摘要
目的:观察圆利针结合推拿治疗腰椎间盘突出症的临床疗效。方法:选取2017年12月~2019年10月在本院就诊的腰椎间盘突出症患者60例,随机分为试验组和对照组各30例,试验组接受推拿和圆利针治疗,对照组采用推拿手法治疗,均隔天治疗1次,10次为1个疗程,共治疗2个疗程,统计两组患者X线片下腰椎曲线指数(LCI)及Oswestry功能障碍指数(ODI)。结果:LCI值与ODI值存在相关性;而2个疗程治疗后,试验组LCI值显著增加,且与治疗前比较差异有统计学意义(P<0.05);对照组LCI值较治疗前差异统计学意义(P>0.05)。两组患者ODI值均较治疗前降低(P<0.05),且试验组低于对照组(P<0.05)。试验组愈显率为66.67%,总有效率为93.33%;对照组愈显率为36.67%,总有效率为76.67%;试验组复发率为14.28%,显著低于对照组的47.83%(P<0.01)。结论:圆利针结合推拿能够有效改善腰椎间盘突出症患者的腰椎曲线指数及临床症状,具有良好的临床疗效。
Objective: To observe the efficacy of Round-Sharp needle and massage on Lumbar Disc Herniation. Methods: 60 cases of patients with lumbar disc herniation were enrolled and randomly divided into experimental group(n=30) and control group(n=30),the experimental group received round-sharp needle and massage, while control group received massage therapy. The patients received the therapy method once two days, and two courses of treatment. The data of the patients recorded, including LCI and ODI.Results: After two courses of treatment, the LCI increased in the experimental group, and there was a significant difference(P<0.05);while in control group the LCI increased too, but there was no statistical significance(P>0.05). The ODI scores were decreased in both groups after treatment, and the experimental group decreased more sharply, there was a remarkable significant difference(P<0.05). The effective rate in experimental group was 93.33%, which was superior to the control group’s 76.67%(P<0.05),and the markedly effective rate was 66.67%, which was superior to the control group’s 36.67%, the difference was statistically significance(P<0.05). And the recurrence rate in experimental group was 14.28%, which was lower than 47.83% of control group(P<0.01). Conclusion: The therapy could effectively improve the lumbar curvature, and ameliorate the clinical symptoms, this therapy has safety and definite clinical efficacy.
作者
杨娟
王立源
徐萍
何骋
骆咏健
YANG Juan;WANG Li-yuan;XU Ping;HE Cheng;LUO Yong-jian(Guangzhou Geriatric Rehabilitation Hospital,Guangzhou,Guangdong 510336;Guangzhou Social Welfare Institute,Guangzhou,Guangdong 510075)
出处
《按摩与康复医学》
2022年第16期5-9,共5页
Chinese Manipulation and Rehabilitation Medicine
基金
广东省中医药局科研项目,编号:20202247。
关键词
腰椎间盘突出症
圆利针
输刺
合谷刺
推拿
腰椎曲线指数
功能障碍
lumbar disc herniation
round-sharp needle
transport point needling
joint valley needling
massage
lumbar curvature
dysfunction
