摘要
目的观察平坐式内养功法结合腰三针治疗腰椎间盘突出症(LDH)的疗效及对生活质量的影响。方法将2016年10月-2017年12月在河北省医疗气功医院诊治的120例LDH患者随机分为2组,对照组60例给予腰椎机械牵引和甲钴胺、维生素B12营养神经、止痛等西医保守治疗,观察组60例在对照组治疗基础上给予腰三针+平坐式内养功法治疗,疗程为8周。记录2组治疗后临床症状体征、腰椎CT检查、日本骨科协会(JOA)腰椎功能评分、疼痛评分、生活质量的变化情况,比较2组临床疗效。结果 2组治疗后腰痛PPI评分、下肢放射痛PPI评分、直腿抬高试验与股神经牵拉试验阳性率、骶棘肌痉挛与踝反射减弱发生率均较治疗前显著降低(P均<0.05),腰背肌后伸活动度(ROM)和等长肌力(IMS)均较治疗前显著提高(P均<0.05),观察组治疗后以上症状体征改善情况均优于对照组(P均<0.05);腰椎CT检查显示,2组治疗后硬膜囊矢状径较治疗前显著增大(P<0.05),而前后径、神经根受压比值均显著降低(P均<0.05),观察组治疗后以上影像学指标均优于对照组(P均<0.05);2组治疗后JOA评分各单项评分、总分均较治疗前显著升高(P均<0.05),观察组治疗后以上评分均高于对照组(P均<0.05);2组治疗后世界卫生组织生活质量量表(WHOQOL-BREF)中生理健康、心理健康、人际关系、周围环境评分均显著升高(P均<0.05),观察组治疗以上评分均高于对照组(P均<0.05)。观察组治疗总有效率为90.0%(54/60),对照组为75.0%(45/60),观察组治疗有效率显著高于对照组(P<0.05)。结论平坐式内养功法结合腰三针可显著改善LDH患者临床症状,缓解神经根压迫,提高腰椎功能,改善生活质量。
Objective It is to observe the efficacy internal nourishing breath exercise of flat seat type three-needle lumbar acupuncture on lumbar intervertebral disc herniation(LDH) and its effect on quality of life. Methods 120 patients with LDH were randomly divided into two groups, the control group(n=60) were given conservative treatment with western medicine, such as mechanical traction of the lumbar spine, mecobalamin, vitamin B12 for nutritional nerves, and the medicine for analgesia, the observation group(n=60) were given three-need lumbar acupuncture plus internal nourishing breath exercise of flat seat type on the basis of treatment in the control group, both groups were treated for 8 weeks. The clinical effects of the two groups were compared, and the changes of clinical symptoms and signs, lumbar CT examination, the Japanese Orthopaedic Association(JOA) scores of lumbar function, pain scores, and quality of life after treatment were recorded. Results The clinical effective rate in the observation group was significantly higher than that in the control group(P<0.05). After treatment, the PPI scores of low back pain, PPI scores of lower extremity radiating pain, positive rates of straight leg elevation test and femoral nerve traction test, and incidence of sacroiliac muscle spasm and weakened ankle reflexes were significantly lower than those before treatment in the two groups(P<0.05), and lumbar back extension(ROM) and isometric muscle strength(IMS) were significantly higher than those before treatment(P<0.05), the improvements of the above symptoms and signs in the observation group were better than those in the control group(P<0.05);CT examination of the lumbar spine showed that the sagittal diameter of the dural sac after treatment was significantly increased, while the ratio of anteroposterior diameter and nerve root compression was significantly reduced compared with that before treatment(P<0.05), the above imaging parameters in the observation group were better than those in the control group(P<0.05). The individual scores and total scores of the JOA scores after treatment were significantly higher than those before treatment in the two groups(P<0.05), the above scores in the observation group were higher than those in the control group after treatment(P<0.05). The scores of physical health, mental health, interpersonal relationship, and surrounding environment in the World Health Organization Quality of Life Scale(WHOQOL-BREF) after treatment in both groups were significantly increased(P<0.05), and the scores in the observation group were higher than those in the control group(P<0.05). Conclusion Internal nourishing breath exercise of flat seat type combined with three-needle lumbar acupuncture can significantly improve the clinical symptoms, relieve nerve root compression, improve lumbar spine function, and improve quality of life in patients with LDH.
作者
王平平
费学涛
许志贵
刘满震
张莉
WANG Pingping;FEI Xuetao;XU Zhigui;LIU Manzhen;ZHANG Li(Hebei Medical Qigong Hospital,Qinhuangdao 066100,Hebei,China;Beidaihe Hospital of Qinhuangdao City,Qinhuangdao 066100,Hebei,China;Gucheng County Hospital,Gucheng 253800,Hebei,China)
出处
《现代中西医结合杂志》
CAS
2020年第1期25-29,33,共6页
Modern Journal of Integrated Traditional Chinese and Western Medicine
基金
河北省中医药管理局科研计划项目(2018065)
关键词
平坐式内养功法
腰三针
腰椎间盘突出症
生活质量
internal nourishing breath exercise of flat seat type
three-needle lumbar acupuncture
lumbar disc herniation
quality of life
