探讨针灸康复疗法治疗腰椎间盘突出症的临床疗效

徐秀钦

[摘要] 目的 分析康复疗法联合针灸对腰椎间盘突出症患者的治疗效果。方法 方便选取2016年3月—2017年4月于该院接受诊断和治疗的100例腰椎间盘突出症患者作为研究对象，根据治疗方法的不同以及治疗顺序将患者分为参照组和研究组，每组患者50例。给予参照组患者进行康复治疗，而研究组患者在康复治疗的基础上进行针灸治疗，将两组治疗前和治疗后的JOA下腰痛评分、Oswestry功能障碍指数进行对比，并对比两组的临床治疗总有效率。结果 治疗前，研究组和参照组的疼痛评分差异无统计学意义（P>0.05）；治疗后，两组患者的JOA下腰痛评分均有所提高，参照组为（20.34±2.17）分，研究组为（25.37±2.45）分（t=5.42，P=0.03）；ODI功能障碍指数，研究组为（0.53±0.02）分，参照组为（0.62±0.07）分，差异有统计学意义（t=3.23，P=0.04）均有所降低，且研究组的降低程度更明显，差异有统计学意义（P<0.05）。研究组的治疗总有效率（94.00%）高于参照组（80.00%），差异有统计学意义（χ2=4.33，P=0.03）。 结论 在腰椎间盘突出症患者的治疗中，康复治療与针灸治疗对患者疼痛的缓解效果更好，患者的腰部功能得以改善，治疗的总有效率更高，应用价值更高。

[关键词] 腰椎间盘突出症；康复治疗；针灸；临床疗效

[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2018）03（c）-0149-03

Study on Clinical Curative Effect of Acupuncture and Moxibustion Rehabilitation Therapy in Treatment of Prolapse of Lumbar Intervertebral Disc

XU Xiu-qin

Department of Rehabilitation， Fuzhou Second Hospital， Fuzhou， Fujian Province， 350007 China

[Abstract] Objective To analyze the effect of acupuncture and moxibustion rehabilitation therapy in treatment of prolapse of lumbar intervertebral disc. Methods 100 cases of patients with prolapse of lumbar intervertebral disc admitted and treated in our hospital from March 2016 to April 2017 were convenient selected and divided into two groups according to different treatment methods， the control group used the rehabilitation treatment， while the research group used the acupuncture and moxibustion therapy on the basis of the control group， and the JOA lumbago score， and Oswestry dysfunction index before and after treatment were compared between the two groups， and the total clinical effective rate of the two groups was compared. Results Before treatment， there were no obvious differences in the pain scores between the two groups， without statistical significance（P>0.05）， after treatment， the JOA lumbago score of the two groups were improved， the control group（20.34±2.17） marks， the research group（25.37±2.45）marks， the difference was statistically significant（t=5.42，P=0.03）， and the ODI dysfunction index in the research group and in the control group were decreased，research group（0.53±0.02）points and control group（0.62±0.07）points， the difference was statistically significant（t=3.23，P=0.04）， and the decrease degree in the research group was more obvious， with statistical significance（P<0.05）， and the total treatment effective rate in the research group was higher than that in the control group（94.00% vs 80.00%）， with statistical significance（χ2=4.33，P=0.03）. Conclusion The rehabilitation treatment and acupuncture and moxibustion treatment can better relieve the patients with prolapse of lumbar intervertebral disc， which improves the lumbar function， and the total treatment effective rate and the application value are higher.

[Key words] Prolapse of lumbar intervertebral disc； Rehabilitation treatment； Acupuncture and moxibustion； Clinical curative effect

由腰椎间盘发生病变、腰部损伤等因素引发纤维环破裂进而导致髓核压迫马尾神经和神经根的疾病被称为腰椎间盘突出症，属于临床常见的疾病，多发于青壮年人群，且男性的发生率略高于女性[1]。患病后，患者的腰部出现疼痛，可伴有臀部疼痛，患者的下肢出现放射痛，坐骨神经痛是主要表现形式，此外，由于马尾神经受到压迫，患者出现大小便障碍，且肛周感觉异常[2]。该疾病可通过手术治疗和非手术疗法进行治疗，针灸疗法和康复疗法是较为常用的非手术疗法……