摘要
目的分析中药熏蒸联合中药穴位贴敷治疗腰椎间盘突出症的临床效果。方法60例腰椎间盘突出症患者,随机分为试验组和对照组,每组30例。对照组采用常规干预,试验组给予中药熏蒸联合中药穴位贴敷干预。比较两组患者临床效果、功能锻炼依从性指标[下腰椎功能日本骨科协会(JOA)评分、简明健康状况调查量表(SF-36)评分]、治疗后不同时间的Oswestry功能障碍指数问卷表(ODI)评分。结果试验组患者临床总有效率83.33%优于对照组的50.00%,差异有统计学意义(P<0.05)。试验组患者下腰椎功能JOA评分(34.02±3.55)分、SF-36(72.50±4.12)分均优于对照组的(25.86±2.53)、(63.45±2.11)分,差异有统计学意义(P<0.05)。试验组患者治疗后1、8、24周ODI评分分别为(13.20±1.42)、(24.82±2.11)、(33.50±3.21)分,均优于对照组的(9.90±1.37)、(13.21±2.12)、(23.80±3.18)分,差异有统计学意义(P<0.05)。结论采取中药熏蒸联合中药穴位贴敷治疗腰椎间盘突出症的效果显著,可改善患者的临床症状,值得推广。
Objective To analyze the clinical effect of traditional Chinese medicine fumigation combined with traditional Chinese medicine acupoint application in the treatment of lumbar disc herniation.Methods 60 patients with lumbar disc herniation were randomly divided into an experimental group and a control group,with 30 cases in each group.The control group was treated with routine intervention,and the experimental group was treated with Chinese medicine fumigation combined with traditional Chinese medicine acupoint application.The clinical outcomes,functional exercise compliance indicators[Japanese Orthopaedic Association(JOA)score of the lower lumbar spine,36-Item Short-Form Health Survey(SF-36)score],and Oswestry Disability Index(ODI)score at different time after treatment were compared between the two groups.Results The experimental group had higher total clinical effective rate of 83.33%than 50.00%in the control group,and the difference was statistically significant(P<0.05).The experimental group had JOA score of the lower lumbar spine of(34.02±3.55)points and SF-36 of(72.50±4.12)points,which were better than(25.86±2.53)and(63.45±2.11)points in the control group,and the difference was statistically significant(P<0.05).ODI scores at 1,8 and 24 weeks after treatment of the experimental group were(13.20±1.42),(24.82±2.11)and(33.50±3.21)points,which were better than(9.90±1.37),(13.21±2.12)and(23.80±3.18)points of the control group.The difference was statistically significant(P<0.05).Conclusion The combination of traditional Chinese medicine fumigation and traditional Chinese medicine acupoint application has a significant effect on patients with lumbar disc herniation,and can improve their clinical symptoms,which is worth promoting.
作者
邵茜
SHAO Qian(First Department of Orthopedics and Trauma,Dalian Traditional Chinese Medicine Hospital,Dalian 116013,China)
出处
《中国现代药物应用》
2024年第11期145-148,共4页
Chinese Journal of Modern Drug Application
关键词
中药熏蒸
中药穴位贴敷
腰椎间盘突出症
Traditional Chinese medicine fumigation
Traditional Chinese medicine acupoint application
Lumbar disc herniation
