病变节段电针治疗腰椎间盘突出症椎间孔镜术后残留症状的临床疗效
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山东省青岛市市立医院

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The clinical effect of pathological segment electroacupuncturein the treatment of residual symptoms of percutaneous endoscopic lumbar discectomy
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qingdao municipal hospital

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    摘要:

    目的 探讨病变节段电针治疗腰椎间盘突出症椎间孔镜术后残留症状的临床疗效。方法 2015年1月~2018年12月在我院接受经皮内镜下腰椎间盘摘除(PELD)治疗单节段腰椎间盘突出症术后仍存在同侧腰部及下肢神经症状患者69例,随机分为对照组(34)及观察组(35例),其中对照组给予非甾体抗炎止痛药及神经营养治疗;观察组给予夹脊穴电针治疗。 结果 ① 本研究时间内我院共开展PELD手术835例,其中82例患者术后出现残余症状,总发病率为9.82%,69例符合纳入标准。② 两组患者在性别、年龄、侧别、病变节段及突出类型、手术时间等方面差异无统计学意义(P>0.05)。③ 两组患者治疗后2周VAS评分,差异无统计学意义(P>0.05),治疗后4周,观察组显著优于对照组,差异有统计学意义(P<0.01)。④两组患者BMRC感觉功能损伤分级比较,治疗后观察组恢复率显著高于术前及对照组,差异有统计学意义(P<0.05)。⑤腰痛ODI指数比较,治疗后2周两组患者均ODI指数优于治疗前,差异有统计学意义(P<0.01)。结论 病变节段电针能够显著减轻PELD术后病变节段疼痛,改善神经根的炎性病变,有利于神经功能的恢复。

    Abstract:

    Objective To explore the clinical effect of the treatment of residual symptoms of percutaneous endoscopic lumbar discectomy by segment electroacupuncture . Methods From January 2015 to December 2018, 69 patients with ipsilateral lumbar and lower extremity neurological symptoms still existed after the operation of single segment lumbar disc herniation were treated in our hospital. They were randomly divided into control group (34 cases) and observation group (35 cases), in which the control group was treated with nonsteroidal anti-inflammatory and analgesic drugs; the observation group was treated with Jiaji point electroacupuncture . Results ① During the study period, 835 cases of were operated with PELD in our hospital, of which 82 cases had residual symptoms, the total incidence was 9.82%, 69 cases met the inclusion criteria.② There was no significant difference between the two groups in gender, age, side, lesion segment, type of protrusion and operation time (P > 0.05).③ There was no significant difference in VAS score between the two groups at 2 weeks after treatment (P > 0.05). At 4 weeks after treatment, the observation group was significantly better than the control group (P < 0.01).④ Comparison of sensory function injury grades of BMRC between the two groups, the recovery rate of the observation group was significantly higher than that of the control group (P < 0.05).⑤ Compared with the ODI index, the ODI index of the two groups treatment was better than before, the difference was statistically significant (P < 0.01). Conclusion The combination of pathological segment electroacupuncture and Dahuoluo pill could significantly reduce the pain of pathological segment after PELD, improve the inflammatory lesions of nerve root, and facilitate the recovery of nerve function.

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  • 收稿日期:2020-02-03
  • 最后修改日期:2020-02-03
  • 录用日期:2020-04-22
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