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针灸和穴位按摩在增强腰椎间盘突出症患者腰椎活动度和缓解疼痛方面的疗效。

The Efficacy of Acupuncture and Acupoint Massage in Enhancing Lumbar Mobility and Alleviating Pain in Individuals with Lumbar Disc Herniation.

出版信息

Altern Ther Health Med. 2024 Oct;30(10):108-113.

Abstract

BACKGROUND

Lumbar disc herniation (LDH) is a prevalent condition in spinal surgery, and Traditional Chinese Medicine (TCM) acupuncture has gained clinical attention as a potential treatment for LDH in recent years.

OBJECTIVE

This study aimed to assess the therapeutic efficacy of acupuncture combined with acupoint massage in LDH patients.

METHODS

We enrolled a total of 135 LDH patients treated at our hospital from May 2021 to February 2023. Among them, 63 patients received acupuncture treatment (control group), while the remaining 72 received acupuncture combined with acupoint massage (observation group). We compared treatment efficacy and the time it took for lumbar stiffness, lower back and leg pain, bending and flexing difficulties, and other symptoms to disappear between the two groups. The Visual Analogue Scale (VAS) and Japanese Orthopedic Association Scoring System (JOA) were used to evaluate patients' pain levels and lumbar vertebral function before and after treatment. Additionally, we assessed patients using the Generic Quality of Life Inventory-74 (GQOL-74) and recorded their treatment satisfaction.

RESULTS

The observation group exhibited a slightly higher total effective rate compared to the control group, with a shorter time for the resolution of lumbar stiffness, lower back pain, leg pain, and other symptoms (P < .05). Furthermore, the observation group had lower VAS scores and higher JOA scores (P < .05). They also achieved higher GQOL-74 scores and reported greater treatment satisfaction (P < .05).

CONCLUSIONS

Acupuncture combined with acupoint massage effectively alleviated clinical symptoms and pain in LDH patients, demonstrating significant clinical utility.

摘要

背景

腰椎间盘突出症(LDH)是脊柱外科的常见疾病,近年来,中医针灸作为一种潜在的 LDH 治疗方法引起了临床关注。

目的

本研究旨在评估针灸结合穴位按摩治疗腰椎间盘突出症患者的疗效。

方法

我们共纳入了 2021 年 5 月至 2023 年 2 月在我院治疗的 135 例 LDH 患者。其中,63 例患者接受针灸治疗(对照组),而其余 72 例患者接受针灸结合穴位按摩治疗(观察组)。我们比较了两组患者的治疗效果以及腰痛、下肢痛、腰部僵硬、弯腰和屈伸困难等症状消失的时间。采用视觉模拟评分法(VAS)和日本骨科协会评分系统(JOA)评估患者治疗前后的疼痛水平和腰椎功能。此外,我们使用通用健康问卷-74 版(GQOL-74)评估患者的生活质量,并记录他们的治疗满意度。

结果

观察组的总有效率略高于对照组,腰痛、下肢痛、腰部僵硬等症状的缓解时间更短(P<0.05)。此外,观察组的 VAS 评分更低,JOA 评分更高(P<0.05)。他们的 GQOL-74 评分也更高,治疗满意度也更高(P<0.05)。

结论

针灸结合穴位按摩可有效缓解 LDH 患者的临床症状和疼痛,具有显著的临床应用价值。

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