温针灸联合骶管封闭术对腰椎间盘突出症患者腰椎功能及疼痛程度的影响

Effect of Warm Acupuncture and Moxibustion Combined with Sacral Canal Closure on Lumbar Function and Pain in Patients with Lumbar Disc Herniation

目的探讨温针灸联合骶管封闭术治疗腰椎间盘突出症(LDH)的效果.方法选取山东省文登整骨医院2021年5月—2023年5月收治的120例LDH患者为研究对象,随机将其分为对照组及观察组,每组60例.对照组采用骶管封闭术治疗,观察组在此基础上采用温针灸治疗,均持续治疗4周.比较两组患者的临床疗效、腰椎功能、疼痛程度、功能障碍情况及炎症水平.结果观察组的治疗总有效率为95.00%,高于对照组的83.33%,差异有统计学意义(P﹤0.05).治疗后,观察组的日本骨科协会评估治疗分数为(24.78±2.18)分,高于对照组的(20.13±2.11)分,疼痛视觉模拟评分、Oswestry功能障碍指数评分分别为(1.72±0.24)分、(11.45±1.43)分,均低于对照组的(2.22±0.35)分、(13.25±1.49)分,组间差异有统计学意义(P﹤0.05);观察组的白细胞介素-6、C反应蛋白及肿瘤坏死因子-α水平分别为(65.35±6.17)pg/mL、(5.63±1.12)mg/L、(50.41±5.13)pg/mL,均低于对照组的(70.51±6.85)pg/mL、(7.24±1.18)mg/L、(55.47±5.36)pg/mL,组间差异有统计学意义(P﹤0.05).结论采用温针灸联合骶管封闭术治疗LDH效果显著,可加快局部炎症消退,减轻疼痛,更好地恢复腰椎功能,值得临床推广使用.

Objective To investigate the effect of warm acupuncture and moxibustion combined with sacral canal closure on lumbar disc herniation(LDH).Methods 120 patients with LDH admitted to Shandong Wendeng Orthopedic Hospital from May 2021 to May 2023 were selected as the study objects,and were randomly divided into a control group and an observation group,with 60 cases in each group.The control group was treated with sacral canal closure,and the observation group was treated with warm acupuncture and moxibustion on this basis.Both groups were treated for 4 weeks.The clinical efficacy,lumbar function,pain degree,dysfunction and inflammation level were compared between the two groups.Results The total effective rate of the observation group was 95.00%,higher than 83.33%of the control group,the difference was statistically significant(P﹤0.05).After treatment,the Japanese Orthopaedic Association evaluation score in the observation group was(24.78±2.18)points,which was higher than(20.13±2.11)points in the control group,while the pain Visual Analogue Score and Oswestry Disability Index score were(1.72±0.24)points and(11.45±1.43)points,respectively,which were lower than(2.22±0.35)points and(13.25±1.49)points in the control group,and the differences between the groups were statistically significant(P﹤0.05);the levels of interleukin-6,C-reactive protein and tumor necrosis factor-αin the observation group were(65.35±6.17)pg/mL,(5.63±1.12)mg/L and(50.41±5.13)pg/mL,respectively,which were lower than(70.51±6.85)pg/mL,(7.24±1.18)mg/L and(55.47±5.36)pg/mL in the control group,and the differences between the groups were statistically significant(P﹤0.05).Conclusion Warm acupuncture and moxibustion combined with sacral canal closure is effective in the treatment of LDH patients,which can accelerate the local inflammation regression,reduce pain,and better restore lumbar function,and is worthy of clinical promotion.