温针灸联合腰椎神经根阻滞治疗腰椎间盘突出症临床研究  

Clinical Study on Warming-Needle Moxibustion Combined with Lumbar Nerve Root Block for Lumbar Disc Herniation

作　　者：乔磊[1] 白玉[1] 付爱玲[1] QIAO Lei;BAI Yu;FU Ailing

机构地区：[1]郑州市骨科医院治未病科,河南郑州450052

出　　处：《新中医》2022年第7期188-191,共4页New Chinese Medicine

摘　　要：目的:观察温针灸联合腰椎神经根阻滞治疗腰椎间盘突出症的临床疗效。方法:选择腰椎间盘突出症患者104例,按随机数字表法分为对照组和观察组各52例。对照组采用腰椎神经根阻滞治疗,观察组采用温针灸联合腰椎神经根阻滞治疗。比较2组治疗前后腰部活动度、疼痛视觉模拟评分法(VAS)评分、日本骨科协会评估治疗分数(JOA)评分,评价临床疗效及治疗期间的并发症发生情况。结果:观察组总有效率为92.31%,高于对照组76.92%,差异有统计学意义(P<0.05)。治疗前,2组前屈、侧屈、后伸等腰部活动度比较,差异无统计学意义(P>0.05)。与治疗前比较,2组治疗后腰部活动度均升高(P<0.05),且观察组腰部活动度高于对照组(P<0.05)。治疗前,2组VAS评分、JOA评分比较,差异无统计学意义(P>0.05)。与治疗前比较,2组治疗后VAS评分降低、JOA评分升高(P<0.05),且观察组VAS评分低于对照组,JOA评分高于对照组(P<0.05)。观察组并发症发生率为3.85%,低于对照组17.31%,差异有统计学意义(P<0.05)。结论:温针灸联合腰椎神经根阻滞可提高腰椎间盘突出症患者腰部活动度,改善疼痛症状,促进腰椎功能的恢复,降低并发症发生率,提高治疗效果。Objective:To observe the clinical effect of warming-needle moxibustion combined with lumbar nerve root block for lumbar disc herniation. Methods:A total of 104 cases of patients with lumbar disc herniation were selected and divided into the control group and the observation group according to the random number table method,with 52 cases in each group. The control group was treated with lumbar nerve root block, and the observation group was treated with warming-needle moxibustion combined with lumbar nerve root block. The waist activity degree,Visual Analogue Scale(VAS)scores and Japanese Orthopaedic Association(JOA) scores before and after treatment in the two groups were compared. The incidences of complications during treatment and the clinical effects were evaluated. Results:The total effective rate was92.31% in the observation group,higher than that of 76.92% in the control group,the difference being significant(P<0.05).Before treatment,there was no significant difference being found in the comparison of the degree of waist activity including anteflexion, lateral flexion and posterior extension between the two groups(P>0.05). After treatment, the waist activity degree in the two groups was increased when compared with that before treatment(P<0.05),and the waist activity degree in the observation group was higher than that in the control group(P<0.05). Before treatment, there was no significant difference being found in the comparison of VAS scores and JOA scores between the two groups(P>0.05). After treatment,VAS scores in the two groups were decreased when compared with those before treatment,and JOA scores were increased(P<0.05);VAS score in the observation group was lower than that in the control group,and JOA score was higher(P<0.05).The incidence of complications was 3.85% in the observation group,lower than that of 17.31% in the control group,the difference being significant(P<0.05). Conclusion:The therapy of warming-needle moxibustion combined with lumbar nerve root block for lumbar disc herniation can

关 键 词：腰椎间盘突出症 温针灸 腰椎神经根阻滞 腰部活动度 疼痛视觉模拟评分法 日本骨科协会评估治疗分数 并发症 

分 类 号：R681.53[医药卫生—骨科学]