摘要
目的观察杵针联合激光疗法治疗寒湿型腰椎间盘突出症(LDH)的临床疗效。方法选取2021年12月至2023年5月于成都中医药大学附属医院骨科住院治疗的182例寒湿型LDH患者为研究对象,按照随机数字表法分为对照组(常规治疗和护理,n=59)、杵针组(常规治疗和护理联合杵针干预,n=62)、杵针激光组(常规治疗和护理联合杵针+激光治疗,n=61)。3组在干预前及干预4周后采用视觉模拟评分法(VAS)评定患者的疼痛程度;采用日本骨科协会评估治疗分数(JOA)评定患者的腰椎功能性障碍;采用《中医病证诊断疗效标准》评定患者的临床疗效。结果干预4周后,3组VAS评分均低于干预前,JOA评分高于干预前(P<0.05);杵针激光组VAS评分低于杵针组和对照组(P<0.05);杵针激光组JOA评分高于杵针组和对照组(P<0.05)。经过4周干预后,杵针激光组总有效率(95.08%)明显高于对照组(74.58%)和杵针组(83.87%)(P<0.05)。结论应用杵针法联合激光疗法治疗寒湿型LDH,能明显减轻患者的疼痛程度,改善患者的腰椎功能状态。杵针法联合激光疗法治疗寒湿型LDH的临床疗效优于单独使用杵针法。
Objective To investigate the clinical efficacy of pestle needle therapy(Chu Zhen therapy,a noninvasive treatment that combines acupuncture with massage)combined with laser therapy on cold-dampness type lumbar disc herniation(LDH).Methods A total of 182 patients with cold-dampness type LDH admitted to Hospital of Chengdu University of Traditional Chinese Medicine(TCM)from December 2021 to May 2023 were selected as the study objects.The patients were randomly divided into three groups by random number table method:the control group(routine treatment and nursing,n=59),the pestle needle group(routine treatment and nursing+pestle needle therapy,n=62),and the pestle needle laser group(routine treatment and nursing+pestle needle therapy+laser therapy,n=61).Before intervention and after 4 weeks of intervention,the pain degree,the lumbar dysfunction,and the therapeutic effect of patients in the three groups were evaluated by Visual Analogue Scale(VAS),Japanese Orthopaedic Association(JOA)score,and the Diagnostic Criteria for TCM Syndromes,respectively.Results After 4 weeks of intervention,the VAS scores in the 3 groups were lower than those before intervention,and the JOA scores in the 3 groups were higher than those before intervention(P<0.05).The VAS score in the pestle needle laser group was lower than that in the pestle needle group and the control group(P<0.05).The JOA score in the pestle needle laser group was higher than that in the pestle needle group and the control group(P<0.05).After 4 weeks of intervention,the effective rate in the pestle needle laser group(95.08%)was significantly higher than that in the control group(74.58%)and the pestle needle group(83.87%)(P<0.05).Conclusion The combination of pestle needle therapy and laser therapy can significantly relieve the pain and improve the lumbar function in the treatment of patients with cold-dampness type LDH.Pestle needle therapy combined with laser therapy is more effective than pestle needle therapy alone in the treatment of patients with cold-dampness type LDH.
作者
李琤
苟鑫
刘栩豪
陈俊竹
Li Cheng;Gou Xin;Liu Xuhao;Chen Junzhu(Department of Orthopedics,Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610072,China)
出处
《成都医学院学报》
CAS
2024年第4期666-669,共4页
Journal of Chengdu Medical College
基金
四川省卫生健康委员会干部保健科研项目(No:CGB2023089)
成都中医药大学“杏林学者”学科人才科研提升计划(No:CCCX2023009)。
关键词
杵针疗法
激光疗法
腰椎间盘突出症
Pestle needle therapy
Laser therapy
Lumbar disc herniation
