择时药棒穴位按摩治疗气滞血瘀型腰椎间盘突出症的疗效观察

Observation on Therapeutic Effect of Time-Selected Acupressure with Medicine Stick on Lumbar Disc Herniation of Qi Stagnation and Blood Stasis

摘要: 目的：观察择时药棒穴位按摩治疗气滞血瘀型腰椎间盘突出症患者的临床疗效。方法：选取2021年9月~2022年9月就诊于贵州某三甲医院脊柱骨科的60例气滞血瘀型腰椎间盘突出症患者，采用数字表随机化将其分为对照组与观察组，各30例。对照组采用传统药棒穴位按摩，观察组择时药棒穴位按摩，比较治疗前后两组患者的VAS评分、日本骨科学JOA腰腿痛评分及中医证候积分。结果：两组患者在治疗后的VAS评分、JOA评分、中医证候积分较治疗前均有改善(均P < 0.05)，且观察组优于对照组(均P < 0.05)。结论：与传统药棒穴位按摩相比，择时药棒穴位按摩应用于治疗气滞血瘀型腰椎间盘突出症患者，有利于提高患者治疗的优良率，改善患者的腰椎功能，缓解患者的疼痛。

Abstract: Objective: To observe the clinical effect of time-selected acupressure with medicine stick on patients with lumbar disc herniation of Qi stagnation and blood stasis. Methods: A total of 60 patients with lumbar disc herniation with blood stasis and qi stagnation who were admitted to the spine department of a Grade-A hospital in Guizhou from September 2021 to September 2022 were selected and divided into control group and observation group with 30 cases in each group by numerical table randomization. The control group was treated with traditional acupressure with medicine stick, and the observation group was treated with time-selected acupressure with medicine stick. VAS scores, JOA scores and TCM syndrome scores of the two groups were compared before and after treatment. Results: VAS score, JOA score and TCM syndrome score of both groups were improved after treatment compared with before treatment (all P < 0.05), and observation group was better than control group (all P < 0.05). Conclusion: Compared with traditional acupressure with medicine stick, the application of time-selected acupressure with medicine stick in the treatment of patients with lumbar disc herniation of qi stagnation and blood stasis is beneficial to improve the treatment rate of patients, improve the function of the lumbar spine and relieve the pain of patients.