电针联合放松推拿治疗腰椎间盘突出症的临床疗效观察及腰椎功能恢复情况研究

Observation on Clinical Efficacy of Electroacupuncture Combined with Relaxation Massage in the Treatment of Lumbar Disc Herniation and Study on Lumbar Function Recovery

摘要: 目的：观察电针联合放松推拿治疗腰椎间盘突出症(LDH)的临床疗效，探讨其对患者腰椎功能恢复的影响，为临床治疗提供循证依据。方法：选取2023年1月至2024年12月我院中医针灸推拿科收治的120例LDH患者作为研究对象，采用随机数字表法分为观察组和对照组，每组60例。对照组给予单纯电针治疗，观察组给予电针联合放松推拿治疗，两组均连续治疗4周。比较两组患者治疗前后视觉模拟疼痛评分(VAS)、日本骨科协会腰椎功能评分(JOA)、Oswestry功能障碍指数(ODI)，统计临床疗效，记录治疗期间不良反应发生情况，并分析两组患者一般资料(年龄、性别、身高、体重、BMI及基础疾病)的分布及相关性。结果：治疗前，两组患者年龄、性别、身高、体重、BMI及高血压、糖尿病、冠心病等基础疾病发生率比较，差异均无统计学意义(P > 0.05)，具有可比性。治疗后，两组患者VAS评分、ODI指数均显著降低，JOA评分显著升高，且观察组上述指标改善程度均优于对照组，差异有统计学意义(P < 0.05)。观察组临床总有效率为93.33%，显著高于对照组的78.33%，差异有统计学意义(P < 0.05)。两组患者治疗期间均未出现严重不良反应，不良反应发生率比较差异无统计学意义(P > 0.05)。结论：电针联合放松推拿治疗LDH临床疗效显著，能有效缓解患者疼痛症状，促进腰椎功能恢复，且安全性较高，值得临床推广应用。

Abstract: Objective: To observe the clinical efficacy of electroacupuncture combined with relaxation massage in the treatment of lumbar disc herniation (LDH) and explore its impact on patients’ lumbar function recovery, so as to provide evidence-based basis for clinical treatment. Methods: A total of 120 LDH patients admitted to the Department of TCM Acupuncture and Massage of our hospital from January 2023 to December 2024 were selected as research subjects. They were divided into an observation group and a control group by random number table method, with 60 cases in each group. The control group was given electroacupuncture alone, while the observation group was given electroacupuncture combined with relaxation massage. Both groups received continuous treatment for 4 weeks. The Visual Analogue Scale (VAS) score, Japanese Orthopaedic Association (JOA) lumbar function score, and Oswestry Disability Index (ODI) were compared between the two groups before and after treatment. The clinical efficacy was statistically analyzed, the occurrence of adverse reactions during treatment was recorded, and the distribution and correlation of general data (age, gender, height, weight, BMI, and underlying diseases) of patients in the two groups were analyzed. Results: Before treatment, there were no statistically significant differences in age, gender, height, weight, BMI, or the incidence of underlying diseases such as hypertension, diabetes mellitus, and coronary heart disease between the two groups (P > 0.05), indicating comparability. After treatment, the VAS score and ODI index of both groups were significantly decreased, and the JOA score was significantly increased. The improvement of the above indicators in the observation group was superior to that in the control group, with statistically significant differences (P < 0.05). The total clinical effective rate of the observation group was 93.33%, which was significantly higher than 78.33% of the control group, with a statistically significant difference (P < 0.05). No serious adverse reactions occurred in either group during treatment, and there was no statistically significant difference in the incidence of adverse reactions between the two groups (P > 0.05). Conclusion: Electroacupuncture combined with relaxation massage has a significant clinical effect in the treatment of LDH, which can effectively relieve patients’ pain symptoms, promote lumbar function recovery, and have high safety, so it is worthy of clinical promotion and application.