Clinical study on effect of acupuncture combined with tendon⁃regulating manipulation on residual symptoms and functional rehabilitation of elderly patients after posterior lumbar fusion

Jianpo ZHANG; Yongwei JIA; Weifeng ZHAI; Zheng HUANG; Hongyuan LU

doi:10.16305/j.1007-1334.2022.2106019

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Clinical study on effect of acupuncture combined with tendon⁃regulating manipulation on residual symptoms and functional rehabilitation of elderly patients after posterior lumbar fusion

更新时间：2022-07-09

- Clinical study on effect of acupuncture combined with tendon⁃regulating manipulation on residual symptoms and functional rehabilitation of elderly patients after posterior lumbar fusion
- Shanghai Journal of Traditional Chinese Medicine Vol. 56, Issue 4, Pages: 68-71(2022)
- 作者机构：
  
  1.上海中医药大学附属光华中西医结合医院脊柱外科（上海 200052）
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2022.2106019
  CLC：
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张建坡,贾永伟,翟伟峰等.针刺结合理筋手法对老年患者腰椎后路融合手术后残留症状及功能康复影响的临床研究[J].上海中医药杂志,2022,56(04):68-71.

ZHANG Jianpo,JIA Yongwei,ZHAI Weifeng,et al.Clinical study on effect of acupuncture combined with tendon⁃regulating manipulation on residual symptoms and functional rehabilitation of elderly patients after posterior lumbar fusion[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(04):68-71.
张建坡,贾永伟,翟伟峰等.针刺结合理筋手法对老年患者腰椎后路融合手术后残留症状及功能康复影响的临床研究[J].上海中医药杂志,2022,56(04):68-71. DOI： 10.16305/j.1007-1334.2022.2106019.

ZHANG Jianpo,JIA Yongwei,ZHAI Weifeng,et al.Clinical study on effect of acupuncture combined with tendon⁃regulating manipulation on residual symptoms and functional rehabilitation of elderly patients after posterior lumbar fusion[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(04):68-71. DOI： 10.16305/j.1007-1334.2022.2106019.

摘要

目的,2,观察针刺结合理筋手法对老年患者腰椎后路融合手术后残留症状及功能康复影响的临床疗效。,方法,2,将68例腰椎后路融合手术后老年患者随机分为治疗组和对照组，每组34例。对照组在医师指导下行功能锻炼，治疗组在医师指导下行功能锻炼的基础上，联合针刺结合理筋手法治疗。两组疗程均为3个月，观察植骨融合情况，比较疼痛视觉模拟评分（VAS）、日本矫形外科协会（JOA）下腰痛评分、美国12条目简明健康测量量表（SF-12）评分的变化情况。,结果,2,①最终完成试验者，治疗组32例，对照组30例。②术前与术后2周、术后3个月组内比较，两组VAS评分、JOA评分、SF-12评分差异均有统计学意义（,P,<,0.05）。组间术后2周、术后3个月比较，治疗组VAS评分、JOA评分、SF-12评分的改善均优于对照组（,P,<,0.05）。③两组术后3个月和术后6个月，植骨融合率比较差异无统计学意义（,P,>,0.05）。,结论,2,与单纯功能锻炼比，加用针刺结合理筋手法更有利于加快老年患者腰椎后路融合手术后的功能康复，减轻腰腿疼痛等残留症状，提高生活质量。

Abstract

Objective,2,To observe the clinical effect of acupuncture combined with tendon-regulating manipulation on residual symptoms and functional rehabilitation of elderly patients after posterior lumbar fusion （PLF）.,Methods,2,Sixty-eight elderly patients after PLF were randomly divided into a treatment group （,n,=34） and a control group （,n,=34）. In the control group， functional exercise was performed under the guidance of physicians， while in the treatment group acupuncture combined with tendon-regulating manipulation was conducted besides functional exercise under the guidance of physicians. The course of treatment in each group lasted 3 months. The fusion of bone graft was observed， and the changes of Visual Analogue Scale （VAS） score， Japanese Orthopaedic Association （JOA） low back pain score and American 12-Item Short Form Survey （SF-12） score were compared.,Results,2,①Finally 32 cases in the treatment group and 30 cases in the control group completed the trial. ②According to the intra-group comparisons before operation， 2 weeks after operation and 3 months after operation， the VAS score， JOA score and SF-12 score were significantly different in both groups （,P,<,0.05）. According to the inter-group comparisons， the improvement of VAS score， JOA score and SF-12 score in the treatment group was better than that in the control group at 2 weeks and 3 months after operation （,P,<,0.05）. ③There was no significant difference in the intervertebral fusion rate between the two groups at 3 months and 6 months after operation （,P,>,0.05）.,Conclusion,2,Compared with the effect of functional exercise， acupuncture combined with tendon-regulating manipulation takes a positive role in promoting the functional rehabilitation after PLF， eliminating postoperative residual symptoms such as pain of the lower back and legs， and improving the quality of life of elderly patients.

关键词

针刺理筋手法腰椎融合手术术后残留症状功能康复临床试验

Keywords

acupuncturetendon-regulating manipulationlumbar fusion surgerypostoperative residual symptomfunctional rehabilitationclinical trial

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