委中穴不同推拿手法在治疗腰椎间盘突出症急性发作期中的临床疗效观察

Observations on the Clinical Efficacy of Different Acupressure Maneuvers at Weizhong Acupoint in the Treatment of Lumbar Intervertebral Disc Herniation during the Acute Exacerbation Period

摘要: 目的：观察以委中穴为主穴的循经消结推拿手法对急性期腰椎间盘突出症患者的治疗效应。方法：选取2023年1月至2023年10月就诊于新疆医科大学第四附属医院的腰椎间盘突出症急性发作患者78例，随机分为对照组及治疗组，每组39例。对照组给予传统推拿治疗，治疗组在对照组基础上给予循经消结推拿治疗。观察两组临床疗效、急性期干预前后及随访时JOA评分、VAS评分及直腿抬高角度等各项指标。结果：治疗组有效率(94.87%)远高于常规推拿组有效率(74.36%) (P < 0.01)；两组急性期干预后及随访时JOA评分、VAS评分均优于干预前(P < 0.05)，且治疗组急性期干预后评分明显优于对照组(P < 0.01)；两组急性期干预后及随访时直腿抬高角度均优于干预前(P < 0.05)，且治疗组急性期干预后直腿抬高角度明显优于对照组(P < 0.01)。结论：以委中穴为主穴的循经消结推拿手法治疗腰椎间盘突出症急性发作有更好的临床治疗效果，能够更加有效地恢复腰椎及下肢活动功能，在一定程度上提高患者生活质量。

Abstract: Objective: To observe the therapeutic effect of meridian eliminating knots massage with the main point of the commissioning point on patients with lumbar intervertebral disc herniation in the acute stage. Methods: Seventy-eight patients with acute episodes of lumbar intervertebral disc herniation who attended the Fourth Affiliated Hospital of Xinjiang Medical University from January 2023 to October 2023 were selected and randomly divided into a control group and a treatment group, with 39 cases in each group. The control group was given traditional massage therapy, and the treatment group was given meridian eliminating knot massage therapy on the basis of the control group. The clinical efficacy, JOA score, VAS score and straight leg elevation angle before and after acute intervention and follow-up were observed in both groups. Results: The effective rate of the treatment group (94.87%) was much higher than that of the conventional acupressure group (74.36%) (P < 0.01); the JOA score and VAS score of the two groups were better than those before the intervention at the post-acute and follow-up visits (P < 0.05), and the score of the treatment group was significantly better than that of the control group at the post-acute stage (P < 0.01); the angle of straight-leg raising of the two groups was better than that of the pre-intervention group (P < 0.01) at the post-acute stage and follow-up visit (P < 0.01), better than before intervention (P < 0.05), and the straight leg elevation angle of the treatment group was significantly better than that of the control group after the acute phase intervention (P < 0.01). Conclusion: The treatment of acute episodes of lumbar intervertebral disc herniation with the acupoint of Huizhong has better clinical therapeutic effect, and it can more effectively restore the function of lumbar spine and lower limb activities, and improve the quality of life of patients to a certain extent.