内热针与腰椎牵引治疗腰椎间盘突出症的近期疗效比较

Comparison of the short-term efficacy of inner heating dry needle and lumbar tractionin in treating lumbar disc herniation

目的探讨内热针治疗腰椎间盘突出症的疗效。方法选取2015年5月~11月解放军总医院康复医学中心病区收治的60例腰椎间盘突出症患者。按随机数表随机分成对照组(30例)和试验组(30例),对照组给予腰椎牵引治疗,试验组给予内热针治疗,并比较两组患者治疗前(0 d)和治疗后7 d、1个月、3个月时的VAS评分、PPT结果和SF-36评分。结果治疗前(0 d)和治疗后7 d两组患者视觉模拟(VAS)评分、压痛阈值(PPT)结果和生活质量(SF-36)评分差异均无统计学意义(P>0.05);治疗后1个月和3个月时内热针治疗组患者VAS评分比腰椎牵引治疗组明显减低,而PPT结果和SF-36评分高于腰椎牵引治疗组,两组差异均有统计学意义(P<0.05)。结论内热针和腰椎牵引治疗腰椎间盘突出症均有疗效,疗程结束后7 d时两种治疗方法差异不明显,但在治疗后1个月和3个月时试验组疗效较对照组明显,且疗效稳定。

Objective To investigate the efficacy of inner heating dry needle in treating lumbar disc herniation. Methods Sixty patients with lumbar disc herniation who were admitted to the rehabilitation center ward of the Chinese PLA General Hospital from May 2015 to November 2015 were randomly divided into a control group （30 patients） and an experimental group （30 patients）. Patients in the control group were treated with lumbar traction therapy, and patients in the experimental group were treated with an inner heating dry needle. The VAS,SF-36 score and PPT results were evaluated and compared, respectively, at day 0 （before treatment） and at seven days,one month and three months after treatment. Results The VAS,SF-36 score and PPT results of patients were similar between the control and experimental groups on day 0 （before treatment） and seven days after treatment; the differences were not significant （P〉0.05）. However,the VAS score of the experimental group was significantly lower than that of the control group at one and three months after treatment; the PPT results and SF-36 scores were significantly increased ,and the differences between the two groups were significant （P〈0.05）. Conclusion Both inner heating dry needle and lumbar traction have curative effects for treating lumbar disc herniation. The difference between two treatment methods is not significant at seven days after treatment. However, the efficacy of inner heating dry needle treatment is superior to lumbar traction treatment at one month and three months after treatment, and the results are stable.