电针对腰椎间盘突出症术后患者功能恢复的影响(英文)

EFFECT OF ACUPUNCTURE ON POST-OPERATIVE FUNCTIONAL RECOV-ERY IN PATIENTS WITH LUMBAR INTERVERTEBRAL DISC PROTRUSION

目的:了解针灸对于因腰椎间盘突出症行髓核摘除术后病人功能恢复的临床疗效,评价针灸在辅助治疗因腰椎间盘突出症导致的下腰痛的作用。方法:采用随机分组的方法将已行髓核摘除并椎间植入的患者69人分为两组,针灸组35人术后常规治疗并采用针灸辅助功能恢复,电针刺激肾俞、大肠俞、八髎、秩边、委中,华佗夹脊穴等穴位,并电刺激秩边、委中两穴位,委中予以拔罐,15天一疗程,平均7.36疗程;对照组34人只行常规康复治疗,以JOA评分评价手术前后的功能恢复情况。结果:术后3个月,术后6个月,术后1年的平均临床恢复率,针灸组分别为49.93%.90.31%,95.08%;对照组分别为26.24%,63.42%,71.36%。两组统计分析比较有显著性差异(P<0.05)。结论:针灸对于行髓核摘除并Cage椎间植入的腰椎间盘突出症病人的术后功能恢复有确实的促进作用。

Objective To observe the influence of acupuncture on the post-operative rehabilitation in patients undergoing vertebral pulp extraction due to lumbar intervertebral disc protrusion （LIDP） so as to evaluate its efficacy in the treatment of lumbago induced by LIDP. Methods A total of 69 patients undergoing vertebral pulp extraction were randomized into acupuncture group （ n = 35） and control group （ n = 34）. Patients of acupuncture group were treated with routine rehabilitation method and electroacupuncture （EA） stimulation on Zhìbiān （秩边 BL54） and Wěizhōng （委中 BL40）, acupuncture on Shènshū （ 肾俞 BL23）, Dàchángshū （大肠俞 BL25）, BL54, BL40, Jiájǐ （夹脊 EX-B 2）, Shàngliáo （上髎 BL31）, etc., and cupping on BL40, with 15 days being a therapeutic course and for average 7. 36 courses. Patients of control group were treated with simple rehabilitation method. Functional recovery state was judged before and after surgery by using the standards of Japanese Orthopedic Association （JOA）. Results The average recovery rates of 3 months, 6 months and one year after surgery were 49.93% ,90.31% and 95.08% separately in acupuncture group, and 26.24% ,63.42% and 71.36% successively in control group. The recovery rates of acupuncture group were significantly higher than those of control group at the same time-points （P〈0. 05）. Conclusion Acupuncture has a definite effect on promoting post-operative functional recovery in LIDP patients undergoing vertebral pulp extraction and spinal fusion.