针刀疗法结合普通针刺及结构化心理干预治疗腰椎间盘突出症合并恐动症

目的:观察针刀疗法结合普通针刺及结构化心理干预治疗腰椎间盘突出症合并恐动症的临床疗效。方法:所有病例均为2018年5月至2019年3月在安徽中医药大学第二附属医院康复二科住院的患者,共50例,随机分为对照组和治疗组各25例。两组患者均采用结构化心理干预治疗。对照组给予氟哌噻吨美利曲辛片联合双氯芬酸钠缓释片口服治疗,1周为1个疗程,连续治疗2个疗程。治疗组采用针刀疗法结合普通针刺治疗,6 d为1个疗程,中间休息1 d,治疗2个疗程。治疗前及治疗1个疗程、2个疗程后,观察两组患者JOA、TSK评分。结果:对照组治疗前JOA评分为(6. 96±1. 72)分,治疗1个疗程后JOA评分为(17. 40±1. 66)分,治疗2个疗程后JOA评分为(24. 36±1. 87)分;治疗组治疗前JOA评分为(7. 24±1. 67)分,治疗1个疗程后JOA评分为(18. 44±1. 90)分,治疗2个疗程后JOA评分为(25. 76±1. 42)分。治疗1个疗程及2个疗程后,两组患者JOA评分较前升高(P <0. 05),且组间比较,差异有统计学意义(P <0. 05)。对照组治疗前TSK...

Clinical Observation of Acupotomy Combined with General Acupuncture and Structured Psychological Intervention in the Treatment of Lumbar Disc Herniation Combined with Fear of Movement

Objective:To observe the clinical curative effect of acupotomy combined with general acupuncture and structured psychological intervention on lumbar disc herniation combined with fear of movement.Methods:A total of 50 patients were hospitalized in the Second Department of Rehabilitation of the Second Affiliated Hospital of Anhui University of CM from May 2018 to March 2019,and randomly divided into the control group and the treatment group,with 25 cases in each group.Structured psychological intervention was used in both groups.The control group was additionally treated with droperidol tablets and diclofenac sodium sustained-release tablets orally,one week as a course of treatment,lasting for two consecutive courses of treatment.The treatment group was treated with additionally acupotomy combined with general acupuncture,6 days as a course of treatment,half-way rest for 1 day,treatment for 2 courses.The JOA and TSK scores of the two groups were observed before the treatment and after one course and two courses of treatment respectively.Results:In the control group,JOA score was(6.96±1.72)before the treatment,17.40±1.66 after one course of treatment and(24.36±1.87)after two courses of treatment.In the treatment group,JOA score was(7.24±1.67)before treatment,18.44±1.90 after one course of treatment and(25.76±1.42)after two courses of treatment.After one course of treatment and two courses of treatment,the JOA score of the two groups was higher than before(P<0.05),and the difference between the two groups was statistically significant(P<0.05).In the control group,the TSK score was(45.08±2.48)before the treatment,28.84±1.65 after one course of treatment and(25.60±1.35)after two courses of treatment.In the treatment group,the TSK score was(44.92±2.66)before treatment,and(27.36±1.71)after one course of treatment,and(24.68±1.60)after two courses of treatment.fter one course of treatment and two courses of treatment,TSK scores of the two groups were lower than before(P<0.05),and the difference between the two groups was statistically significant(P<0.05).Conclusion:Acupotomy combined with general acupuncture and structured psychological intervention has a remarkable efficacy on lumbar disc herniation combined with fear of movement,can effectively improve the lower lumbar function and the degree of fear of movement.