摘要
目的:探究肌骨拉伸功注射治疗肝肾亏虚型腰椎间盘突出症患者的疗效。方法:按照随机数字表法将2020年1月至2021年12月于我院收治的肝肾亏虚型腰椎间盘突出症病人筛选出60例并平均分为两组,其中对照组30例的腰椎间盘突出症病人予常规诊疗(脱水联合营养神经+消炎止痛);治疗组30例采用在常规诊疗基础上加上肌骨拉伸功锻炼。观察治疗前后两组病人VAS评分、JOA评分、有效率以及安全指标作为疗效程度评比。结果:两组患者治疗前各项观察指标均无明显差异(P>0.05),治疗后两组的VAS及JOA评分降低,提示两种治疗方式均可降低患者的疼痛及提高腰椎功能,均有统计学意义(P<0.05);治疗组有效率为96.67%,优于对照组的66.67%(P<0.05),且安全性也优于对照组。结论:肌骨拉伸功医治肝肾亏虚型腰椎间盘突出症安全有效,功能评分效果优于对照组,有利于帮助恢复腰部肌肉功能和预防复发,值得进一步研究。
Objective:To investigate the efficacy of musculoskeletal stretching gong injection in the treatment of patients with lumbar disc herniation with liver and kidney deficiency.Methods:According to the random number table method,60 patients with lumbar disc herniation with liver and kidney deficiency admitted to our hospital from January 2020 to December 2021 were screened and equally divided into two groups.30 patients in the control group with lumbar disc herniation were given conventional treatment(dehydration combined with nerve nutrition+anti-inflammatory and pain relief);30 patients in the treatment group were treated with musculoskeletal stretching exercises on top of conventional treatment.The VAS score,JOA score,efficiency rate and safety indexes of the patients in the two groups before and after the treatment were observed as the evaluation of the degree of efficacy.Results:The VAS and JOA scores of both groups decreased after treatment,suggesting that both treatment modalities could reduce the patients'pain and improve the function of the lumbar spine,which was statistically significant(P<0.05);the effective rate of the treatment group was 96.67%,which was better than the 66.67%of the control group(P<0.05)and The safety of the treatment group was also better than that of the control group.Conclusion:Musculoskeletal stretching is safe and effective in treating lumbar disc herniation with liver and kidney deficiency,and the functional score is better than that of the control group,helping to restore lumbar muscle function and prevent recurrence.
作者
张兵
李伟举
吕朝晖
董云鹏
邱剑鸣
王东洋
ZHANG Bing;LI Wei-ju;LV Zhao-hui;DONG Yun-peng;QIU Jian-ming;WANG Dong-yang(Guangdong Second Hospital of Traditional Chinese Medicine,Guangzhou,Guangdong 510095)
出处
《按摩与康复医学》
2023年第5期1-4,共4页
Chinese Manipulation and Rehabilitation Medicine
基金
广东省中医药局科研课题(20202013)。
关键词
肌骨拉伸功
肝肾亏虚
腰椎间盘突出症
Musculoskeletal stretching work
liver and renal disease
Lumbar disc herniation
