| 引用本文: |
王涵翰,蒋逸涵,闫朝勃,王玉盼,岳增辉,朱伟.恢刺电针结合康复训练治疗腰椎间盘突出症的临床观察[J].湖南中医药大学学报,2021,41(7):1054-1059[点击复制] |
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| 恢刺电针结合康复训练治疗腰椎间盘突出症的临床观察 |
| 王涵翰,蒋逸涵,闫朝勃,王玉盼,岳增辉,朱伟 |
| (湖南中医药大学, 湖南 长沙 410208;湖南省中医药研究院附属医院, 湖南 长沙 410006) |
| 摘要: |
| 目的 探讨采用恢刺电针治疗结合腰部康复训练对腰椎间盘突出症的临床疗效。方法 将63例腰椎间盘突出症患者随机分为试验组（n=32）和对照组（n=31），试验组给予恢刺电针治疗并结合腰部康复训练（改良麦肯基疗法），对照组仅给予腰部康复训练（改良麦肯基疗法）。比较2组患者治疗前后视觉疼痛模拟评分法（visual analogue scale，VAS）、改良日本骨科学会腰痛评分表（improvement japanese orthopacdic association score，M-JOA）问卷评分，检测治疗前后2组患者炎症因子水平，并比较两组患者的临床疗效。结果 临床总有效率试验组为93.75%，对照组为74.19%，两组差异有统计学意义（P<0.05）。治疗后，两组VAS评分及M-JOA评分均较治疗前明显下降（P<0.05或P<0.01）；且试验组VAS评分及M-JOA评分的腰部疼痛、下肢放射痛、麻木、椎旁压痛、步行时间、工作能力方面评分均低于对照组（P<0.05或P<0.01）。治疗后，两组血清白细胞介素-1β（interleukin-1β，IL-1β）和白细胞介素-6（interleukin-6，IL-6）水平均较治疗前明显降低（P<0.01）；且试验组显著低于对照组（P<0.01）。结论 恢刺电针结合腰部康复训练可显著提高腰椎间盘突出症患者的临床疗效，在改善患者腰部疼痛、下肢放射痛、麻木、椎旁压痛、步行时间、工作能力及降低血清炎症因子水平方面优于单纯腰部康复训练治疗，值得在临床推广应用。 |
| 关键词: 腰椎间盘突出症 恢刺 电针 康复训练 麦肯基疗法 |
| DOI：10.3969/j.issn.1674-070X.2021.07.014 |
| 投稿时间：2021-04-17 |
| 基金项目:湖南省中医药研究院重点课题（20190106）。 |
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| Clinical Observation of Lumbar Disc Herniation Treated by Hui-acupuncture and Electro-acupuncture Combined with Rehabilitation Training |
| WANG Hanhan,JIANG Yihan,YAN Chaobo,WANG Yupan,YUE Zenghui,ZHU Wei |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Affiliated Hospital of Hunan Academy of Traditional Chinese Medicine, Changsha, Hunan 410006, China) |
| Abstract: |
| Objective To investigate the clinical effect of Hui-acupuncture and electro-acupuncture combined with lumbar rehabilitation training on lumbar disc herniation. Methods 63 patients with lumbar disc herniation were randomly divided into experimental group (n=32) and control group (n=31). The experimental group was treated with Hui-acupuncture and electro-acupuncture combined with lumbar rehabilitation training (modified McKenzie therapy), while the control group was only treated with lumbar rehabilitation training (modified McKenzie therapy). Visual analogue scale (VAS) and improved Japanese Orthopedic Association score (M-JOA) were compared between the two groups before and after treatment. The levels of inflammatory factors of the two groups were detected before and after treatment, and the clinical efficacy of the two groups was compared. Results The clinical total effective rate was 93.75% in the experimental group and 74.19% in the control group, the difference was statistically significant (P<0.05). After treatment, the VAS score and M-JOA score of the two groups were significantly lower than those before treatment (P<0.05 or P<0.01); and the VAS score and M-JOA score of the experimental group were lower than those of the control group in the aspects of lumbar pain, lower limb radiation pain, numbness, paravertebral tenderness, walking time and working ability (P<0.05 or P<0.01). After treatment, the levels of serum interleukin-1 β (IL-1 β) and interleukin-6 (IL-6) in the two groups were significantly lower than those before treatment (P<0.01); and the experimental group was significantly lower than the control group (P<0.01). Conclusion Hui-acupuncture and electro-acupuncture combined with lumbar rehabilitation training can significantly improve the clinical efficacy of patients with lumbar disc herniation. It is superior to simple lumbar rehabilitation training in improving lumbar pain, lower limb radiation pain, numbness, paravertebral tenderness, walking time, working ability and reducing serum inflammatory factor level, which is worthy of clinical application. |
| Key words: lumbar disc herniation Hui-acupuncture electro-acupuncture rehabilitation training McKenzie therapy |
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