温针灸治疗寒湿型腰椎间盘突出症42例的临床观察(1)
【摘要】 目的：探究溫针灸治疗寒湿型腰椎间盘突出症的临床效果。方法：前瞻性选取笔者所在医院2019年3月-2020年4月收治的83例寒湿型腰椎间盘突出症患者为本次研究对象，采用随机数字表法将其分为对照组41例与观察组42例。对照组开展常规治疗，观察组在对照组基础上联合温针灸治疗，观察两组患者治疗后临床疗效，比较治疗前后疼痛程度及腰椎功能。结果：观察组治疗总有效率为97.62%，对照组为85.37%，观察组高于对照组，差异有统计学意义(P<0.05);治疗前两组患者VAS评分比较，差异无统计学意义(P>0.05)，治疗后两组患者VAS评分较治疗前均明显下降，差异有统计学意义(P<0.05)，治疗后观察组VAS评分低于对照组，差异有统计学意义(P<0.05);治疗前两组患者ODI评分比较，差异无统计学意义(P>0.05)，治疗后观察组ODI评分较治疗前明显下降，且低于对照组，差异有统计学意义(P<0.05)，治疗后对照组ODI评分与治疗前比较，差异无统计学意义(P>0.05)。结论：温针灸治疗寒湿型腰椎间盘突出症效果显著，可缓解患者疼痛症状，改善腰椎功能，值得临床应用与推广。
【关键词】 温针灸 腰椎间盘突出症 寒湿型 疼痛 腰椎功能
doi：10.14033/j.cnki.cfmr.2020.25.004 文献标识码 A 文章编号 1674-6805(2020)25-000-03
[Abstract] Objective： To explore the clinical effect of warming acupuncture on cold-dampness type lumbar disc herniation. Method： A total of 83 patients with cold-dampness type lumbar disc herniation admitted to our hospital from March 2019 to April 2020 were prospectively selected as the subjects of this study， and they were divided into two groups by random number table method， 41 cases in the control group and 42 cases in the observation group. The control group received routine treatment， and the observation group combined warming acupuncture treatment on the basis of the control group. The clinical efficacy of the two groups of patients after treatment was observed， and the pain degree and lumbar function before and after treatment were compared. Result： The total effective rate was 97.62% in the observation group and 85.37% in the control group， and the total effective rate in the observation group was higher， the difference was statistically significant (P<0.05). The VAS scores of patients in the two groups before treatment showed no statistically significant difference (P>0.05); the VAS scores of patients in the two groups after treatment decreased significantly from those before treatment， with statistically significant difference (P<0.05). The VAS score in the observation group after treatment was lower than control group， with statistically significant difference (P<0.05). There was no statistically significant difference in ODI score between the two groups before treatment (P>0.05); and the ODI score in the observation group after treatment was significantly lower than before treatment， and was also lower than that in the control group， the differences were statistically significant (P<0.05); the ODI score in the control group after treatment was not significantly different from that before treatment (P>0.05). Conclusion： Warming acupuncture in the treatment of cold-dampness type lumbar disc herniation is effective， can relieving the pain symptoms of patients， improving the lumbar function， worthy of clinical application and promotion., 百拇医药(林秋意 蔡志晓 梁基源)
【关键词】 温针灸 腰椎间盘突出症 寒湿型 疼痛 腰椎功能
doi：10.14033/j.cnki.cfmr.2020.25.004 文献标识码 A 文章编号 1674-6805(2020)25-000-03
[Abstract] Objective： To explore the clinical effect of warming acupuncture on cold-dampness type lumbar disc herniation. Method： A total of 83 patients with cold-dampness type lumbar disc herniation admitted to our hospital from March 2019 to April 2020 were prospectively selected as the subjects of this study， and they were divided into two groups by random number table method， 41 cases in the control group and 42 cases in the observation group. The control group received routine treatment， and the observation group combined warming acupuncture treatment on the basis of the control group. The clinical efficacy of the two groups of patients after treatment was observed， and the pain degree and lumbar function before and after treatment were compared. Result： The total effective rate was 97.62% in the observation group and 85.37% in the control group， and the total effective rate in the observation group was higher， the difference was statistically significant (P<0.05). The VAS scores of patients in the two groups before treatment showed no statistically significant difference (P>0.05); the VAS scores of patients in the two groups after treatment decreased significantly from those before treatment， with statistically significant difference (P<0.05). The VAS score in the observation group after treatment was lower than control group， with statistically significant difference (P<0.05). There was no statistically significant difference in ODI score between the two groups before treatment (P>0.05); and the ODI score in the observation group after treatment was significantly lower than before treatment， and was also lower than that in the control group， the differences were statistically significant (P<0.05); the ODI score in the control group after treatment was not significantly different from that before treatment (P>0.05). Conclusion： Warming acupuncture in the treatment of cold-dampness type lumbar disc herniation is effective， can relieving the pain symptoms of patients， improving the lumbar function， worthy of clinical application and promotion., 百拇医药(林秋意 蔡志晓 梁基源)