针刺配合郑氏舒活酊治疗孔镜下腰椎间盘切除术后感觉异常的临床效果  

Value of acupuncture combined with Zheng Shuhuo Tincture in treating sensory abnormality after endoscopic lumbar discectomy

作　　者：冯超 FENG Chao(Department of Orthopedics,Shandong Qingdao Hospital of Integrated Traditional and Western Medicine,Shandong Province,Qingdao 266000,China)

机构地区：[1]山东青岛中西医结合医院骨伤科,山东青岛266000

出　　处：《中国当代医药》2021年第4期115-118,共4页China Modern Medicine

摘　　要：目的探讨针刺配合郑氏舒活酊治疗孔镜下腰椎间盘切除术后感觉异常的临床效果。方法选择2018年5月~2019年11月山东青岛中西医结合医院收治的腰椎间盘突出症实施椎间孔镜术后感觉功能异常患者80例作为研究对象,按照随机数字表法分为对照组和观察组,每组各40例。对照组实施常规针刺治疗,观察组在对照组基础上联合郑氏舒活酊局部涂擦,比较两组治疗后足部整体感觉评分,足底和足背两点辨别觉,随访6个月正中神经和腓神经传导速度情况及并发症发生情况。结果治疗后两组足部整体感觉评分均高于治疗前,且观察组足部整体感觉评分高于对照组,观察组足底和足背两点辨别觉距离短于对照组,差异均有统计学意义(P<0.05)。随访期间观察组的正中神经及腓神经传导速度均快于对照组,差异有统计学意义(P<0.05)。观察组的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论针对孔镜下腰椎间盘切除术后感觉异常患者,应用针刺配合郑氏舒活酊局部涂擦,能有效改善下肢感觉功能,促进感觉辨别觉的恢复,并减少术后并发症。Objective To explore the clinical effect of acupuncture combined with Zheng Shuhuo Tincture in the treatment of sensory abnormality after lumbar discectomy under foramen endoscope.Methods A total of 80 patients with lumbar disc herniation who had postoperative sensory dysfunction after intervertebral foramen endoscopy admitted to Shandong Qingdao Hospital of Integrated Traditional and Western Medicine from May 2018 to November 2019 were selected as study subjects.According to the random number table method,the patients were divided into the control group and the observation group,with 40 cases in each group.The control group received conventional acupuncture,and the observation group combined Zheng Shuhuo Tincture locally on the basis of the control group.The overall sensory score of feet,two-point discrimination between plantar and dorsum after treatment,the conduction velocity of median nerve and peroneal nerve and the incidence of complications after followed up for 6 months were compared between the two groups.Results After treatment,the overall sensory score of the foot in both groups was higher than that before treatment,and the overall sensory score of the foot in the observation group was higher than that in the control group,the distance between the two points of the sole and dorsum of the foot in the observation group was shorter than that in the control group,the differences were statistically significant(P<0.05).During the follow-up period,the conduction velocity of median nerve and peroneal nerve in the observation group were faster than those in the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Acupuncture combined with local application of Zheng Shuhuo Tincture can effectively improve the sensory function of lower limbs,promote the recovery of sensory discrimination and reduce postoperative complications for pat

关 键 词：郑氏舒活酊 局部涂擦 针刺椎间孔镜 腰椎间盘切除术 感觉异常 

分 类 号：R684.7[医药卫生—骨科学]