Abstract：Objective To observe the clinic effects of needle knife combined with core muscle strength training in the treatment of lumbar intervertebral disc herniation (LDH). Methods Sixty cases of patients diagnosed as LDH and subordinated to the inclusion criteria in Outpatient and Inpatient Department of Rehabilitation in Shiyan Hospital of Integrated Chinese and Western Medicine of Hubei Province from July to November 2017 were divided into 2 groups by random number table method, with 30 cases in each group respectively. The treatment group was given needle knife combined with core muscle strength training, whereas, the control group was only given needle knife. Needle knife treatment was conducted once a week, with twice as a course of treatment; the course of core muscle strength training was 8 weeks. Results After treatment for 8 weeks and 3 months, the visual analogue scale (VAS) and Oswestry disability index (ODI) of the two groups were significantly lower than those before treatment, the differences were statistically significant (P ＜ 0.05), and the VAS scores and ODI values of treatment group were significantly lower than those of control group, the differences were statistically significant (P ＜ 0.05). Conclusion Compared with single needle knife treatment, needle knife combined with core muscle strength training has better effects on relieving patients′ pain, improving patients' dysfunction and enhancing quality of life, which is worthy of clinical promotion.
刘鹏 冯晓英. 针刀结合核心肌力训练治疗腰椎间盘突出症的临床效果[J]. 中国医药导报, 2019, 16(3): 147-150.
LIU Peng FENG Xiaoying. Clinical effects of needle knife combined with core muscle strength training in the treatment of lumbar intervertebral disc herniation. 中国医药导报, 2019, 16(3): 147-150.
[1] 周凡媛，刘福水，赵梅梅，等.针刀与针灸治疗腰椎间盘突出症疗效比较的系统评价和Meta分析[J].辽宁中医杂志，2017，44（3）：590-594.
[2] 国家中医药管理局.中医病证诊断疗效标准[M].南京：南京大学出版社，1994：201-202.
[3] 中国针灸学会微创针刀专业委员会.针刀医学临床诊疗与操作规范[M].北京：中国中医药出版社，2012：56-60.
[4] Huskisson EC. Measurement of pain [J]. Lancet，1974，2（7889）：1127-1131.
[5] Ten Klooster PM，Vlaar AP，Taal E，et al. The validity and reliability of the graphic rating scale and verbal rating scale for measuring pain across cultures：a study in Egyptian and Dutch women with rheumatoid arthritis [J]. Clin J Pain，2006，22（9）：827-830.
[6] Phan NQ，Blome C，Fritz F，et al. Assessment of pruritus intensity：prospective study on validity and reliability of the visual analogue scale，numerical rating scale and verbal rating scale in 471 patients with chronic pruritus [J]. Acta Derm Venereol，2012，92（5）：502-507.
[7] Baker D，Pynsent P，Fairbank J. The Oswestry Disability Index Revisited. Back Pain：New Approaches to Rehabilitation and Education [M]. Manchester：Manchester University Press，1989：174-186.
[8] Sheahan PJ，Nelson-Wong EJ，Fischer SL. A review of culturally adapted versions of the Oswestry disability index：the adaptation process，construct validity，test-retest reliability and internal consistency [J]. Disabil Rehabil，2015，37（25）：2367-2374.
[9] Mohan V，G S P，Meravanigi G，et al. Adaptation of the Oswestry disability index to Kannada language and evaluation of its validity and reliability [J]. Spine，2016，41（11）：E674-E680.
[10] Fairbank JC，Pynsent PB. The Oswestry disability index [J]. Spine，2000，25（22）：2940-2953.
[11] Fritz JM，Irrgang JJ. A comparison of a modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale [J]. Phys Ther，2001， 81（2）：776 -788 .
[12] 郑光新，赵晓鸥，刘广林，等.Oswestry功能障碍指数评定腰痛患者的可信性[J].中国脊柱脊髓杂志，2002，12（1）：13-15.
[13] 朱汉章.针刀医学原理[M].北京：人民卫生出版社，2002：104-105，126-153，211-212.
[14] 张天民.针刀医学基础理论[M].北京：中国中医药出版社，2012：54-76.
[15] 刘邦忠，李泽兵，何萍，等.慢性腰痛患者在脊柱突然失衡时多裂肌的肌电表现[J].中国康复医学杂志，2003， 18（10）：609-611.
[16] Markwalder TM，Wenger M. Dynamic. stabilization of lumbar motion segments by use of Graf′s ligaments：results with an average follow-up of 7.4 years in 39 highly selected，consecutive patients [J]. Acta Neurochir（Wien），2003，145（3）：209-214.
[17] 王雪强，戴敏辉，冯颜，等.核心稳定性训练用于慢性腰椎间盘突出症的疗效观察[J].中国康复医学杂志，2010， 25（8）：756-759.
[18] Kirkaldy-Willis WH，Bernard TN Jr. Managing Low Back-Pain [M]. 4th Ed. New York：Churchill Living-Stone，1999.
[19] 彭勋超，喻建兵，王春，等.“回”字形针刀整体松解术治疗腰椎间盘突出症的临床研究[J].中国中医急症，2014， 23（4）：625-626.
[20] 夏益林.针刀结合牵引治疗腰椎间盘突出症的体会[J].医学综述，2014，20（3）：562-564.
[21] 唐毅，张良兵.小针刀联合推拿治疗腰椎间盘突出症的临床效果及对患者致炎因子和生活质量的影响[J].世界中西医结合杂志，2017，12（3）：406-409.
[22] 任旭飞，任月林.针刀神经触激术治疗腰椎间盘突出症80例临床观察[J].世界中西医结合杂志，2013，8（7）：720-722.
[23] Pinheiro-Franco JL，Vaccaro AR，Benzel EC，et al. Advanced Concepts in Lumbar Degenerative Disk Disease [M]. Springer，2016：279-286.
[24] 沈志祥，屠其雷，刘翠鲜.瑞士球运动治疗对腰椎间盘突出症患者腰椎关节活动度和步行能力的影响[J].中国运动医学杂志，2010，29（2）：195-196，216.
[25] 区俊，姚玉葵，彭雪林，等.针灸推拿配合中药熏蒸治疗腰椎间盘突出症的治疗效果分析及对患者生活质量影响[J].中国医药科学，2018，8（5）：68-71.
[26] 冯亚坤，阮氏深，刘影，等.核心力量训练结合推拿治疗腰椎间盘突出症的效果研究[J].当代体育科技，2015，5（27）：20.
2019, Vol. 16 
京公网安备 11010502046598号