| 孙文琳,苏晓勇,刘 洋,李登科,祁玉军,许光旭.温针灸联合腰部核心肌力训练对腰椎间盘突出症患者康复效果、生活质量以及血清炎性因子的影响[J].,2020,(22):4307-4310 |
| 温针灸联合腰部核心肌力训练对腰椎间盘突出症患者康复效果、生活质量以及血清炎性因子的影响 |
| Effect of Warm Acupuncture Combined with Lumbar Core Muscle Strength Training on Rehabilitation Effect, Quality of Life and Serum Inflammatory Factors in Patients with Lumbar Disc Herniation |
| 投稿时间：2020-05-07 修订日期：2020-05-31 |
| DOI：10.13241/j.cnki.pmb.2020.22.023 |
| 中文关键词: 温针灸 腰部核心肌力训练 腰椎间盘突出症 康复效果 生活质量 炎性因子 |
| 英文关键词: Warm acupuncture Lumbar core muscle strength training Lumbar disc herniation Rehabilitation effect Quality of life Inflammatory factors |
| 基金项目:江苏省"333"工程科技资助项目（BRA2013077） |
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| 中文摘要: |
| 摘要 目的：探讨腰部核心肌力训练联合温针灸对腰椎间盘突出症（LDH）患者康复效果、生活质量以及血清炎性因子的影响。方法：选取我院于2017年3月~2019年3月期间收治的LDH患者117例，按照随机数字表法将患者分为对照组（n=58）、研究组（n=59），对照组患者予以常规康复训练，研究组则在对照组的基础上给予温针灸联合腰部核心肌力训练治疗，比较两组患者疗效、康复效果、生活质量以及血清炎性因子变化情况。结果：治疗4周后，研究组临床总有效率高于对照组（P<0.05）。两组治疗4周后血清白介素-1（IL-1）、白介素-6（IL-6）、肿瘤坏死因子-α（TNF-α）水平均下降，且研究组低于对照组（P<0.05）。两组治疗4周后视觉疼痛模拟评分（VAS）、FairbankJC评分均降低，且研究组低于对照组（P<0.05）；日本骨科协会评估治疗分数（JOA）评分升高，且研究组高于对照组（P<0.05）。两组治疗4周后躯体角色（RP）、情感角色（RE）、躯体功能（PF）、社会功能（SF）、总体健康（GH）、躯体疼痛（BP）、活力（VT）以及心理健康（MH）等维度评分均升高，且研究组高于对照组（P<0.05）。结论：温针灸联合腰部核心肌力训练治疗LDH患者，可提高康复效果及生活质量，同时还可减轻炎性因子水平，疗效显著。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the effect of warm acupuncture combined with lumbar core muscle strength training on rehabilitation, quality of life and serum inflammatory factors in patients with lumbar disc herniation (LDH). Methods: 117 patients with LDH who were admitted to our hospital from March 2017 to March 2019 were selected, they were divided into control group (n=58) and study group(n=59) according to the method of random number table. Patients in the control group were given routine rehabilitation training, while those in the study group were given warm needle moxibustion combined with waist core muscle strength training on the basis of the control group. The curative effect, rehabilitation effect and quality of life of the two groups were compared and the changes of serum inflammatory factors. Results: After 4 weeks of treatment, the total clinical effective rate of the study group was higher than that of the control group (P<0.05). The serum levels of interleukin-1 (IL-1), interleukin-6 (IL-6), tumor necrosis factor -α (TNF-α) in the two groups decreased after 4 weeks of treatment, and the level in the study group was lower than that in the control group (P<0.05). 4 weeks after treatment, Visual pain simulation score(VAS), fairbankjc score of the two groups decreased, and the study group was lower than that of the control group(P<0.05). Japanese Orthopaedic Association assessment of treatment scores(JOA) increased, and the study group was higher than that of the control group(P<0.05). 4 weeks after treatment, the scores of physical role(RP), emotional role(RE), physical function (PF), social function (SF), overall health (GH), physical pain (BP), vitality (VT) and mental health (MH) in the two groups were all increased, and the scores in the study group were higher than those in the control group(P<0.05). Conclusion: Warm acupuncture combined with waist core muscle strength training can improve the rehabilitation effect and quality of life of LDH patients, but also reduce the level of inflammatory factors, the effect is significant. |
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