标题：理筋整复推拿结合腰三针治疗腰椎间盘突出症的疗效及安全性

      作者：陈健祥，周焕文，喻彩玲    深圳市大鹏新区葵涌人民医院中医科，广东 深圳 518119

      卷次： 2022年33卷4期

      【摘要】 目的 探讨理筋整复推拿结合腰三针治疗腰椎间盘突出症(LDH)的疗效及安全性。方法 回顾性分析2021年1~6月深圳市大鹏新区葵涌人民医院中医科门诊收治的200例LDH患者的临床资料，根据治疗方式不同分为四组，每组50例。对照组1给予理筋整复推拿治疗，对照组2给予腰三针治疗，对照组3给予电脑中频理疗，观察组给予理筋整复推拿结合腰三针治疗。治疗1个月，比较四组患者的治疗效果，治疗前后的临床症状评分[腰痛评分、下肢放射痛评分、腰背肌后伸活动度(ROM)、等长肌力(IMS)]、视觉模拟(VAS)评分、Oswestry功能障碍指数(OSW)评分和并发症发生情况。结果 观察组患者的治疗总有效率为96.00%，明显高于对照组1的76.00%、对照组2的78.00%及对照组3的80.00%，差异均有统计学意义(P<0.05)；治疗后，四组患者的腰痛及下肢放射痛评分均明显降低，且观察组的两项评分分别为(2.19±0.31)分、(2.23±0.45)分，明显低于对照组 1 [(5.87±0.87)分、(4.61±0.54)分]、对照组 2[(5.69±0.91)分、(4.59±0.62)分]及对照组3 [(5.77±1.21)分、(4.62±0.73)分]，而ROM、IMS升高，且观察组的ROM、IMS分别为(25.42±3.13)°、(812.14±102.13) N，明显高于对照组 1 [(21.41±4.09)°、(699.31±98.65) N]、对照组 2 [(20.98±5.22)°、(698.31±99.13) N]及对照组3 [(21.65±4.09)°、(701.43±101.34) N]，差异均有统计学意义(P<0.05)；治疗后，四组患者的VAS评分、OSW评分均明显降低，且观察组的两项评分分别为(2.17±0.37)分、(2.87±0.31)分，均明显低于对照组 1 [(4.09±1.01)分、(4.12±0.41)分]、对照组 2 [(4.21±0.98)分、(4.09±0.51)分]及对照组 3 [(3.98±0.76)分、(4.21±0.44)分]，差异均有统计学意义(P<0.05)；观察组、对照组 1、对照组 2和对照组 3的并发症发生率分别为 4.00%、8.00%、10.00%、14.00%，差异无统计学意义(P>0.05)。结论 理筋整复推拿结合腰三针治疗LDH可显著改善患者的临床症状，缓解疼痛，促进功能恢复，临床应用效果好且安全性高。
      【关键词】 腰椎间盘突出症；理筋整复推拿；腰三针；疗效；临床症状；功能障碍指数；并发症
      【中图分类号】 R681.5+3 【文献标识码】 A 【文章编号】 1003—6350（2022）04—0441—04

Efficacy and safety of tendon restoring massage combined with three-needle lumbar acupuncture in the treatmentof lumbar intervertebral disc herniation.
CHEN Jian-xiang, ZHOU Huan-wen, YU Cai-ling. Department of TraditionalChinese Medicine, Shenzhen Dapeng New District Kuiyong People's Hospital, Shenzhen 518119, Guangdong, CHINA
【Abstract】 Objective To investigate the efficacy and safety of tendon restoring massage combined withthree-needle lumbar acupuncture in the treatment of lumbar intervertebral disc herniation (LDH). Methods A total of200 patients with LDH treated in Department of Traditional Chinese Medicine, Shenzhen Dapeng New District KuiyongPeople's Hospital from January to June 2021 were analyzed retrospectively. According to different treatment methods,they were divided into four groups (control group 1, control group 2, control group 3, observation group), with 50 casesin each group. The control group 1 was treated with tendon restoring massage, the control group B was given three-nee-dle lumbar acupuncture, the control group C received computer medium frequency physiotherapy, and the observation