脏腑推拿干预腰椎间盘突出症合并焦虑状态的临床研究
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摘要
目的:观察脏腑推拿治疗腰椎间盘突出症合并焦虑状态的临床疗效。方法:将104例患者随机分为试验组与对照组,各52例。两组均采用常规治疗方案,包括推拿、针刺与热敷。试验组在此基础上加用脏腑推拿。两组均治疗4周。观察两组患者治疗前后汉密尔顿焦虑量表(HAMA)评分、改良中文版Oswestry腰痛功能障碍指数(ODI)、疼痛视觉模拟评分(VAS)的变化,并应用尼莫地平法评价疗效。结果:试验组总有效率75.5%,愈显率32.7%,对照组总有效率31.9%,愈显率14.9%,表明试验组优于对照组(P<0.05)。两组治疗后HAMA评分、ODI评分、VAS评分均显著低于本组治疗前(P<0.05),且试验组优于对照组(P<0.05)。治疗期间两组无不良反应发生。结论:脏腑推拿治疗腰椎间盘突出症合并焦虑状态具有一定临床疗效,这也为焦虑症状的绿色治疗提供了借鉴。
Objective: To observe the curative effect of viscera massage on lumbar disc herniation combined with anxiety. Methods: A total of 104 patients were randomly divided into experimental group and control group, with 52 cases each.Both groups received conventional treatment, including massage, acupuncture and hot compress. The experimental group added viscera massage on this basis. Both groups were treated for 4 weeks. The Hamilton Anxiety Scale(HAMA) score, modified Chinese version of Oswestry Low Back Pain Index(ODI), and visual analogue scale assessment(VAS) were observed before and after treatment in both groups, and the efficacy was evaluated with nimodipine. Results: The total effective rate was 75.5% in the experimental group, and the obvious effective rate was 32.7%. The total effective rate in the control group was 31.9%, and the obvious effective rate was 14.9%. The experimental group was superior to the control group(P<0.05). After treatment, the HAMA score, ODI score and VAS score were significantly lower than those before treatment in this group(P<0.05), and the experimental group was better than the control group(P<0.05). No adverse reactions occurred in both groups during the treatment period.Conclusion: The treatment of viscera massage with lumbar intervertebral disc herniation combined with anxiety state has a certain clinical curative effect, which also provides a reference for the green treatment of anxiety symptoms.
Objective: To observe the curative effect of viscera massage on lumbar disc herniation combined with anxiety. Methods: A total of 104 patients were randomly divided into experimental group and control group, with 52 cases each.Both groups received conventional treatment, including massage, acupuncture and hot compress. The experimental group added viscera massage on this basis. Both groups were treated for 4 weeks. The Hamilton Anxiety Scale(HAMA) score, modified Chinese version of Oswestry Low Back Pain Index(ODI), and visual analogue scale assessment(VAS) were observed before and after treatment in both groups, and the efficacy was evaluated with nimodipine. Results: The total effective rate was 75.5% in the experimental group, and the obvious effective rate was 32.7%. The total effective rate in the control group was 31.9%, and the obvious effective rate was 14.9%. The experimental group was superior to the control group(P<0.05). After treatment, the HAMA score, ODI score and VAS score were significantly lower than those before treatment in this group(P<0.05), and the experimental group was better than the control group(P<0.05). No adverse reactions occurred in both groups during the treatment period.Conclusion: The treatment of viscera massage with lumbar intervertebral disc herniation combined with anxiety state has a certain clinical curative effect, which also provides a reference for the green treatment of anxiety symptoms.
引文
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[13]李晓娟,刘群,马庆宇,等.焦虑症引起免疫系统异常机制及中医药研究探讨.中华中医药杂志,2016,31(12):5171-5174
[14]李东红,谭涛,李华南.王金贵运用调冲通脉腹部推拿法治疗功能性内科疾病的经验.江苏中医药,2014,46(12):10-12
[15]马铭华.腹部推拿治疗腰椎间盘突出症急性期的临床疗效观察.天津中医药,2013,30(8):473-475
[16]苏志超,闫华琼,荣兵,等.腹部推拿治疗围绝经期抑郁症的理论探讨.河北中医,2016,38(7):1081-1084
[2]吕雪丰,白晓杰,于迎新,等.康复训练对腰椎间盘突出症患者术后焦虑状态的影响.中国社区医师,2018,34(7):169-170
[3]陈龙梅,王珩.腰椎间盘突出症患者抑郁、焦虑状况及影响因素分析.中国疼痛医学杂志,2014,20(6):437-440
[4]王金贵.王金贵津沽脏腑推拿心法.北京:中国中医药出版社,2017
[5]李华南,张玮,赵娜,等.腹部推拿治疗内科疾病作用机制的中西医研究进展.时珍国医国药,2017,28(3):676-678
[6]刘洋,李华南,张玮,等.非药物治疗广泛性焦虑症的研究进展.时珍国医国药,2016,27(11):2722-2724
[7]国家中医药管理局.中医病证诊断疗效标准.南京:南京大学出版社,1994:24
[8]中华医学会精神科分会.中国精神障碍分类及诊断标准.3版.济南:山东科学技术出版社,2001:105-106
[9]中华中医药学会整脊分会.中医整脊常见病诊疗指南.北京:中国中医药出版社,2012
[10]Sribastav S S,Peiheng H,Jun L,et al.Interplay among pain intensity,sleep disturbance and emotion in patients with nonspecific low back pain.Peer J,2017,5:e3282
[11]Arnstein P,Caudill M,Mandle C L,et al.Self efficacy as a mediator of the relationship between pain intensity,disability and depression in chronic pain patients.Pain,1999,80(3):483-491
[12]Meerwijk E L,Ford J M,Weiss S J.Brain regions associated with psychological pain:Implications for a neural network and its relationship to physical pain.Brain Imaging and Behavior,2013,7(1):1-14
[13]李晓娟,刘群,马庆宇,等.焦虑症引起免疫系统异常机制及中医药研究探讨.中华中医药杂志,2016,31(12):5171-5174
[14]李东红,谭涛,李华南.王金贵运用调冲通脉腹部推拿法治疗功能性内科疾病的经验.江苏中医药,2014,46(12):10-12
[15]马铭华.腹部推拿治疗腰椎间盘突出症急性期的临床疗效观察.天津中医药,2013,30(8):473-475
[16]苏志超,闫华琼,荣兵,等.腹部推拿治疗围绝经期抑郁症的理论探讨.河北中医,2016,38(7):1081-1084