热敏灸联合康复训练在腰椎间盘突出症患者中的临床效果OA
Clinical Effects of Heat-sensitive Moxibustion Combined with Rehabilitation Training in Patients with Lumbar Disc Herniation
目的:探讨热敏灸联合康复训练对腰椎间盘突出症患者腰椎功能的影响.方法:选择2024年7 月—2025 年 12 月抚州市中医医院收治的 98 例腰椎间盘突出症患者,随机分为两组,每组 49 例.对照组予以康复训练,观察组在对照组基础上予以热敏灸,持续治疗 1 个月.比较两组临床疗效、腰椎功能[Oswestry 功能障碍指数(ODI)]、疼痛程度(VAS 评分)、血流动力学指标[血管阻力指数(RI)、搏动指数(PI)、平均血流速度(TMFV)、收缩期峰值血流速度(PSV)]、生活质量[世界卫生组织生活质量简表(WHOQOL-BREF)].结果:治疗后,观察组总有效率较对照组高(P<0.05);治疗后,观察组 ODI、VAS 评分较对照组低(P<0.05);治疗后,观察组 RI、PI 较对照组低,TMFV、PSV 较对照组高(P<0.05);治疗后,观察组 WHOQOL-BREF 中生理、心理、社会关系评分较对照组高(P<0.05).结论:热敏灸联合康复训练能有效提升腰椎间盘突出症患者的腰椎功能,减轻疼痛程度,改善血流动力学参数,并增强其生活质量.
Objective:To explore the effect of heat-sensitive moxibustion combined with rehabilitation training on the lumbar function of patients with lumbar disc herniation.Method:A total of 98 patients with lumbar disc herniation admitted to Fuzhou Hospital of Traditional Chinese Medicine from July 2024 to December 2025 were selected and randomly divided into two groups,with 49 cases in each group.The control group was given rehabilitation training,while the observation group was treated with heat-sensitive moxibustion on the basis of the control group,continue the treatment for one month.The clinical efficacy,lumbar function[Oswestry disability index(ODI)],pain degree(VAS score),hemodynamic indicators[vascular resistance index(RI),pulsatility index(PI),time-mean flow velocity(TMFV),peak systolic blood flow velocity(PSV)],and quality of life[World Health Organization quality of life-BREF(WHOQOL-BREF)]between the two groups were compared.Result:The observation group achieved higher total effective rate after treatment compared with the control group(P<0.05).The observation group achieved significantly lower ODI and VAS scores after treatment compared with the control group(P<0.05).The observation group achieved significantly lower RI,PI and higher TMFV and PSV after treatment compared with the control group(P<0.05).The scores of physiology,psychology and social relations in WHOQOL-BREF of the observation group after treatment were higher than those of the control group(P<0.05).Conclusion:The combination of heat-sensitive moxibustion and rehabilitation training can effectively improve lumbar function,alleviate pain,optimize hemodynamic parameters,and enhance the quality of life in patients with lumbar disc herniation.
钟海梅;谢新群
抚州市中医医院推拿科 江西 抚州 344000抚州市中医医院推拿科 江西 抚州 344000
医药卫生
热敏灸康复训练腰椎间盘突出症腰椎功能疼痛程度血流动力学
Heat-sensitive moxibustionRehabilitation trainingLumbar disc herniationLumbar functionPain degreeHemodynamics
《中国医学创新》 2026 (24)
40-44,5
抚州市指导性科技计划项目(抚科社字[2024]6号序号76)
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