摘要
目的:探究圆针椎间孔外口松解术治疗腰椎间盘突出症(lumbar disc herniation,LDH)的临床效果及安全性。方法:选取2020年12月—2022年12月江阴市中医院针灸科收治的80例LDH患者。根据随机数表法将其分为对照组及治疗组,各40例。对照组给予针刺治疗,治疗组在对照组基础上给予圆针椎间孔外口松解术。比较两组临床疗效,治疗前后腰椎功能、疼痛程度及安全性。结果:治疗组总有效率为92.50%,明显高于对照组的72.50%,差异有统计学意义(P<0.05)。治疗后,两组Oswestry功能障碍指数(Oswestry disability index,ODI)评分降低,日本骨科协会评分(Japanese Orthopaedic Association scores,JOA)评分升高,治疗组ODI评分低于对照组,JOA评分高于对照组,差异有统计学意义(P<0.05)。治疗后,两组视觉模拟评分法(visual analogue scale,VAS)评分降低,治疗组VAS评分低于对照组,差异有统计学意义(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:圆针椎间孔外口松解术治疗LDH能减轻患者疼痛,改善腰椎功能,提高生活质量,且安全性好。
Objective:To investigate the clinical effect and safety of circular needle intervertebral external foramen release surgery in the treatment of lumbar disc herniation(LDH).Method:A total of 80 LDH patients admitted to the Acupuncture Department of Jiangyin Traditional Chinese Medicine Hospital from December 2020 to December 2022 were selected.They were divided into control group and treatment group according to random number table method,with 40 cases in each group.The control group was treated with acupuncture,and the treatment group was treated with circular needle intervertebral external foramen release surgery on the basis of the control group.The clinical efficacy,lumbar function,pain degree before and after treatment and safety were compared between the two groups.Result:The total effective rate of the treatment group was 92.50%,which was significantly higher than 72.50% of the control group,the difference was statistically significant(P<0.05).After treatment,Oswestry disability index(ODI)scores decreased and Japanese Orthopaedic Association scores(JOA)scores increased in both groups,the ODI score in the treatment group was lower than that in the control group,and the JOA score was higher than that in the control group,the differences were statistically significant(P<0.05).After treatment,the visual analogue scale(VAS)score of two groups decreased,and the VAS score of the treatment group was lower than that of the control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:The treatment of LDH with circular needle intervertebral external foramen release surgery can relieve pain of patients,improve lumbar function of patients,and improve quality of life,with good safety.
作者
黄嘉琪
顾春英
HUANG Jiaqi;GU Chunying(Jiangyin Traditional Chinese Medicine Hospital,Jiangyin 214400,China;不详)
出处
《中外医学研究》
2024年第15期68-71,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
圆针
椎间孔外口松解术
腰椎间盘突出症
临床疗效
安全性
Circular needle
Intervertebral external foramen release surgery
Lumbar disc herniation
Clinical efficacy
Safety
