高能量激光疗法联合悬吊训练治疗腰椎间盘突出症患者的效果  

Effects of high energy laser therapy combined with suspension training in treatment of patients with lumbar disc herniation

作　　者：韩耀慧 HAN Yaohui(Department of Rehabilitation of Xinmi Hospital of Traditional Chinese Medicine,Zhengzhou 452370 Henan,China)

机构地区：[1]新密市中医院康复科,河南郑州452370

出　　处：《中国民康医学》2024年第8期58-60,64,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察高能量激光疗法联合悬吊训练治疗腰椎间盘突出症(LDH)患者的效果。方法:回顾性分析2020年10月至2022年9月该院收治的164例LDH患者的临床资料,按照治疗方法不同将其分为对照组和研究组各82例。两组均予以基础治疗,在此基础上,对照组采用悬吊训练治疗,研究组在对照组基础上联合高能量激光疗法治疗,两组均治疗2个月。比较两组临床疗效,治疗前后腰椎功能[日本骨科协会评估治疗分数(JOA)]评分、疼痛[视觉模拟评分法(VAS)]评分、致痛因子[前列腺素E_(2)(PEG_(2))、5-羟色胺(5-HT)、P物质(SP)]水平。结果:研究组治疗总有效率为95.12%(78/82),高于对照组的81.71%(67/82),差异有统计学意义(P<0.05);治疗后1、2个月,研究组JOA评分均高于对照组,VAS评分均低于对照组,差异有统计学意义(P<0.05);治疗后,研究组PEG_(2)、5-HT、SP水平均低于对照组,差异有统计学意义(P<0.05)。结论:高能量激光疗法联合悬吊训练治疗LDH患者可提高治疗总有效率和腰椎功能评分,降低疼痛评分和致痛因子水平,效果优于单纯悬吊训练治疗。Objective:To observe effects of high energy laser therapy combined with suspension training in treatment of patients with lumbar disc herniation(LDH).Methods:The clinical data of 164 patients with LDH admitted to this hospital from October 2020 to September 2022 were retrospectively analyzed.According to different treatment methods,they were divided into control group and study group,82 cases in each group.Both groups were given basic treatment.On this basis,the control group was treated with suspension training,while the study group was treated with high energy laser therapy on the basis of that of the control group.Both groups were treated for 2 months.The clinical efficacy,the lumbar function[Japanese Orthopaedic association(JOA)]score,the pain[visual analogue scale(VAS)]score,and the pain factors[prostaglandin E2(PEG_(2)),5-hydroxytryptamine(5-HT),substance P(SP)]levels were compared between the two groups before and after the treatment.Results:The total effective rate of the study group was 95.12%(78/82),which was higher than 81.71%(67/82)of the control group,and the difference was statistically significant(P<0.05).1 and 2 months after the treatment,the JOA scores of the study group were higher than those of the control group,the VAS scores were lower than those of the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of PEG2,5-HT and SP in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:High energy laser therapy combined with suspension training in the treatment of the LDH patients can improve the total effective rate of treatment and the lumbar function scores,reduce the pain scores and the pain factor levels.Moreover,it is superior to single suspension training.

关 键 词：腰椎间盘突出症 高能量激光 悬吊训练 腰椎功能 疼痛 致痛因子 

分 类 号：R681.53[医药卫生—骨科学]