针灸结合推拿治疗腰椎间盘突出症

【摘要】目的：探讨针刺结合艾灸治疗腰椎间盘突出症的疗效。方法：选取本院收治的60例腰椎间盘突出症患者，根据不同治疗方案将其分成两组各30例，对照组采用针刺+艾灸治疗，观察组采用针刺+艾灸治+推拿治疗，10d后比较两组治疗前后的疼痛情况、腰椎功能障碍情况，对比疗效。结果：观察组治疗有效率(93.33%)高于对照组(70.00%)(P＜0.05)；治疗前两组的视觉模拟评分法(VAS)、Oswestry功能障碍指数问卷表(ODI)评分比较无明显差异(P＞0.05)；治疗后观察组的VAS评分(3.12±1.05)分、ODI评分(32.28±10.23)分低于对照组的(4.28±1.26)分、(38.69±10.79)分(P＜0.05)。结论：针灸配合推拿治疗腰椎间盘突出症可明显减轻患者疼痛感，改善腰椎功能，疗效显著。

【Abstract】 Objective: To explore the therapeutic effect of acupuncture combined with Moxibustion on lumbar disc herniation. Methods: 60 patients with lumbar intervertebral disc herniation were selected and divided into two groups according to different treatment schemes. The control group was treated with Acupuncture plus moxibustion, while the observation group was treated with Acupuncture plus moxibustion plus massage. After 10 days, the pain and lumbar dysfunction of the two groups were compared before and after treatment, and the curative effect was compared. Results: The effective rate of treatment in the observation group (93.33%) was higher than that in the control group (70.00%) (P < 0.05); there was no significant difference in the scores of visual analogue score (VAS) and Oswestry dysfunction index questionnaire (ODI) between the two groups before treatment (P > 0.05); after treatment, the scores of VAS (3.12 < 1.05) and ODI (32.28 < 10.23) in the observation group were lower than those in the control group (4.23). 28 (+1.26) and 38.69 (+10.79) respectively (P<0.05). Conclusion: Acupuncture and moxibustion combined with massage in the treatment of lumbar intervertebral disc herniation can significantly reduce pain and improve lumbar function.

腰椎间盘突出症是临床常见疾病类型之一，主要由腰椎间盘退变、损伤导致脊柱内外力学平衡失调，致使髓核突出压迫脊神经根，引发腰腿疼痛所致，严重影响患者的正常工作和生活[1]。临床中大多数患者出于安全因素考量，多倾向接受保守方案治疗，常用疗法包括康复锻炼、腰椎牵引等，但预后效果有限。实践证明，针刺配合艾灸可有效解除肌肉痉挛，改善血运，具有良好的镇痛解痉效果，有助于改善患者临床症状[1]。为了探讨更加高效的治疗方案，本文就针灸配合推拿治疗腰椎间盘突出症的疗效进行探索。

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   本文摘自（中国中医药现代远程教育 2020年18卷13期  晏艳平  江西省上高县中医院针灸康复科）