手术联合红外线照射、蜡疗、八段锦功能锻炼治疗腰椎间盘突出症的临床研究  

Clinical research of operation combined with infrared radiation,wax therapy and Baduanjin functional exercise in the treatment of lumbar disc herniation

作　　者：魏自优 朱宁[1] 刘午阳[2] WEI Zi-you;ZHU Ning;LIU Wu-yang(Department of Orthopedics,the Third Affiliated Hospital of Gannan Medical College,Jiangxi Province,Ganzhou 341000,China;Department of Orthopedics,the First Affiliated Hospital of Gannan Medical College,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]赣南医学院第三附属医院骨科,江西赣州341000 [2]赣南医学院第一附属医院骨科,江西赣州341000

出　　处：《中国当代医药》2021年第26期105-107,111,共4页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2020ZSF 116)。

摘　　要：目的探讨手术联合红外线照射、蜡疗、八段锦功能锻炼治疗腰椎间盘突出症的临床效果。方法选取2020年1月至2月赣南医学院第三附属医院骨科收治的101例腰椎间盘突出症患者作为研究对象,按照随机数字表法将其分为参照组(50例)和治疗组(51例)。参照组行小切口开窗髓核摘除术治疗,治疗组在参照组治疗基础上联合红外线照射、蜡疗、八段锦功能锻炼治疗。比较两组患者治疗前后的疼痛程度、腰椎功能以及疗效。结果两组治疗前的视觉模拟评分法(VAS)评分、日本骨科协会评估治疗(JOA)评分比较,差异无统计学意义(P>0.05);治疗后,治疗组的VAS评分低于参照组,JOA评分高于参照组,差异有统计学意义(P<0.05)。治疗组治疗总有效率高于参照组,差异有统计学意义(P<0.05)。结论手术联合红外线照射、蜡疗、八段锦功能锻炼治疗腰椎间盘突出症能更好缓解患者疼痛感,改善腰椎功能,疗效显著,可优先选择。Objective To explore the clinical effect of surgery combined with infrared radiation,wax therapy,and Ba Duan Jin functional exercise in the treatment of lumbar disc herniation.Methods From January to February 2020,101 patients with lumbar intervertebral disc herniation in the Orthopedics Department of the Third Affiliated Hospital of Gannan Medical College were selected as the research objects.They were divided into the reference group(50 cases)and the treatment group(51 cases)according to the random number table.The reference group was treated with small incision fenestration nucleus pulposus,and the treatment group was combined with infrared radiation,wax therapy,and Baduanjin functional exercise therapy on the basis of the reference group.The degree of pain,lumbar spine function and efficacy before and after treatment were compared between the two groups.Results There were no significant difference in visual analogue scale(VAS)score and Japanese orthopaedic associations(JOA)score between the two groups before treatment(P>0.05).After treatment,the VAS score of the treatment group was lower than the reference group,and the JOA score was higher than the reference group,the differences were statistically significant(P<0.05).The total effective rate of treatment in the treatment group was higher than that of the reference group,and the difference was statistically significant(P<0.05).Conclusion Surgery combined with infrared radiation,wax therapy,and Ba Duan Jin functional exercise to treat lumbar intervertebral disc herniation can better relieve the patient′s pain and improve the lumbar function.The effect is significant,and it can be preferred.

关 键 词：腰椎间盘突出症 小切口开窗髓核摘除术 红外线照射 蜡疗 八段锦功能锻炼 疼痛程度 腰椎功能 治疗有效率 

分 类 号：R681.5[医药卫生—骨科学]