颊针治疗腰椎间盘突出症射频热凝联合臭氧消融术后残余痛的临床疗效  

Clinical Efficacy of Buccal Acupuncture in the Treatment of Residual Pain After Radiofrequency Thermocoagulation Combined with Ozone Ablation for Lumbar Disc Herniation

作　　者：李晓君 彭思云 李春宜 周腾鹏 吴少鹏[2] LI Xiao-Jun;PENG Si-Yun;LI Chun-Yi;ZHOU Teng-Peng;WU Shao-Peng(Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;Guangdong Second Traditional Chinese Medicine Hospital,Guangzhou 510095 Guangdong,China)

机构地区：[1]广州中医药大学,广东广州510006 [2]广东省第二中医院,广东广州510095

出　　处：《广州中医药大学学报》2023年第9期2275-2280,共6页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】观察颊针治疗腰椎间盘突出症(LDH)射频热凝联合臭氧消融术后残余痛的临床疗效。【方法】将72例LDH射频热凝术后残余痛的患者随机分为观察组和对照组,每组各36例。观察组给予颊针治疗,对照组给予塞来昔布胶囊口服,连续治疗2周,并于治疗结束1个月后门诊随访。治疗2周后,评价2组临床疗效,观察2组患者治疗前后及随访时疼痛分级指数(PRI)、疼痛视觉模拟量表(VAS)评分、现在疼痛状况(PPI)及简明McGill(SF-MPQ)总评分的变化情况。比较2组患者治疗前后及随访时日本骨科协会腰椎评估治疗分数(JOA)评分的变化情况。并评价2组的安全性及不良反应的发生情况。【结果】(1)研究过程中,对照组有1例患者退出研究。最终观察组36例、对照组35例纳入疗效统计。(2)治疗后及随访时,2组患者的SF-MPQ评分均较治疗前明显下降(P<0.05),且观察组患者SF-MPQ评分显著低于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的PRI、VAS、PPI评分均明显下降(P<0.05),且观察组在改善PRI评分方面明显优于对照组,差异有统计学意义(P<0.05)。随访时,2组患者的PRI、VAS、PPI评分均明显改善(P<0.05),且观察组在改善PRI、VAS、PPI评分方面明显优于对照组,差异均有统计学意义(P<0.05)。(4)治疗后,2组患者的JOA评分明显改善(P<0.05),且观察组在改善JOA评分方面明显优于对照组,差异有统计学意义(P<0.05)。随访时,2组患者的JOA评分明显改善,但与对照组比较,差异无统计学意义(P>0.05)。(5)2组患者不良反应发生率比较,差异无统计学意义(P>0.05)。【结论】颊针治疗腰椎间盘突出症射频热凝联合臭氧消融术后残余痛,能明显缓解患者的疼痛症状,促进术后早期康复,临床效果显著。Objective To observe the clinical efficacy of buccal acupuncture in the treatment of residual pain after radiofrequency thermocoagulation combined with ozone ablation for lumbar disc herniation(LDH).Methods Seventy-two patients with residual pain after radiofrequency thermocoagulation for LDH were randomly divided into an observation group and a control group,with 36 patients in each group.The observation group was given buccal acupuncture treatment and the control group was given oral use of Celecoxib Capsules.Both groups were treated for 2 weeks,and followed up in the outpatient clinic 1 month after the end of treatment.After 2 weeks of treatment,the clinical efficacy of the two groups was evaluated,and the changes in pain rating index(PRI),visual analogue scale(VAS)score,present pain status(PPI)and short-form of McGill questionnaire(SF-MPQ)total score were observed before and after treatment and at the follow-up.The changes in the Japanese Orthopaedic Association(JOA)Lumbar Assessment Treatment Scale scores were compared before and after treatment and at follow-up in the two groups.The safety and the occurrence of adverse effects in the two groups were also evaluated.Results(1)During the study,one patient in the control group withdrew from the study.Finally 36 cases in the observation group and 35 cases in the control group were included in the efficacy statistics.(2)After treatment and at followup,the SF-MPQ scores of patients in both groups were significantly decreased compared with those before treatment(P<0.05),and the SF-MPQ scores of patients in the observation group were significantly lower than those in the control group,and the differences were estatistically significant(P<0.05).(3)After treatment,the PRI,VAS and PPI scores of patients in both groups were significantly decreased(P<0.05),and the observation group was significantly superior to the control group in improving the PRI scores,and the difference was statistically significant(P<0.05).At the follow-up,the PRI,VAS and PPI scores of the two grou

关 键 词：颊针疗法 腰椎间盘突出症 射频热凝联合臭氧消融术后 疼痛 临床观察 

分 类 号：R246.9[医药卫生—针灸推拿学]