针灸和穴位按摩在增强腰椎间盘突出症患者腰部活动能力和缓解疼痛方面的疗效。

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE Alternative therapies in health and medicine Pub Date : 2024-10-01
Wei Gan, Wei Huang, Zhenbao Gan, Yingye Liang, Fang Xie, Dongming Lu, Huixin Luo
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引用次数: 0

摘要

背景:腰椎间盘突出症(LDH)是脊柱外科的一种常见病,而中医针灸作为治疗LDH的一种潜在方法,近年来在临床上越来越受到关注:本研究旨在评估针灸结合穴位按摩对 LDH 患者的疗效:方法:2021 年 5 月至 2023 年 2 月,我院共收治 135 例 LDH 患者。其中,63 例患者接受针灸治疗(对照组),其余 72 例患者接受针灸联合穴位按摩治疗(观察组)。我们比较了两组患者的疗效以及腰部僵硬、腰腿痛、屈伸困难和其他症状消失的时间。我们使用视觉模拟量表(VAS)和日本骨科协会评分系统(JOA)来评估治疗前后患者的疼痛程度和腰椎功能。此外,我们还使用通用生活质量量表-74(GQOL-74)对患者进行了评估,并记录了他们对治疗的满意度:结果:与对照组相比,观察组的总有效率略高,腰部僵硬、腰痛、腿痛和其他症状的缓解时间更短(P < .05)。此外,观察组的 VAS 评分更低,JOA 评分更高(P < .05)。他们的 GQOL-74 评分也更高,治疗满意度更高(P < .05):结论:针灸结合穴位按摩可有效缓解 LDH 患者的临床症状和疼痛,临床疗效显著。
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The Efficacy of Acupuncture and Acupoint Massage in Enhancing Lumbar Mobility and Alleviating Pain in Individuals with Lumbar Disc Herniation.

Background: Lumbar disc herniation (LDH) is a prevalent condition in spinal surgery, and Traditional Chinese Medicine (TCM) acupuncture has gained clinical attention as a potential treatment for LDH in recent years.

Objective: This study aimed to assess the therapeutic efficacy of acupuncture combined with acupoint massage in LDH patients.

Methods: We enrolled a total of 135 LDH patients treated at our hospital from May 2021 to February 2023. Among them, 63 patients received acupuncture treatment (control group), while the remaining 72 received acupuncture combined with acupoint massage (observation group). We compared treatment efficacy and the time it took for lumbar stiffness, lower back and leg pain, bending and flexing difficulties, and other symptoms to disappear between the two groups. The Visual Analogue Scale (VAS) and Japanese Orthopedic Association Scoring System (JOA) were used to evaluate patients' pain levels and lumbar vertebral function before and after treatment. Additionally, we assessed patients using the Generic Quality of Life Inventory-74 (GQOL-74) and recorded their treatment satisfaction.

Results: The observation group exhibited a slightly higher total effective rate compared to the control group, with a shorter time for the resolution of lumbar stiffness, lower back pain, leg pain, and other symptoms (P < .05). Furthermore, the observation group had lower VAS scores and higher JOA scores (P < .05). They also achieved higher GQOL-74 scores and reported greater treatment satisfaction (P < .05).

Conclusions: Acupuncture combined with acupoint massage effectively alleviated clinical symptoms and pain in LDH patients, demonstrating significant clinical utility.

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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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