理筋推拿联合常规针刺治疗退行性腰椎间盘突出症临床研究
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R246.9

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Clinical Study on Tuina for Sinew Injury Combined with Routine Acupuncture for Degenerative Lumbar Disc Herniation
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    摘要:

    目的:观察理筋推拿联合常规针刺治疗退行性腰椎间盘突出症的临床疗效。方法:将72 例退行性 腰椎间盘突出症患者随机分为治疗组和对照组各36 例,对照组采用常规针刺治疗,治疗组在对照组基础上加 用理筋推拿治疗。记录2 组治疗前、治疗1 个疗程、治疗2 个疗程后视觉模拟评分法(VAS) 评分、日本骨科 学会评分(JOA)、Oswestry 功能障碍指数(ODI) 评分及椎间盘Pfirrmann 分级变化,并评价2 组疗效。结 果:治疗前,2 组VAS 评分比较,差异无统计学意义(P>0.05);治疗1 个疗程后、治疗2 个疗程后,2 组 VAS 评分均降低(P<0.05),且治疗组同期VAS 评分低于对照组(P<0.05)。治疗前,2 组JOA 评分比较, 差异无统计学意义(P>0.05);治疗1 个疗程后、治疗2 个疗程后,2 组JOA 评分均升高(P<0.05),且治疗 组同期JOA 评分高于对照组(P<0.05)。治疗前,2 组ODI 评分比较,差异无统计学意义(P>0.05);治疗 1 个疗程后、治疗2 个疗程后,2 组ODI 评分均降低(P<0.05),且治疗组同期ODI 评分低于对照组(P< 0.05)。治疗前、治疗1 个疗程后、治疗2 个疗程后,2 组同期Pfirrmann 分级比较,差异均无统计学意义(P> 0.05)。治疗组治疗总有效率91.67%,高于对照组72.22%(P<0.05)。结论:理筋推拿联合常规针刺治疗退行 性腰椎间盘突出症能有效缓解患者疼痛,改善腰椎功能活动,但短期治疗对椎间盘退变的Pfirrmann 分级尚无影响。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Tuina for sinew injury combined with routine acupuncture for degenerative lumbar disc herniation. Methods: A total of 72 cases of patients with degenerative lumbar disc herniation were randomly divided into the treatment group and the control group, with 36 cases in each group. The control group was treated with routine acupuncture,and the treatment group was additionally treated with Tuina for sinew injury based on the treatment of the control group. The changes in scores of Visual Analogue Scale (VAS), Japanese Orthopaedic Association (JOA), and Oswestry Dysfunction Index (ODI), and Pfirrmann MRI classification of intervertebral disc degeneration were recorded before treatment,after one course of treatment and after two courses of treatment in the two groups. Curative effects were evaluated in the two groups. Results:Before treatment,there was no significant difference being found in the comparison of VAS scores between the two groups (P>0.05); after one course of treatment and two courses of treatment, the VAS scores in the two groups were decreased when compared with those before treatment (P<0.05),and the scores in the treatment group were lower than those in the control group in the same period (P<0.05). Before treatment,there was no significant difference being found in the comparison of JOA scores between the two groups (P>0.05); after one course of treatment and two courses of treatment, the JOA scores in the two groups were increased when compared with those before treatment (P<0.05),and the scores in the treatment group were higher than those in the control group in the same period (P<0.05). Before treatment,there was no significant difference being found in the comparison of ODI scores between the two groups (P>0.05);after one course of treatment and two courses of treatment,the ODI scores in the two groups were decreased when compared with those before treatment (P<0.05),and the scores in the treatment group were lower than those in the control group in the same period (P<0.05). Before treatment, after one course of treatment and after two courses of treatment, there was no significant difference being found in the comparison of Pfirrmann MRI classification of intervertebral disc degeneration between the two groups in the same period (P>0.05). The total effective rate was 91.67% in the treatment group,higher than that of 72.22% in the control group (P<0.05). Conclusion: Tuina for sinew injury combined with routine acupuncture for degenerative lumbar disc herniation can effectively relieve pain and improve lumbar function, but a short- term treatment has no effect on Pfirrmann MRI classification of intervertebral disc degeneration.

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周文春,王宏南.理筋推拿联合常规针刺治疗退行性腰椎间盘突出症临床研究[J].新中医,2023,55(5):186-190

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  • 在线发布日期: 2023-03-15
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