针灸序贯疗法对腰腿痛临床效果
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摘要
目的:探讨针灸序贯疗法治疗腰腿痛患者的临床效果。方法:收集符合标准的124例腰腿痛患者的临床病历,采用随机数字表法结合患者个人意愿将其分为对照组与研究组,每组各62例,对照组单纯予以中药药物治疗,研究组在对照组的基础上实施予以针灸序贯疗法,治疗3个疗程后,对比2组治疗效果、JOA评分与ODI指数以及平均治疗时间及症状恢复时间。结果:对比2组患者临床效果发现,研究组治疗有效率为(98.39%),而对照组仅为(87.10%),研究组效果更好,差异有统计学意义(P<0.05);治疗前2组JOA评分与ODI指数对比差异无统计学意义(P>0.05);治疗1、2、3个疗程后2组JOA评分与ODI指数均出现不同程度的好转,其中研究组JOA评分明显高于对照组,ODI指数较对照组更低,差异有统计学意义(P<0.05);研究组平均治疗时间及症状消失时间均短于对照组,差异有统计学意义(P<0.05)。结论:在中药治疗的基础上配合针灸序贯疗法治疗腰腿痛效果显著,有效缓解患者临床症状,改善功能障碍现象,缩短患者病程,是一种安全可靠且值得推广的治疗方案。
Objective: To explore the clinical effect of acupuncture and sequential therapy in the treatment of patients with low back pain. Methods: The clinical records of 124 patients with low back pain who met the criteria were collected. The random number table method was used to divide the patients into the control group and the study group according to their personal wishes. There were 62 cases in each group. The control group was treated with traditional Chinese medicine alone. The study group implemented acupuncture and sequential therapy on the basis of the control group. After 3 courses of treatment, the effects of the two groups, the JOA score and the ODI index, and the average treatment time and symptom recovery time were compared. RESULTS: Comparing the clinical effects of the two groups, the effective rate of the study group was(98.39%), while the control group was only(87.10%). The study group had better results and the difference was statistically significant(P<0.05). There was no significant difference between the two groups before the treatment of JOA score and ODI index(P>0.05). After treatment for 1, 2, and 3 courses, the JOA score and ODI index of the two groups improved to different degrees. The JOA score of the study group was significantly higher than that of the control group. The ODI index was lower than that of the control group, and the difference was statistically significant(P<0.05). The average treatment time and symptom disappearance time of the study group were shorter than the control group, and the difference was statistically significant(P<0.05). Conclusion: On the basis of traditional Chinese medicine treatment, combined with acupuncture and sequential therapy for the treatment of low back pain, it can effectively relieve the clinical symptoms, improve dysfunction and shorten the patient's course. It is a safe and reliable treatment plan worthy of promotion.
Objective: To explore the clinical effect of acupuncture and sequential therapy in the treatment of patients with low back pain. Methods: The clinical records of 124 patients with low back pain who met the criteria were collected. The random number table method was used to divide the patients into the control group and the study group according to their personal wishes. There were 62 cases in each group. The control group was treated with traditional Chinese medicine alone. The study group implemented acupuncture and sequential therapy on the basis of the control group. After 3 courses of treatment, the effects of the two groups, the JOA score and the ODI index, and the average treatment time and symptom recovery time were compared. RESULTS: Comparing the clinical effects of the two groups, the effective rate of the study group was(98.39%), while the control group was only(87.10%). The study group had better results and the difference was statistically significant(P<0.05). There was no significant difference between the two groups before the treatment of JOA score and ODI index(P>0.05). After treatment for 1, 2, and 3 courses, the JOA score and ODI index of the two groups improved to different degrees. The JOA score of the study group was significantly higher than that of the control group. The ODI index was lower than that of the control group, and the difference was statistically significant(P<0.05). The average treatment time and symptom disappearance time of the study group were shorter than the control group, and the difference was statistically significant(P<0.05). Conclusion: On the basis of traditional Chinese medicine treatment, combined with acupuncture and sequential therapy for the treatment of low back pain, it can effectively relieve the clinical symptoms, improve dysfunction and shorten the patient's course. It is a safe and reliable treatment plan worthy of promotion.
引文
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[5]李卓荣,刘本立,梁慧,等.“刘氏环五针”治疗坐骨神经痛的临床研究[J].针灸临床杂志,2018,34(5):52-56.
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[8]周莉,夏有兵,马翔,等.针灸序贯疗法对卵巢储备功能下降患者IVF-ET的影响[J].中国针灸,2016,36(1):25-28.
[9]李泰标,谢洪武,吴伟,等.雷火灸配合宣氏压痛点强刺激推拿治疗腰腿痛的疗效[J].中国老年学杂志,2015,35(24):7133-7135.
[10]夏伟民,沈志萍.循经针灸配合温针治疗腰椎间盘突出症80例[J].上海医药,2015,36(14):27-28.
[11]周国禹,黄志云,张丽霞,等.整脊联合针刺治疗颈型颈椎病患者的临床疗效[J].中国药物经济学,2016,11(2):117-118.
[2]张风林.针灸联合腰腿痛丸治疗慢性腰腿疼痛综合征的可行性及安全性[J].中国当代医药,2014,21(26):127-128,131.
[3]杨硕,杨孝芳,江瑜等.隔药饼灸对腰椎间盘突出症患者腰腿痛功能及血浆P物质的影响[J].针刺研究,2014,39(6):491-495.
[4]赵志恒,刘保红,徐家淳,等.国医大师贺普仁教授腰腿痛用穴经验撷萃[J].环球中医药,2018,11(10):1554-1556.
[5]李卓荣,刘本立,梁慧,等.“刘氏环五针”治疗坐骨神经痛的临床研究[J].针灸临床杂志,2018,34(5):52-56.
[6]洪秋阳.刺骨法结合放血治疗腰腿痛56例[J].中国针灸,2014,34(3):252.
[7]刘烁炜,柴仪,温志刚,等.腰椎间盘突出症的保守治疗方法的研究进展[J].河北中医药学报,2017,32(4):60-64.
[8]周莉,夏有兵,马翔,等.针灸序贯疗法对卵巢储备功能下降患者IVF-ET的影响[J].中国针灸,2016,36(1):25-28.
[9]李泰标,谢洪武,吴伟,等.雷火灸配合宣氏压痛点强刺激推拿治疗腰腿痛的疗效[J].中国老年学杂志,2015,35(24):7133-7135.
[10]夏伟民,沈志萍.循经针灸配合温针治疗腰椎间盘突出症80例[J].上海医药,2015,36(14):27-28.
[11]周国禹,黄志云,张丽霞,等.整脊联合针刺治疗颈型颈椎病患者的临床疗效[J].中国药物经济学,2016,11(2):117-118.