针灸联合中药热敷对慢性腰肌劳损患者腰椎功能、疼痛程度及生活质量的影响

【目的】探讨针灸联合中药热敷对慢性腰肌劳损患者腰椎功能、疼痛程度及生活质量的影响。【方法】选取2016年1月至2018年12月在本院诊治的70例慢性腰肌劳损患者作为研究对象,根据数字奇偶法分为对照组与现察组,每组35例,其中对照组给予针灸治疗,观察组在对照组基础上加用中药热敷治疗。比较两组患者临床疗效、视觉糢拟评分(VAS)、Oswestry功能障碍指数(CODI)、简易生活质量调查量表评分(SF-36)。【结果】治疗2周后,观察组总有效率为94.29%(33/35),显著高于对照组的77.14%(27/35),其差异有统计学意义(χ^2=4.200,P=0.040)。治疗前,两组患者VAS、CODI、SF-36比较差异均无统计学意义(P>0.05);治疗后,两组患者VAS、CODI、SF-36均优于治疗前,且观察组优于对照组,其盖异均有统计学意义(均P<0.05)。【结论】针灸联合中药热敷治疗慢性腰肌劳损患者,临床疗效显著,可减轻慢性腰肌劳损患者的疼痛程度,改善患者腰椎功能障碍情况,提高患者的生活质量,值得临床推广应用。

Effect of Acupuncture Combined with Hot Compress of Traditional Chinese Medicine on Lumbar Function and Pain in Patients with Chronic Lumbar Muscle Strain

【Objective】To investigate the effect of acupuncture combined with traditional Chinese medicine hot compress on lumbar function and pain in patients with chronic lumbar muscle strain.【Methods】From January 2016 to December 2018,70 patients with chronic lumbar muscle strain treated in the outpatient department of our hospital were selected as the research object.According to the digital parity method,they were divided into the control group and the observation group,each group had 35 cases,in which the control group was treated with acupuncture alone,and the observation group was treated with acupuncture combined with hot compress of traditional Chinese medicine.The clinical effect of the two groups was compared.The pain of the two groups was scored by VAS,the waist dysfunction of the two groups was scored by CODI,and the quality of life(form SF-36)of the two groups was compared afier the treatment.【Results】After 2 weeks of treatment,the total effective rate in the observation group was 94,29%(33/35),which was significantly higher than 77.14%(27/35)in the control group.The difference was satistically significant(χ^2=4.2,P=0.040).Before treatment,there was no significant difference in VAS score,CODI index and quality of life score between the two groups(P>0.05).After treatments the VAS scores CODI index and four quality of life scores of the two groups were all better than those before treatment,and the differences were statistically significant(P<0.05);the clinical efficacy,VAS score,CODI index and four quality of life scores of the observation group were all better than those of the control group,and the differences were statistically significant(P<0.05).【Conclusion】Acupuncture combined with hot compress of traditional Chinese medicine can effectively reduce the pain,and improve lumbar function and life quality of patients with chronic lumbar muscle strain.Its clinical effect is significant.