CAJ | 학술논문

目的:探讨综合康复训练结合针灸防治腰椎间盘突出症复发的临床疗效.方法:将120例腰椎间盘突出症患者随机分入对照组与观察组,每组各60例.给予对照组患者综合康复训练,观察组患者在综合康复训练基础上给予针炙治疗,比较两组治疗总有效率,治疗后2个月 JOA 简化评分、腰痛评分及直腿抬高试验评分,随访2年患者复发率、首次复发时间及平均复发次数.结果:观察组与对照组治疗总有效率分别为93.3%和81.7%,差别具有统计学意义(P<0.01);治疗后2个月观察组 IOA 简化评分、腰痛评分及直腿抬高试验评分显著高于对照组(P<0.05);随访2年观察组患者复发率显著低于对照组(12.1% vs 21.1%, P<0.05),首次复发时间及平均复发次数均显著优于对照组(P<0.05).结论:综合康复训练结合针灸治疗腰椎间盘突出症,可显著提高临床疗效,改善患者症状并减少复发.
목적:탐토종합강복훈련결합침구방치요추간반돌출증복발적림상료효.방법:장120례요추간반돌출증환자수궤분입대조조여관찰조,매조각60례.급여대조조환자종합강복훈련,관찰조환자재종합강복훈련기출상급여침자치료,비교량조치료총유효솔,치료후2개월 JOA 간화평분、요통평분급직퇴태고시험평분,수방2년환자복발솔、수차복발시간급평균복발차수.결과:관찰조여대조조치료총유효솔분별위93.3%화81.7%,차별구유통계학의의(P<0.01);치료후2개월관찰조 IOA 간화평분、요통평분급직퇴태고시험평분현저고우대조조(P<0.05);수방2년관찰조환자복발솔현저저우대조조(12.1% vs 21.1%, P<0.05),수차복발시간급평균복발차수균현저우우대조조(P<0.05).결론:종합강복훈련결합침구치료요추간반돌출증,가현저제고림상료효,개선환자증상병감소복발.
Objective: To investigate the clinical effect of acupuncture combined with rehabilitation training in preventing the recurrence of lubar intervertebral disc protrusion. Methods: 120 cases of lubar intervertebral disc protrusion were randomly divided into two groups, 60 patients in each group. Comprehensive rehabilitation training was performed in control group, and the treatment group was given acupuncture treatment based on the comprehensive rehabilitation training. The total effective rates, the JOA simplified scores, lumbago scores and straight-leg raising test scores after 2 months’ treatment, and the recurrence rate, first recurrence time and average recurrent times after 2 years’ treatment were compared between the two groups. Results: The total effective rates of the treatment group and the control group were 93.3% and 81.7% respectively, with a significant difference between the two groups (P<0.01). The JOA simplified scores, lumbago scores and straight-leg raising test scores of the treatment group increased significantly compared with the control group after 2 months’ treatment (P<0.05). The recurrence rate of the treatment group after 2 years’ treatment decreased significantly compared with the control group(12.1% vs 21.1%,P<0.05), and the first recurrence time and the average recurrent times of the treatment group were significantly better than the control group (P<0.05). Conclusion: Comprehensive rehabilitation training combined with acupuncture could improve the clinical effect and symptoms and decrease recurrence in treating lubar intervertebral disc protrusion.