针灸联合超短波治疗腰椎间盘突出症的临床疗效

Clinical Efficacy of Acupuncture and Moxibustion Combined with Ultrashort Wave in the Treatment of Lumbar Intervertebral Disc Protrusion

目的:探讨针灸联合超短波治疗腰椎间盘突出症的临床疗效。方法:选取沈阳市二四二医院中医科腰椎间盘突出症患者140例,随机分成观察组和对照组,每组70例,对照组患者采用超短波治疗,观察组在对照组的基础上加以传统中医针灸治疗,连续治疗20 d,对治疗后2组患者的临床疗效及治疗前后日本骨科协会评估治疗(Japanese Orthopaedic Association Scores,JOA)评分、视觉模拟评分(Visual Analogue Scale/Score,VAS)及炎性因子治疗前后肢体运动功能、上下肢肌力、日常生活能力和综合功能进行统计学分析。结果:治疗后,观察组的临床疗效优于对照组,而2组患者治疗后JOA评分、VAS疼痛评分及炎性因子均有显著提高,差异有统计学意义(P<0.05),且对照组的提高程度明显大于观察组,差异有统计学意义(P<0.05)。结论:针灸联合超短波治疗可有效治疗腰椎间盘突出症,能够显著提高腰椎间盘突出症患者的综合能力、缓解患者疼痛。

Objective： To explore the clinical efficacy of acupuncture combined with ultrashort wave on lumbar intervertebral disc protrusion. Methods： A total of 140 patients with lumbar intervertebral disc protrusion were randomly divided into ultrashort wave group and combined treatment group. The ultrashort wave group was treated with ultrashort wave,and the combined treatment group was added traditional acupuncture and moxibustion treatment based on that for continuously 20 days. The clinical efficacy of two groups after treatment,and difference analysis was conducted to Japanese Orthopaedic Association Scores（ JOA）,Visual Analogue Scale（ VAS）,inflammatory factors of limb motor function,upper and lower limb muscle strength,daily living ability and comprehensive function before and after treatment. Results： After treatment,clinical efficacy of combined treatment group was better than ultrashort wave group,and JOA score,VAS pain score and inflammatory factors of two groups were significantly improved（ P〈0. 05）. Moreover,the improvement of ultrashort wave group was significantly larger than that of combined treatment group（ P〈0. 05）. Conclusion： Acupuncture combined with ultrashort wave therapy can effectively treat lumbar intervertebral disc protrusion,and can significantly improve the comprehensive capacity of patients with lumbar intervertebral disc protrusion,as well as relieve pain.