摘要
目的 研究分析针刺推拿联合疗法在腰椎间盘突出症患者社区卫生服务中的应用价值。方法 选取2021年9月至2023年11月某社区卫生服务中心收治的60例腰椎间盘突出症患者，随机分为研究组和对照组，每组30例。对照组患者接受腰椎间盘突出症常规治疗，包括药物镇痛、牵引治疗等，研究组患者接受针灸推拿联合治疗。治疗8周后，评价并比较2组的治疗效果、治疗前后功能恢复情况及核心肌耐力。结果 治疗后，研究组总有效率高于对照组；研究组的ODI和VAS评分低于对照组；研究组的JOA评分高于对照组：腰腹部等长肌群耐力测试时间长于对照组，差异有统计学意义（P<0.05）。结论 针灸推拿联合应用在社区卫生服务中治疗腰椎间盘突出症患者，疗效确切，能促进患者功能恢复，提高核心肌群耐力。
关键词： 腰椎间盘突出症；社区；卫生服务；针灸；按摩
Abstract
Objective To study and analyze the value of acupuncture and massage combined application in community health services for patients with lumbar disc herniation. Methods 60 patients with lumbar disc herniation admitted to a community health service center from September 2021 to November 2023 were randomly divided into a study group and control group, with 30 cases in each group. The control group received conventional treatment for lumbar disc herniation, including drug analgesia, traction therapy, etc., while the study group received acupuncture and massage combined treatment. After 8 weeks of treatment, the therapeutic effect, functional recovery before and after treatment and core muscle endurance of the two groups were evaluated and compared. Results After treatment, the total effective rate of the study group was higher than that of the control group; the ODI and VAS scores of the study group were lower than those of the control group; the JOA scores of the study group were higher than those of the control group; the endurance test time of the lumbar and abdominal isometric muscles was longer than that of the control group, with statistical significance (P < 0.05). Conclusion The combined application of acupuncture and massage in community health services for patients with lumbar disc herniation has a high effect, can promote the functional recovery of patients, and improve core muscle endurance.
Key words： Lumbar disc herniation; The Community; Health services; Acupuncture; Massage
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