摘要
目的:观察电针腰椎华佗夹脊穴与椎间孔镜手术治疗腰椎间盘突出症(LDH)临床疗效。方法:收集187例LDH患者,根据患者意愿分为电针组(n=95)和椎间孔镜组(n=92)。电针组在病变节段患侧选取华佗夹脊穴施以电针治疗,椎间孔镜组则在椎间孔镜系统下行病变节段突出髓核摘除术。比较两组患者VAS、ODI、SF-36量表评分及直腿抬高角度、疗效。结果:治疗后,两组患者VAS、ODI、SF-36评分和直腿抬高角度较治疗前改善(均P<0.05)。治疗后1个月、治疗后3个月,椎间孔镜组VAS、ODI、SF-36评分及直腿抬高角度改善优于电针组(均P<0.05)。治疗后6个月,两组患者VAS、ODI评分比较,差异无统计学意义(均P>0.05),椎间孔镜组直腿抬高角度、SF-36评分改善优于电针组(均P<0.05)。治疗后12个月,两组患者VAS、ODI、SF-36评分及直腿抬高试验比较,无统计学意义(均P>0.05)。治疗后1个月,椎间孔镜组优良率高于电针组(P<0.05);治疗后12个月,椎间孔镜组优良率与电针组比较,差异无统计学意义(P>0.05)。结论:电针腰椎华佗夹脊穴与椎间孔镜手术治疗腰椎间盘突出症均有效,可改善临床症状,提高生活质量。椎间孔镜组近期疗效优于电针治疗组,两组远期疗效相近。
Objective:To observe clinical efficacy of electro-acupuncture at Huatuo Jiaji points and percutaneous endoscopic lumbar discectomy in the treatment of patients with lumbar disc herniation(LDH).Methods:187 patients with LDH were divided into electro-acupuncture group 95 cases and percutaneous endoscopic lumbar discectomy(PELD)group 92 cases.Patients in the electro-acupuncture group was treated with electro-acupuncture at Huatuo Jiaji points on the diseased segment of affected side,while the PELD group protruding nucleus pulposus removed by PELD system.The VAS score,ODI score,SF-36 score,straight leg elevation angle and efficacy were compared between the two groups.Results:After treatment,VAS score,ODI score,SF-36 score and straight leg elevation angle of the two groups were improved compared with before treatment(all P<0.05).One and three months after treatment,VAS score,ODI score,SF-36 score and straight leg elevation angle improvement in the PELD group were better than those in the electro-acupuncture group(all P<0.05).Six months after treatment,there were no significant differences in VAS and ODI scores between two groups(all P>0.05).The improvement of straight leg elevation angle and SF-36 score in the PELD group were better than those in the electro-acupuncture group(all P<0.05).Twelve months after treatment,there were no statistically significant differences in VAS score,ODI score,SF-36 score and straight leg elevation test between the two groups(all P>0.05).One month after treatment,the excellent and good rate of the PELD group was higher than that of electro-acupuncture group(P<0.05).Twelve months after treatment,there was no significant difference in the excellent and good rate between the two groups(P>0.05).Conclusion:Electro-acupuncture at Huatuo Jiaji points and PELD are effective in the treatment of lumbar disc herniation,which can improve the clinical symptoms and improve the quality of life.The short-term treatment of PELD group was better than that of electro-acupuncture group,and the long-term eff
作者
谢晓亮
樊天佑
李玉梅
顾晶亮
裘敏蕾
XIE Xiaoliang;BISSOMBOLO MAKELE Robert;FAN Tianyou;LI Yumei;GU Jingliang;QIU Minlei(Shanghai Municipal Hospital of Traditional Chinese Medicine,ShanghaiUniversity of Traditional Chinese Medicine,Shanghai 200071,China)
出处
《陕西中医》
CAS
2022年第6期789-792,共4页
Shaanxi Journal of Traditional Chinese Medicine
基金
上海申康发展中心促进市级医院临床技能与临床创新三年行动计划重大临床研究项目(SHDC2020CR1051B)。
关键词
腰椎间盘突出症
电针
华佗夹脊穴
经皮内镜下腰椎间盘切除术
生活质量
Lumbar disc herniation
Electro-acupuncture
Huatuo Jiaji points
Percutaneous endoscopic lumbar discectomy
Quality of life
