观察组治疗有效率(93.33%)比对照组高(71.11%),比较差异有统计学意义(P<0.05);治疗后,观察组VAS、M-JOA评分低于对照组,且观察组直腿抬高角度大于对照组,比较差异有统计学意义(P<0.05);治疗后,两组患者Oswestry评分均明显下降,观察组Oswestry评分低于对照组,比较差异有统计学意义(P<0.05);观察组治疗时间比对照组短,比较具有统计学意义(P<0.05)。结论:针灸联合推拿治疗中老年腰椎间盘突出症效果显著,可有效缓解患者疼痛,改善临床症状,促进下肢功能恢复,值得临床推广应用。
Objective： To investigate the protective effect of acupuncture and moxibustion combined with massage on symptom improvement and neurological function in middle-aged and elderly patients with lumbar disc herniation. Methods： 90 patients with lumbar intervertebral disc herniation who underwent treatment in our hospital from January 2015 to December 2016 were selected as the subjects. The selected subjects were divided into observation group and controlled group according to the random number table method,each group had 45 cases. The patients in the observation group were treated with acupuncture and moxibustion and the controlled group was treated with acupuncture alone. The patients were observed with VAS,lower back pain MJOA score,Oswestry score,treatment time and recurrence. Results： The effective rate（93. 33%） was significantly higher than that of the controlled group（71. 11%）,the difference was statistically significant（P〈0. 05）. After treatment,the two groups of patients with pain VAS score,lower back pain M-JOA score,straight leg raising angle were significantly improved,VAS,MJOA score of the observation group（1. 38±0. 32,16. 36± 5. 24） lower than that of the controlled group（3. 36± 0. 64,19. 29±4. 73）,and the observation group straight legs raise the angle（72. 64±16. 73°） was higher than the controlled group（55. 15±15. 28°）,the difference was statistically significant（P〈0. 05）. After treatment,the Oswestry scores of the two groups were significantly decreased,and the Oswestry score（5. 49±1. 15） in the observation group was lower than that in the controlled group（14. 27±2. 41）,the difference was statistically significant（P〈0. 05）. The observation group treatment time（36. 29 ± 3. 57）d was shorter than that of the controlled group（54. 32± 5. 44） d,and the recurrence rate（4. 44%） was lower than that of the controlled group（17. 78%）,the difference was statistically significant（P〈0. 05）. Conclusion： Acupuncture combined with massage in the treatment of middle and old lumbar disc herniation is effective,can effectively relieve pain,improve clinical symptoms,promote the recovery of lower limb function,and the recurrence rate is low,worthy of clinical application.
出处
《四川中医》
2018年第2期177-180,共4页
Journal of Sichuan of Traditional Chinese Medicine
基金
新疆维吾尔自治区科技计划项目(编号:201433110)
关键词
针灸
推拿
腰椎间盘突出
神经功能
Acupuncture
Massage
Lumbar disc herniation
Neurological function
