温针灸腰椎间盘突出症改善疼痛、恢复功能及预后作用分析
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摘要
目的:分析温针灸措施对腰椎间盘突出的疼痛改善、功能恢复及预后的影响。方法:选取0例腰椎间盘突出患者分为对照组(45例)和观察组(45例)。对照组给予牵引疗法,观察组给予温针灸疗法。观察两组患者治疗效果、疼痛程度、腰部功能(步行、坐立、睡眠、社会生活、生活自理、提物等)及并发症情况。结果:观察组的总有效率(93.3%)与对照组(77.8%)相比,两组差异有统计学意义(P<0.05)。治疗前,两组患者的VAS、Oswestry评分无显著性差异(P>0.05);治疗后,观察组上述评分明显低于对照组,两组差异有统计学意义(P<0.05)。治疗期间,两组患者均为出现明显的不良反应。结论:温针灸措施对腰椎间盘突出患者治疗效果显著,在临床中值得推广应用。
Objective To study pain improvement and functional recovery in patient with lumbar disc herniation by acupuncture measures. Methods 90 cases of patients were divided into the observation group( 45 cases) and the control group( 45 cases) from January 2016 to December 2017. The control group was given traction therapy while the observation group was received acupuncture therapy. Therapeutic effect, pain level, lumbar function( walking, sitting,sleeping, social life, living and taking care of oneself) and prognostic complications of two groups were compared.Results Total efficiency( 93.3%) of the observation group was significantly rather than the control group( 77.8%), the difference was statistically significant( P<0.05). VAS, Oswestry scores of two groups were not statistically significant(P>0.05) before treatment. Above scores of the observation group were significantly lower than the control group after treatment( P<0.05). There were obvious adverse reactions in both groups during the treatment period. Conclusion Acupuncture and moxibustion measures had significant therapeutic effect on patients. It was worthy of popularization and application in clinical practice.
Objective To study pain improvement and functional recovery in patient with lumbar disc herniation by acupuncture measures. Methods 90 cases of patients were divided into the observation group( 45 cases) and the control group( 45 cases) from January 2016 to December 2017. The control group was given traction therapy while the observation group was received acupuncture therapy. Therapeutic effect, pain level, lumbar function( walking, sitting,sleeping, social life, living and taking care of oneself) and prognostic complications of two groups were compared.Results Total efficiency( 93.3%) of the observation group was significantly rather than the control group( 77.8%), the difference was statistically significant( P<0.05). VAS, Oswestry scores of two groups were not statistically significant(P>0.05) before treatment. Above scores of the observation group were significantly lower than the control group after treatment( P<0.05). There were obvious adverse reactions in both groups during the treatment period. Conclusion Acupuncture and moxibustion measures had significant therapeutic effect on patients. It was worthy of popularization and application in clinical practice.
引文
[1]陶亚杰,应海舟,刘遵勇.针灸治疗腰椎间盘突出症临床疗效及对相关指标的影响[J].中华中医药学刊,2015,33(9):2290-2292.
[2]陈水金,洪昆达,龚德贵,等.温针灸配合委中穴拍打放血治疗腰椎间盘突出症43例临床观察[J].中医杂志,2015,56(12):1034-1037.
[3]杨敏,石秦川,徐桂华.针灸单独或联合拔罐、推拿治疗腰椎间盘突出症的网状Meta分析[J].中华中医药学刊,2016,34(9):2153-2157.
[4]刘彬.针灸理疗对药物治疗腰椎间盘突出症患者生活质量影响的研究[J].辽宁中医杂志,2017,44(10):2162-2165.
[5]谢艳艳,吴耀持.温针对腰神经根受压模型大鼠组织形态的影响[J].中国组织工程研究,2015,19(49):7873-7878.
[6]王奕力,李雅竹,杨国彦,等.补充替代医学治疗腰椎间盘突出症的系统评价[J].中华中医药杂志,2017,32(8):3804-3808.
[7]王宝杰,侯显涛,刘红芹,等.一例京巴犬二尖瓣闭锁不全并发腰椎间盘突出症的诊治[J].黑龙江畜牧兽医,2018(6):191-192.
[8]周凡媛,刘福水,赵梅梅,等.针刀与针灸治疗腰椎间盘突出症疗效比较的系统评价和Meta分析[J].辽宁中医杂志,2017,44(3):590-594.
[9]符慧明,陆志夫,朱华亮,等.中医针灸结合正骨推拿治疗单纯性腰椎椎间盘突出症的临床观察[J].辽宁中医杂志,2017,44(9):1951-1953.
[10]吴娟妹,何立东,付勇,等.力敏腧穴针刺治疗腰椎间盘突出症的临床科研设计思路探讨[J].中华中医药学刊,2016,34(4):894-896.
[11]徐清平,宋登峰,朱晓峰,等.中药内服联合中医手法、针灸治疗腰椎间盘突出症的临床疗效[J].中华中医药学刊,2018,36(3):765-768.
[12]张卫东,李俊莲,高小勇,等.“调神温经通督”综合治疗腰椎间盘突出症的优势分析[J].时珍国医国药,2015,26(4):944-946.
[13]谭克平,刘光国,姚旭,等.针药结合对腰椎间盘突出症患者血清细胞因子、MDA、SOD及血浆血栓素β2水平的影响[J].中华中医药学刊,2016,34(6):1523-1526.
[14]白亚楠,周丹.腰椎间盘突出症古今针灸用穴规律初探[J].辽宁中医杂志,2016,43(2):373-376.
[15]李曌嫱,秦义,田元祥,等.针灸治疗腰椎间盘突出症的CiteSpace知识图谱可视化分析[J].中国针灸,2017,37(5):545-548.
[2]陈水金,洪昆达,龚德贵,等.温针灸配合委中穴拍打放血治疗腰椎间盘突出症43例临床观察[J].中医杂志,2015,56(12):1034-1037.
[3]杨敏,石秦川,徐桂华.针灸单独或联合拔罐、推拿治疗腰椎间盘突出症的网状Meta分析[J].中华中医药学刊,2016,34(9):2153-2157.
[4]刘彬.针灸理疗对药物治疗腰椎间盘突出症患者生活质量影响的研究[J].辽宁中医杂志,2017,44(10):2162-2165.
[5]谢艳艳,吴耀持.温针对腰神经根受压模型大鼠组织形态的影响[J].中国组织工程研究,2015,19(49):7873-7878.
[6]王奕力,李雅竹,杨国彦,等.补充替代医学治疗腰椎间盘突出症的系统评价[J].中华中医药杂志,2017,32(8):3804-3808.
[7]王宝杰,侯显涛,刘红芹,等.一例京巴犬二尖瓣闭锁不全并发腰椎间盘突出症的诊治[J].黑龙江畜牧兽医,2018(6):191-192.
[8]周凡媛,刘福水,赵梅梅,等.针刀与针灸治疗腰椎间盘突出症疗效比较的系统评价和Meta分析[J].辽宁中医杂志,2017,44(3):590-594.
[9]符慧明,陆志夫,朱华亮,等.中医针灸结合正骨推拿治疗单纯性腰椎椎间盘突出症的临床观察[J].辽宁中医杂志,2017,44(9):1951-1953.
[10]吴娟妹,何立东,付勇,等.力敏腧穴针刺治疗腰椎间盘突出症的临床科研设计思路探讨[J].中华中医药学刊,2016,34(4):894-896.
[11]徐清平,宋登峰,朱晓峰,等.中药内服联合中医手法、针灸治疗腰椎间盘突出症的临床疗效[J].中华中医药学刊,2018,36(3):765-768.
[12]张卫东,李俊莲,高小勇,等.“调神温经通督”综合治疗腰椎间盘突出症的优势分析[J].时珍国医国药,2015,26(4):944-946.
[13]谭克平,刘光国,姚旭,等.针药结合对腰椎间盘突出症患者血清细胞因子、MDA、SOD及血浆血栓素β2水平的影响[J].中华中医药学刊,2016,34(6):1523-1526.
[14]白亚楠,周丹.腰椎间盘突出症古今针灸用穴规律初探[J].辽宁中医杂志,2016,43(2):373-376.
[15]李曌嫱,秦义,田元祥,等.针灸治疗腰椎间盘突出症的CiteSpace知识图谱可视化分析[J].中国针灸,2017,37(5):545-548.