关键词:

腰椎间盘突出症, 循经取穴推拿, 腰部骨科固定支架, 术后康复, 腰椎活动度, 腰椎功能, 疼痛程度

Abstract:

Objective　To explore the application effect of acupoint massage along meridians combined with lumbar orthopedic fixation support in the postoperative rehabilitation of patients with lumbar disc herniation (LDH). Methods　A retrospective study was conducted. 82 patients with LDH who underwent surgical treatment at Baoji Hospital of Traditional Chinese Medicine from January 2021 to December 2023 were selected. They were divided into two groups according to the postoperative adjuvant treatment methods, with 41 cases in each group.Control group: 17 males and 24 females, with an average age of (44.36±7.39) years, and a disease duration of (24.52±8.11) months. They were treated with lumbar orthopedic fixation stent assistance.Observation group: 21 males and 20 females, with an average age of (42.31±7.05) years, and a disease duration of (26.84±8.94) months. They were treated with acupoint massage along the meridians combined with a lumbar orthopedic fixation brace as an auxiliary therapy.Compare the Visual Analogue Scale (VAS) scores, lumbar range of motion, lumbar function, quality of life, and adverse reactions of the two groups of patients before treatment, at 2 weeks and 4 weeks after treatment.Statistical methods employed were the χ² test, F test, and t test. Results　At 2 weeks and 4 weeks of treatment, the VAS scores for the waist [(4.34±0.86) points,(2.11±0.42) points], the VAS scores for the legs [(3.42±0.68) points,(2.23±0.45) points] and the ODI scores [(35.42±4.43) points,(19.64±2.46) points] in the observation group were significantly lower than those before treatment.Comparisons between the two groups before and after treatment showed statistically significant differences (F_groups=26.875, F_time= 31.624, F_interaction=24.728; F_groups=24.615, F_time=29.653, F_interaction=23.511; F_groups=21.932, F_time=25.441, F_interaction=20.125; all P<0.001_groups, all P<0.001_time, all P<0.001_interaction).The flexion and extension activities of the lumbar spine, as well as the JOA score, in the observation group all showed significant increases compared to those before treatment. When comparing the two groups before and after treatment, the differences were statistically significant(F_groups=22.506, F_time=27.491, F_interaction=21.631; F_groups=23.726, F_time=30.745, F_interaction=21.223; F_groups=18.417, F_time=22.586, F_interaction=15.745; P_groups<0.001, P_time<0.001, P_interaction<0.001).After 2 weeks of treatment, the SF-36 score of the observation group was higher than that of the control group [(83.11±6.39) points vs.(79.42±6.10) points], and the difference was statistically significant (t=2.675, P=0.009). Conclusion　Acupoint massage along the meridians combined with a spinal orthopedic fixation brace for LDH patients during postoperative rehabilitation can effectively reduce pain levels, improve lumbar spine function and joint mobility, and enhance the quality of life.

Key words:

Lumbar intervertebral disc herniation, Massage by selecting acupoints along meridians, Lumbar orthopedic fixator, Postoperative rehabilitation, Lumbar range of motion, Lumbar function, Degree of pain