穴位针刺联合骶管封闭术治疗腰椎间盘突出症的效果  

Effect of Acupoint Acupuncture Combined with Sacral CanalClosure Surgery on Lumbar Disc Herniation

作　　者：未智慧 WEI Zhihui(Zhengzhou Traditional Chinese Medicine Orthopedic Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州中医骨伤医院,河南郑州450000

出　　处：《河南医学研究》2024年第24期4539-4542,共4页Henan Medical Research

摘　　要：目的 探讨穴位针刺联合骶管封闭术治疗腰椎间盘突出症(LDH)的效果。方法 本研究为前瞻性随机对照研究,依据随机数字表法将2020年2月至2022年10月郑州中医骨伤医院收治的100例LDH患者分为两组,各50例。对照组接受穴位针刺治疗,观察组在对照组基础上接受骶管封闭术治疗,均持续治疗3个疗程。比较两组疗效,以及治疗前及治疗3个疗程时腰椎功能[日本骨科协会评估治疗分数(JOA)评分]及疼痛情况[视觉模拟评分法(VAS)评分]、腰背肌生物力学[腰背屈肌与伸肌比值(F/E)、腰背伸展状态下的平均功率(AP)、峰力矩(PT)],并统计两组治疗期间不良反应发生情况。结果 对照组总有效率低于观察组(P<0.05);治疗3个疗程,对照组VAS评分、F/E高于观察组,JOA评分、AP、PT低于观察组(P<0.05);治疗期间,两组不良反应发生率差异无统计学意义(P>0.05)。结论 骶管封闭术联合穴位针刺治疗LDH的效果显著,可有效改善患者腰椎功能与腰背肌生物力学,缓解患者疼痛程度,且不会增加不良反应。Objective To explore the application effect of acupoint acupuncture combined with sacral canal closure surgery in the treatment of lumbar disc herniation(LDH).Methods This study was a prospective randomized controlled study.According to the random number table method,100 patients with LDH admitted to the Zhengzhou Traditional Chinese Medicine Orthopedic Hospital from February 2020 to October 2022 were divided into two groups,50 cases in each group.The control group was given acupoint acupuncture treatment,while the observation group was treated with sacral canal closure surgery on the basis of the control group,both of which continued for 3 courses of treatment.The efficacy of the two groups was compared,as well as lumbar function[Japanese Orthopaedic Association(JOA)score]and pain[visual analogue scale(VAS)score],low back muscle biomechanics[ratio of low back flexor to extensor(F/E),average power(AP)and peak torque(PT)]before and after 3 courses of treatment,and the incidence of adverse reactions during the treatment of the two groups was counted.Results The total effective rate of the control group was lower than that of the observation group(P<0.05).After 3 courses of treatment,the VAS score and F/E in the control group were higher than those in the observation group,while the JOA score,AP,and PT were lower than those in the observation group(P<0.05).During the treatment period,there was no statistical difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The application effect of sacral canal closure combined with acupoint acupuncture in the treatment of LDH is significant,which can effectively improve the lumbar function and biomechanics of lumbar and back muscles,relieve the pain degree of patients,and will not increase adverse reactions.

关 键 词：腰椎间盘突出症 位针刺 骶管封闭术 

分 类 号：R682.3[医药卫生—骨科学]