摘要
目的探讨局部正骨推拿联合针灸治疗颈肩腰腿痛的临床疗效及对疼痛程度、活动功能的影响。方法便利选取2021年5月—2023年3月福建省龙岩人民医院收治的120例颈肩腰腿痛患者为研究对象,依据随机数表法分组,每组60例,对照组给予局部正骨推拿治疗,观察组在对照组基础上联合针灸治疗。比较两组临床疗效,治疗期前后疼痛程度、各功能量表评分、生活质量。结果治疗后,观察组总有效率高于对照组,差异有统计学意义(P<0.05)。观察组视觉模拟评分法(Visual Analogue Scale,VAS)评分(1.93±0.42)分低于对照组的(3.07±0.75)分,差异有统计学意义(t=10.273,P<0.05)。观察组颈椎病临床评价量表(Clinical Evaluation Scale for Cervical Spondylosis,CASCS)评分、肩关节功能评价量表(Shoulder Joint Function Assess-ment Scale,C-M)评分、日本改良颈椎腰腿痛评分法(Japan Modified Cervical Low Back and Leg Pain Scale,M-JOA)评分、Lysholm膝关节评分表(Lysholm Knee Scale,Lysholm)评分均高于对照组,差异有统计学意义(P<0.05)。观察组Barthel指数高于对照组,差异有统计学意义(P<0.05)。结论局部正骨推拿联合针灸治疗颈肩腰腿痛临床疗效显著,可减轻患者疼痛,改善患者颈肩腰腿功能,促进生活质量提升。
Objective To explore the clinical efficacy of localized bone-setting tuina combined with acupuncture in the treatment of neck-shoulder-lumbar-leg pain,and the effects on pain level and activity function.Methods A total of 120 patients with neck,shoulder,low back and leg pain admitted to Longyan People´s Hospital of Fujian Province from May 2021 to March 2023 were conveniently selected as the research objects.According to the random number table method,they were divided into two groups,with 60 cases in each group.The control group was treated with localized bone-setting tuina,and the observation group was treated with acupuncture and moxibustion on the basis of the control group.The clinical efficacy,pain degree,functional scale score and quality of life before and after treatment were compared between the two groups.Results After treatment,the total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The Visual Analogue Scale(VAS)score of the observation group(1.93±0.42)points was lower than that of the control group(3.07±0.75)points,and the difference was statistically significant(t=10.273,P<0.05).The scores of Clinical Evaluation Scale for Cervical Spondylosis(CASCS),Shoulder Joint Function Assessment Scale(C-M),Japan Modified Cervical Low Back and Leg Pain Scale(M-JOA)and Lysholm Knee Scale(Lysholm)in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The Barthel Index of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The clinical efficacy of localized bone-setting tuina combined with acupuncture in the treatment of neck-shoulderlumbar-leg pain is remarkable,which can reduce the pain of patients,improve the function of patients´neckshoulder-lumbar-leg,promote the improvement of the quality of life.
作者
陈巧玲
谢建荣
王玉祥
CHEN Qiaoling;XIE Jianrong;WANG Yuxiang(Department of Orthopedics and Traumatology,Longyan People´s Hospital,Longyan,Fujian Province,364000 China)
出处
《中外医疗》
2023年第22期194-198,共5页
China & Foreign Medical Treatment
关键词
局部正骨推拿
针灸
颈肩腰腿痛
疼痛程度
生活质量
Localized bone-setting tuina
Acupuncture
Neck-shoulder-lumbar-leg pain
Pain level
Quality of life
