摘要
目的分析针灸推拿配合中药熏蒸治疗腰椎间盘突出症的临床疗效及对患者生活质量的影响。方法选取2015年1~12月100例医院收治的腰椎间盘突出症患者作为观察对象,根据患者的意愿分为观察组与对照组,每组50例。对照组采用常规药物、腰椎牵引治疗,观察组则在对照组的基础上加入针灸、推拿配合中药熏蒸的治疗方法。观察两组患者的临床疗效,采用中医症状积分观察患者主要体征变化,采用视觉模拟评量表(VAS评分)比较两组患者治疗前后腰疼症状的变化、采用生活质量评分(QOL评分)比较患者生活质量的变化,记录两组患者治疗期间发生的不良反应。结果观察组的治疗有效率显著高于对照组(P<0.05);观察组患者治疗前后主要体征变化明显优于对照组(P<0.05);观察组治疗前后VAS评分、QOL评分改善幅度显著大于对照组(P<0.05);两组患者在治疗期间均无严重不良反应出现。结论针灸、推拿配合中药熏蒸在腰椎间盘突出症中具有较好的临床疗效,能够有效改善患者的临床症状,从而提高患者的生活质量,并且具有较高的安全性,值得在临床中推广使用。
Objective To analyze the effect of acupuncture and massage combined with traditional Chinese medicine fumigation in the treatment of lumbar intervertebral disc herniation and its effect on the quality of life of the patients.Methods One hundred patients with lumbar intervertebral disc herniation in hospital from January 2015 to December 2015 were selected as the object.According to the wishes of the patients,they were divided into the observation group and the control group,with 50 cases in each group.The control group was treated with conventional medicine and lumbar traction,while the observation group was treated with acupuncture,massage and Chinese Herbal Fumigation on the basis of the control group.The clinical efficacy of two groups of patients was observed.The main signs of the patients were observed by the symptom score of Chinese medicine.The changes of symptoms before and after treatment were compared in the two groups by a visual analogue scale(VAS score).The changes in the quality of life of the patients by quality of life score(QOL score).The adverse reactions during the treatment of two groups of patients were recorded.Results The effective rate of treatment in the observation group was significantly higher than that in the control group(P<0.05),and the changes of the main physical signs before and after the treatment in the observation group were significantly better than those in the control group(P<0.05).The improvement of VAS score and QOL score in the observation group before and after treatment was significantly larger than that in the control group(P<0.05).No serious adverse reactions occurred in the two groups during the treatment period.Conclusion Acupuncture,massage and herbal fumigation have good clinical effect in lumbar disc herniation,which can effectively improve the clinical symptoms of patients,thereby improving the quality of life of patients,and has high safety.It is worth promoting in clinical practice.
作者
区俊
姚玉葵
彭雪林
OU Jun;YAO Yukui;PENG Xuelin(TCM Rehabilitation Department,Yuexiu District Huanghuagang Street Community Health Service Center of Guangzhou City,Guangdong,Guangzhou 510095,China)
出处
《中国医药科学》
2018年第5期68-71,共4页
China Medicine And Pharmacy
关键词
针灸
推拿
中药熏蒸
腰椎间盘突出症
临床疗效
Acupuncture
Massage
Traditional Chinese medicine fumigation
Lumbar disc herniation
Clinical curative effect
