腰椎间盘突出症应用中医推拿联合运动针法特色护理的效果研究

摘要/Abstract

摘要： 目的探究腰椎间盘突出症患者应用中医推拿联合运动针法特色护理的效果。方法选择2022年6月—2024年7月菏泽市中医院针灸推拿科收治的腰椎间盘突出症患者72例为研究对象,按照随机数表法将其分为对照组和观察组,每组36例,对照组实施常规护理模式,观察组实施中医推拿联合运动针法特色护理模式,比较两组患者直腿抬高角度、功能障碍、功能状态、临床疗效等指标。结果干预前,两组直腿抬高角度、Oswestry功能障碍指数（ODI）评分比较,差异无统计学意义（P>0.05）;干预后,两组直腿抬高角度均高于干预前,且观察组高于对照组,差异有统计学意义（P<0.05）;干预后,两组ODI评分均低于干预前,且观察组低于对照组,差异有统计学意义（P<0.05）。干预前,两组的日本骨科协会评估治疗分数（JOA）评分比较,差异无统计学意义（P>0.05）;干预后,两组JOA评分均高于干预前,且观察组高于对照组,差异有统计学意义（P<0.05）。观察组总有效率高于对照组,差异有统计学意义（P<0.05）。结论腰椎间盘突出症患者应用常规护理与中医推拿联合运动针法特色护理两种护理模式相比,中医推拿联合运动针法特色护理可有效改善患者直腿抬高角度、功能障碍,调节功能状态,提高临床有效率。

关键词: 腰椎间盘突出症, 中医推拿, 运动针法, 直腿抬高角度, 临床疗效

Abstract: Objective To explore the effect of traditional Chinese medicine massage combined with sports acupuncture in patients with lumbar disc herniation. Methods Patients with lumbar disc herniation who went to the acupuncture and Massage Department of Heze Hospital of Traditional Chinese Medicine from June 2022 to July 2024 were selected and divided into the control group (n=36) by random number table method to implement routine nursing mode, and the observation group (n=36) to implement traditional Chinese massage combined with sports acupuncture characteristic nursing mode. The straight leg raise height, dysfunction, functional status and clinical efficacy of the two groups were compared. Results Before intervention, there was no significant difference between the two groups in straight leg lift height and Oswestry disability index(ODI) score (P>0.05). After intervention, the straight leg lifting height of both groups was higher than before intervention, and the observation group was higher than the control group, the difference was statistically significant (P<0.05). After intervention, the ODI scores of both groups were lower than before intervention, and the observation group was lower than the control group, with statistical significance (P<0.05). Before intervention, there was no significant difference in the Japanese Orthopaedie Association(JOA) between the two groups (P>0.05). After intervention, JOA scores of both groups were higher than before intervention, and the observation group was higher than the control group, the difference was statistically significant (P<0.05). The total effective rate of the observation group was higher than control group, the difference was statistically significant (P<0.05). Conclusion Compared with conventional nursing and traditional Chinese massage combined with sports acupuncture characteristic nursing for patients with lumbar disc herniation, traditional Chinese massage combined with sports acupuncture characteristic nursing can effectively lift the height of the patients' straight legs, reduce the dysfunction, adjust the functional state and improve the clinical efficiency.

Key words: lumbar disc herniation, TCM massage, sports needling, straight leg elevation angle, clinical effect

中图分类号:

R473.6

屈世春. 腰椎间盘突出症应用中医推拿联合运动针法特色护理的效果研究[J]. 中华养生保健, 2025, 43(11): 129-133.

QU Shi-chun. Study on the Effect of Traditional Chinese Medicine Massage Combined with Sports Acupuncture on Characteristic Nursing of Iumbar Disc Herniation[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(11): 129-133.

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