摘要
目的:探究火龙罐联合核心肌群稳定性训练在腰椎间盘突出症(LDH)患者中的疗效。方法:选取赣南医学院附属兴国医院2022年3月—2023年2月康复医学科收治的90例LDH患者为研究对象。采用随机数字表法分为火龙罐治疗组(n=30)、核心肌群稳定性组(n=30)和火龙罐联合核心肌群稳定性组(n=30)。观察三组视觉模拟评分法(VAS)、日本骨科协会评估治疗(JOA)分数、Oswestry功能障碍指数(ODI)和日常生活活动能力(ADL)和临床疗效。结果:治疗前,三组VAS评分比较,差异无统计学意义(P>0.05)。治疗后,火龙罐联合核心肌群稳定性组VAS评分显著低于火龙罐组和核心肌群稳定性组,差异均有统计学意义(P<0.05)。治疗前,三组JOA评分比较,差异无统计学意义(P>0.05);治疗后,火龙罐联合核心肌群稳定性组JOA评分显著高于火龙罐组和核心肌群稳定性组,差异均有统计学意义(P<0.05)。治疗前,三组ODI和ADL评分比较,差异均无统计学意义(P>0.05);治疗后,火龙罐联合核心肌群稳定性组ODI评分显著低于火龙罐组和核心肌群稳定性组,而ADL评分显著高于火龙罐组和核心肌群稳定性组,差异均有统计学意义(P<0.05)。火龙罐联合核心肌群稳定性组临床总有效率为96.67%,显著高于火龙罐组70.00%和核心肌群稳定性组73.33%,差异均有统计学意义(P<0.05)。结论:火龙罐联合核心肌群稳定性训练能提高临床疗效,降低VAS评分和ODI,提高JOA评分,改善LDH患者腰椎功能。
Objective:To explore the efficacy of Huolong cupping combined with core muscle group stability training in patients with lumbar disc herniation(LDH).Method:A total of 90 patients with LDH admitted to the Rehabilitation Medicine Department of Xingguo Hospital Affiliated to Gannan Medical College from March 2022 to February 2023 were selected as the research subjects,they were divided into the Huolong cupping treatment group(n=30),the core muscle group stability group(n=30),and the Huolong cupping combined core muscle group stability group(n=30)by random number table method.The visual analogue pain scale(VAS),Japanese orthopaedic association scores(JOA)scores,Oswestry disability index(ODI)and activity of daily living scale(ADL)and the clinical efficacy were observed in the three groups.Result:There was no significant difference in VAS scores among the three groups of patients before treatment(P>0.05);after treatment,the VAS score of the Huolong cupping combined with core muscle group stability group was significantly lower than those of the Huolong cupping group and core muscle group stability group,the differences were statistically significant(P<0.05).There was no significant difference in JOA scores among the three groups of patients before treatment(P>0.05);after treatment,the JOA score of the Huolong cupping combined with core muscle group stability group was significantly higher than those of the Huolong cupping group and core muscle group stability group,the differences were statistically significant(P<0.05).There were no significant differences in ODI and ADL scores among the three groups of patients before treatment(P>0.05);after treatment,the ODI of the Huolong cupping combined with core muscle group stability group was significantly lower than those of the Huolong cupping group and core muscle group stability group,while the ADL score was significantly higher than those of the Huolong cupping group and core muscle group stability group,the differences were statistically significant(P<0.05).The clinical total effective rate of the Huolong cupping combined with core muscle group stability group was 96.67%,which was significantly higher than 70.00%of the Huolong cupping group and the 73.33%of core muscle group stability group,the differences were statistically significant(P<0.05).Conclusion:The combination of Huolong cupping and core muscle group stability training can improve clinical efficacy,reduce VAS scores and ODI,improve JOA scores,and improve patients'lumbar function.
作者
肖钺
唐丽军
周萍
XIAO Yue;TANG Lijun;ZHOU Ping(Rehabilitation Medicine Department,Xingguo Hospital Affiliated to Gannan Medical College,Xingguo 342400,China;不详)
出处
《中国医学创新》
CAS
2024年第10期79-83,共5页
Medical Innovation of China
基金
江西省中医药管理局科技计划项目(2022B200)。
关键词
火龙罐
核心肌群稳定性训练
腰椎间盘突出症
生活质量
疼痛评分
腰椎功能
Huolong cupping
Core muscle group stability training
Lumbar disc herniation
Quality of life
Pain score
Lumbar function
