摘要
目的探讨针灸结合三步七法推拿治疗对慢性非特异性腰痛(CNLBP)患者疼痛程度、腰部活动功能的影响。方法选取2022年8月—2023年8月我院收治的60例CNLBP患者为研究对象,按随机数字表法将其分为对照组与观察组,各30例。对照组采用萘普生片治疗,观察组采用针灸结合三步七法推拿治疗,两组均治疗3周。比较两组中医症候积分、疼痛程度、腰椎功能及腰部活动情况。结果治疗后,观察组中医症候积分(12.21±1.53)分、疼痛分级指数评分(18.42±1.73)分、现时疼痛强度评分(0.97±0.42)分、疼痛视觉模拟评分(3.46±1.11)分、Oswestry功能障碍指数评分(21.94±1.59)分均低于对照组,日本骨科协会评估量表评分(22.97±2.95)分高于对照组,腰椎曲度(18.65±2.74)mm、腰屈曲范围(63.98±5.76)cm均大于对照组,组间差异有统计学意义(P<0.05)。结论针灸联合三步七法推拿可有效减少CNLBP患者中医症候积分,改善患者腰椎功能及腰部活动情况,缓解其疼痛程度,安全可靠。
Objective To explore the effects of acupuncture and moxibustion combined with three-step and seven-method massage treatment on pain degree and lumbar mobility in patients with chronic non-specific low back pain(CNLBP).Methods 60 patients with CNLBP admitted to our hospital from August 2022 to August 2023 were selected as the research objects.According to the random number table method,they were divided into a control group and an observation group,with 30 cases in each group.The control group was treated with naproxen tablets,and the observation group was treated with acupuncture and moxibustion combined with massage of three steps and seven methods.The treatment lasted for 3 weeks.The TCM syndrome score,pain degree,lumbar function and lumbar activity were compared between the two groups.Results After treatment,The TCM symptom score of the observation group was(12.21±1.53)points,Pain Rating Index score was(18.42±1.73)points,Present Pain Intensity score was(0.97±0.42)points,Visual Analogue Scale pain score was(3.46±1.11)points,Oswestry Disability Index score(21.94±1.59)points in the observation group was lower than that in the control group,and Japanese Orthopaedic Association score(22.97±2.95)points in the observation group was higher than that in the control group.Lumbar curvature(18.65±2.74)mm and lumbar flexion range(63.98±5.76)cm in the observation group were greater than those in the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion Acupuncture and moxibustion combined with three-step and seven-method massage can effectively reduce the TCM syndrome score of CNLBP patients,improve the lumbar function and waist movement of patients,relieve their pain degree,safe and reliable.
作者
李淑欣
LI Shuxin(Department of Acupuncture and Moxibustion,Longkou People's Hospital,Longkou Shandong,265700,China)
出处
《反射疗法与康复医学》
2023年第22期16-18,59,共4页
Reflexology And Rehabilitation Medicine
关键词
慢性非特异性腰痛
针灸
三步七法推拿
疼痛程度
腰部活动功能
Chronic non-specific low back pain
Acupuncture
Three-step seven-way massage
Pain level
Lumbar movement function
