微型针刀配合腕踝针对腰椎间盘突出症患者疗效及功能恢复的影响  

Effect of Micro Needle Knife Combined with Wrist Ankle Acupuncture on Curative Effect and Functional Recovery for Patients with Lumbar Disc Herniation

作　　者：郑保主[1] 朱俊琛[1] 周忠良[1] 亓培帅 魏迎辰[1] ZHENG Baozhu;ZHU Junchen;ZHOU Zhongliang(Department of Or-thopedics,the Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei Anhui 230000,China)

机构地区：[1]安徽中医药大学第二附属医院骨三科,安徽合肥230000

出　　处：《四川中医》2021年第8期192-195,共4页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:探讨微型针刀配合腕踝针对腰椎间盘突出症患者疗效及功能恢复的影响。方法:选择2019年8月至~2020年8月于安徽中医药大学第二附属医院骨科年龄在18~68岁之间的80例腰椎间盘突出症住院患者为研究对象,随机分为对照组与观察组各40例,对照组予常规治疗加腕踝针治疗,观察组在对照组基础上配合微型针刀治疗。观察两组患者治疗后疗效、疼痛情况、ODI评分及JOA评分指标。结果:(1)经治疗,两组患者症状评分较治疗前显著降低(P<0.05),组间比较,观察组症状评分显著优于对照组(P<0.05);(2)治疗后,两组患者无疼痛例数及比例均较治疗前显著上升,中度疼痛及重度疼痛例数及比例均较治疗前显著下降,VAS总分均显著下降(P<0.05),组间比较,观察组无疼痛例数及比例显著高于对照组,中度疼痛及重度疼痛例数及比例显著低于对照组,VAS总分显著低于对照组(P<0.05);(3)治疗后,两组患者JOA评分均较治疗前显著升高,ODI评分均较治疗前显著降低(P<0.05),组间比较,观察组JOA评分显著高于对照组,而ODI评分显著低于对照组(P<0.05);(4)对照组腰椎恢复优良率为77.5%,观察组腰椎恢复优良率为95%,观察组综合疗效显著优于对照组(P<0.05)。结论:微型针刀配合腕踝针能显著减轻腰椎间盘突出症患者临床症状,缓解疼痛不适,促进腰椎功能恢复,效果明显,值得推广应用。Objective:To investigate the effect of micro needle knife combined with wrist ankle acupuncture on the curative effect and functional recovery for patients with lumbar disc herniation.Methods:From August 2019 to August 2020,80 patients with lumbar disc herniation who were hospitalized in the department of orthopedics,the Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine,were randomly divided into a controlled group and an observation group with 40 cases in each group.The controlled group was treated with routine treatment and ankle acupuncture,while the observation group was treated with micro needle knife on the basis of the controlled group.The curative effect,pain,ODI score and JOA score were observed.Results:①After treatment,the symptom score of the two groups was significantly lower than that before treatment(P<0.05),and the symptom score of the observation group was significantly better than that of the controlled group(P<0.05);②After treatment,the number and proportion of patients without pain in the two groups were significantly increased,the number and proportion of moderate pain and severe pain were significantly decreased,and the total VAS score was significantly decreased(P<0.05).The number and proportion of patients without pain in the observation group were significantly higher than those in the controlled group,the number and proportion of moderate pain and severe pain were significantly lower than those in the controlled group,and the total VAS score was significantly lower than that in the controlled group(P<0.05).③After treatment,JOA scores of the two groups were significantly higher than those before treatment,ODI scores were significantly lower than before treatment(P<0.05),JOA score of the observation group was significantly higher than that of the controlled group,while ODI score was significantly lower than that of the controlled group(P<0.05);④The excellent and good rate of lumbar recovery in the controlled group was 77.5%,and that of the observation gr

关 键 词：腰椎间盘突出症 微型针刀 腕踝针 功能恢复 

分 类 号：R246.2[医药卫生—针灸推拿学]