下肢展筋法联合中药穴位离子导入对腰椎间盘突出症术后早期康复的效果
作者: |
1黄英苗,
1李丽霞,
1李海花
1 广东省中医院珠海医院骨科,广东 珠海 519015 |
通讯: |
黄英苗
Email: hrzqq18@126.com |
DOI: | 10.3978/j.issn.2095-6959.2018.01.018 |
基金: | 珠海市卫生和计划生育局医学科研基金立项课题(2015J001)。 |
摘要
目的:探讨下肢展筋法联合中药穴位离子导入对腰椎间盘突出症(lumbar disc herniation,LDH)患者术后早期康复的效果。方法:将2016年1月至2017年1月在广东省中医院珠海医院骨科行椎间盘镜下髓核摘除术的94例患者随机分为A,B,C三组,三组患者术后在常规康复治疗方案基础上进行干预,其中A组31例患者采用下肢展筋法,B组31例患者采用中药穴位离子导入,C组32例患者联合采用下肢展筋法和中药穴位离子导入法,分别在干预前后比较三组患者视觉模拟疼痛评分(Visual Analogue Scale,VAS)、日本骨科协会评估治疗(Japanese Orthopaedic Association,JOA)及治疗效果。结果:A组和B组治疗效果差异无统计学意义(P>0.05),C组的治疗效果明显优于另外两组(P<0.05);术前三组患者VAS评分差异无统计学意义(P>0.05),干预后三组患者VAS评分差异有统计学意义(P<0.05),且C组评分明显低于A组和B组(P<0.05);术前三组患者JOA评分差异无统计学意义(P>0.05),干预后三组患者JOA评分差异有统计学意义(P<0.05),且C组评分明显高于A组和B组(P<0.05)。结论:下肢展筋法联合中药穴位离子导入较单一采用下肢展筋法或中药穴位离子导入对LDH患者术后早期康复的效果更为显著,值得在临床进一步推广。
关键词:
腰椎间盘突出症;下肢展筋法;中药穴位离子导入;术后;早期康复
Effects of lower limb tendon reinforcement combined with traditional Chinese medicine acupoint iontophoresis on early rehabilitation of lumbar disc herniation after surgery
CorrespondingAuthor: HUANG Yingmiao Email: hrzqq18@126.com
DOI: 10.3978/j.issn.2095-6959.2018.01.018
Foundation: This was supported by the Project of Medical Scientific Research Fund of Zhuhai Health and Family Planning Bureau, China (2015J001).
Abstract
Objective: To explore the effects of lower limb tendon reinforcement combined with traditional Chinese medicine acupoint iontophoresis on early rehabilitation of patients with lumbar disc herniation after operation. Methods: A total of 94 patients undergoing discectomy in our department from January 2016 to January 2017 were randomly divided into three groups (A, B and C group). The three groups received intervention based on the conventional rehabilitation therapy. Thirty-one cases in A group were treated with limb tendon reinforcement method, 31 cases in B group were treated with traditional Chinese medicine acupoint iontophoresis, and 32 cases in C group were treated by lower limb tendon reinforcement combined with traditional Chinese medicine acupoint iontophoresis. Visual analogue scale (VAS), Japanese Orthopaedic Association (JOA) and treatment effect were compared between the three groups before and after intervention. Results: There was no significant difference between group A and group B, and the treatment effect of group C was better than that of the other two groups. There was no significant difference in VAS score between the three groups before operation. After intervention, the VAS scores of three groups were significantly different, and the score of group C was significantly lower than that of group A and group B. There was no significant difference in JOA score between the three groups before operation, and there was significant difference in JOA score between group A and group B after intervention, and the score of group C was significantly higher than that of group A and group B. Conclusion: The lower limb tendon reinforcement combined with acupoint iontophoresis of traditional Chinese medicine is more effective in the early rehabilitation of lumbar disc herniation than single use of lower limb tendon reinforcement or acupoint iontophoresis of traditional Chinese medicine, which is worthy of further promotion in clinic.
Keywords:
lumbar disc herniation; lower limb reinforcement method; acupoint iontophoresis; postoperative; early rehabilitation