推拿联合腰椎牵引治疗气滞血瘀型腰椎间盘突出症临床研究

目的:探究腰椎牵引联合推拿治疗气滞血瘀型腰椎间盘突出症的作用。方法:选取108例气滞血瘀型腰椎间盘突出症患者,随机分为观察组、对照组各54例,观察组予以腰椎牵引联合推拿治疗,对照组常规治疗,观察治疗效果。结果:观察组、对照组治疗有效率分别为96.38%、81.48%,较之对照组,观察组治疗有效率更高,差异有统计学意义(P<0.05);治疗后,两组VAS评分显著降低,JOA评分显著升高(P<0.05),较之对照组,观察组VAS评分更低、JOA评分更高,差异有统计学意义(P<0.05);治疗后,两组中医证候评分均显著降低(P<0.05),较之对照组,观察组更低,差异有统计学意义(P<0.05);治疗后,两组腰椎活动度均显著提升(P<0.05),较之对照组,观察组活动度更大(P<0.05);观察组复发率为3.70%、对照组为27.78%,较之对照组,观察组复发率更低,差异有统计学意义(P<0.05)。结论:对气滞血瘀型腰椎间盘突出症患者予以腰椎牵引联合推拿治疗能有效减轻患者疼痛,改善腰椎功能、缓解症状,提升腰椎活动度,提升患者生存质量,复发情况较少,治疗效果显著。

Effect of lumbar traction combined with massage in the treatment of lumbar disc herniation with qi stagnation and blood stasis

Objective:To explore the effect of lumbar traction combined with massage in the treatment of lumbar disc herniation with qi stagnation and blood stasis.Methods:108 cases of lumbar disc herniation with qi stagnation and blood stasis were randomly divided into experimental group and control group.The experimental group was treated with lumbar traction combined with massage,and the control group was treated with conventional therapy.The therapeutic effect was observed.Results:The effective rate of treatment in the experimental group and the control group was 96.38% and 81.48%,respectively.Compared with the control group,the effective rate of treatment in the experimental group was higher,and the difference was statistically significant(P<0.05).After treatment,VAS score was significantly reduced and JOA score significantly increased in the two groups(P<0.05).Compared with the control group,VAS score was lower and JOA score was higher in the experimental group,and the difference was statistically significant(P<0.05).After treatment,TCM symptom scores in both groups were significantly reduced(P<0.05),which was lower in the experimental group than in the control group,and the difference was statistically significant(P<0.05). After treatment,lumbar mobility was significantly increased in both groups(P<0.05),and greater in the experimental group than in the control group(P<0.05).The recurrence rate of the experimental group was 3.70%,and that of the control group was 27.78%. Compared with the control group,the recurrence rate of the experimental group was lower,and the difference was statistically significant(P<0.05).Conclusion:Lumbar traction combined with massage therapy for patients with lumbar disc herniation with qi stagnation and blood stasis can effectively relieve pain,improve lumbar function,relieve symptoms,improve lumbar mobility,and improve patients' quality of life,with less recurrence and significant therapeutic effect,which is worthy of promotion.