目的 观察针刺联合手法复位治疗腰椎间盘突出症的疗效。方法 选择2018-01至2021-12就诊于解放军总医院第三医学中心康复医学科门诊的患者100例,分为治疗组与对照组,每组50例,治疗组采用针刺治疗联合手法复位,对照组采用针刺治疗。观察两组治疗后起效时间、疼痛、麻木、步态、直腿抬高、感觉障碍、运动障碍、日常活动受限情况及治疗疗效。结果 治疗组起效时间为(2.49±1.70)d,早于对照组的(3.63±2.66)d,差异有统计学意义(P＜0.05)。治疗后治疗组疼痛积分(2.52±0.58),高于对照组的(1.78±0.98);治疗组麻木积分(2.92±0.27),高于对照组的(2.24±0.80);治疗组步态积分(3.00±0.00),高于对照组的(2.52±0.61);治疗组直腿抬高积分(1.98±0.14),高于对照组的(1.48±0.61);治疗组感觉障碍积分(2.00±0.00),高于对照组的(1.72±0.50);治疗组运动障碍积分(1.98±0.14),高于对照组的(1.64±0.49);治疗组日常活动受限积分(12.18±1.79),高于对照组的(11.40±1.71),差异均有统计学意义(P＜0.05)。治疗组总有效率96%,高于对照组的78%,差异有统计学意义(P＜0.05)。结论 针刺联合手法复位治疗腰椎间盘突出症起效快,疗效好。
Abstract
Objective To observe the clinical effect of acupuncture combined with manual reduction in the treatment of lumbar disc herniation.Methods One hundred outpatients from January 2018 to December 2021 in the Department of Rehabilitation Medicine of the Third Medical Center of the PLA General Hospital were randomly divided into the treatment group (50 cases) and the control group (50 cases). The treatment group was treated with acupuncture combined with manual reduction, while the control group was treated with acupuncture only. The onset time, pain, numbness, gait, straight leg raising, sensory disturbance, movement disorder, daily activity limitation and improvement rate were observed after treatment.Results The average onset time of the treatment group was 2.49 days and the average onset time of the control group was 3.63 days (P＜0.05). The pain score after treatment was 2.52±0.58 in the treatment group and 1.78±0.98 in the control group. The numbness score was 2.92±0.27 in the treatment group and 2.24±0.80 in the control group. The gait score was 3.00±0.00 in the treatment group and 2.52±0.61 in the control group. The straight leg raising score was 1.98±0.14 in the treatment group and 1.48±0.61 in the control group. The score of sensory disturbance was 2.00±0.00 in the treatment group and 1.72±0.50 in the control group. The score of movement disorder was 1.98±0.14 in the treatment group and 1.64±0.49 in the control group. The daily activity limitation score was 12.18±1.79 in the treatment group and 11.40±1.71 in the control group(P＜0.05).The overall improvement rate was 96% in the treatment group and 78% in the control group(P＜0.05).Conclusions Acupuncture combined with manual reduction in the treatment of lumbar disc herniation is characterized by rapid effect and high cure rate.
关键词
针刺 /
手法复位 /
腰椎间盘突出症。
Key words
acupuncture /
manual reduction /
lumbar disc herniation
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