Observation of the therapeutic effect of massage combined with celecoxib in the treatment of lumbar disc herniation
推拿联合塞来昔布治疗腰椎间盘突出症的疗效观察

摘要

目的 分析在腰椎间盘突出症患者的治疗方案中应用推拿联合塞来昔布的医学价值。方法 将2023年11月-2024年11月内就诊的腰椎间盘突出症患者40例以区组随机法分20例对照组实施塞来昔布胶囊治疗，而20例观察组增加推拿治疗，对比两组治疗前后的疼痛评分和功能障碍评分、腰部恢复情况。结果 治疗前，两组指标对比无统计学意义（P﹥0.05）。而治疗后，观察组VAS疼痛评分、ODI功能障碍评分更低、jOA下腰恢复评分、腰椎前屈活动度更优，对比有统计学意义（P﹤0.05）。结论 推拿联合塞来昔布治疗腰椎间盘突出症可提高治疗效果，改善疼痛的同时恢复腰部功能。

Abstract

Objective To analyze the medical value of using massage combined with celecoxib in the treatment plan of patients with lumbar disc herniation.
Methods 40 patients with lumbar disc herniation who received treatment between November 2023 and November 2024 were randomly divided into a control group (n=20) and an observation group (n=20). The control group received treatment with celecoxib capsules, while the observation group received additional massage therapy. The pain scores, functional impairment scores, and lumbar recovery before and after treatment were compared between the two groups.
Results Before treatment, there was no statistically significant difference in the comparison of the two groups of indicators (P>0.05). After treatment, the observation group had lower VAS pain scores, ODI functional impairment scores, better jOA lower back recovery scores, and greater lumbar flexion range of motion, with statistical significance (P<0.05).
Conclusion   Tuina combined with celecoxib can improve the treatment effect of lumbar disc herniation, alleviate pain, and restore lumbar function.