针刀结合定位斜扳法治疗腰椎间盘突出症的临床疗效研究

Clinical Efficay Study on the Treatment of Lumbar Disc Herniation by Acupotomy Combined with Positioning Oblique Pulling Method

目的探讨针刀结合定位斜扳法在腰椎间盘突出症患者中的应用效果。方法选取2021年7月—2023年10月贺州市中医医院收治的120例腰椎间盘突出症患者为研究对象,采用随机数字表法将其分为针刀组、定位斜扳法组和针刀结合定位斜扳法组,每组40例。三组治疗周期均为1个疗程。对比三组患者的疼痛视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)评分、血清肌酸激酶(CK)水平、血清乳酸脱氢酶(LDH)水平。结果三组VAS评分、ODI评分、CK水平治疗前后差值比较,组间差异有统计学意义(P<0.05)。三组LDH水平治疗前后差值比较,差异无统计学意义(P>0.05)。进一步两两比较结果显示,VAS评分、ODI评分治疗前后差值,针刀结合定位斜扳法组高于针刀组和定位斜扳法组,针刀组高于定位斜扳法组,组间差异有统计学意义(P<0.05);血清CK治疗前后差值,针刀结合定位斜扳法组高于针刀组和定位斜扳法组,差异有统计学意义(P<0.05)。结论针刀结合定位斜扳法较单纯应用针刀或者定位斜扳法,能更好地改善腰椎间盘突出症患者的症状体征值得推广,降低腰椎间盘突出症患者血清CK值,值得推广。

Objective To investigate the effect of acupotomy combined with positioning oblique manipulation in patients with lumbar disc herniation.Methods Selecting 120 patients with lumbar disc herniation admitted to Hezhou Traditional Chinese Medicine Hospital from July 2021 to October 2023 as the research subjects.Using a random number table method,the patients were randomly assigned to the acupotomy group,the positioning oblique pulling method group,and the acupotomy combined with positioning oblique pulling method group,with 40 cases in each group.The treatment cycle is one course.Compare the pain Visual Analogue Score(VAS)score,Oswestry Dysfunction Index(ODI)score,serum creatine kinase(CK)levels,and serum lactate dehydrogenase(LDH)levels among the three groups of patients.Results The difference in VAS score,ODI score,and CK level before and after treatment among the three groups was statistically significant(P<0.05).The difference in LDH levels before and after treatment among the three groups was not statistically significant(P>0.05).Further pairwise comparison results showed that the difference in VAS score and ODI score before and after treatment was statistically significant,with the acupotomy combined with positioning oblique pulling method group being higher than the acupotomy group and positioning oblique pulling method group,and the acupotomy group being higher than the positioning oblique pulling method group(P<0.05);the difference in serum CK before and after treatment was statistically significant,with the acupotomy combined with oblique positioning method group being higher than the acupotomy group and oblique positioning method group(P<0.05).Conclusion The combination of acupotomy and positioning oblique pulling method compared to simply using acupotomy or positioning oblique pulling method,can better improve the symptoms and signs of patients with lumbar disc herniation,reduce the serum CK value of patients with lumbar disc herniation,and is worth promoting.