内热针治疗腰椎间盘突出症疗效观察及红外热成像研究

Clinical observation on treating lumbar disc herniation by internal heat acupuncture and a study with infrared thermal imaging

目的:探讨内热针治疗腰椎间盘突出症的临床疗效,并通过红外热成像研究内热针治疗对腰部软组织供血状态的影响。方法:以我院2017年1-12月收治的132例腰椎间盘突出症患者作为观察研究对象,随机分为电针治疗的对照组(n=66)及内热针治疗的观察组(n=66),对比分析两组患者的临床效果及腰部软组织供血状况。结果:(1)治疗4个疗程后,观察组患者治疗后疼痛指数(3.2±1.0)与腰部温度(34.2±2.1)低于治疗前与对照组,LFR评分(8.4±2.1)与JOA评分(21.6±3.5)高于治疗前与对照组,差异具有统计学意义(P <0.05);(2)经统计分析,观察组患者治疗的总有效率高达98.49%,高于对照组的78.78%,而观察组患者满意度高达95.45%,显著高于对照组的80.30%,差异均具有统计学意义(P <0.05)。结论:内热针治疗腰椎间盘突出的临床疗效好,且能显著提高患者腰部温度,改善患者腰部软组织供血状态,值得临床推广。

Objective： To investigate the clinical efficacy of internal heat acupuncture on lumbar disc herniation, and study it’s efect on the blood supply status of lumbar soft tissue with infrared thermal imaging. Methods： 132 patients with lumbar disc herniation in our hospital were randomly divided into the control group （n=66） and observation group （n=66）. The clinical efects and the soft tissue supply of the waist in two groups were compared and analyzed. Results： After 4 courses of treatment, the pain index （3.2±1.0） and waist temperature （34.2±2.1） in the observation group were lower than those before treatment and the control group, LFR score （8.4±2.1） and JOA score （21.6±3.5） were higher than those before treatment and the control group, with a statistically signifcant diference （P〈0.05）. According to statistical analysis, the total efective rate in the observation group （98.48%） was higher than 78.79% in the control group, while the satisfaction in the observation group （95.45%） was significantly higher than 80.30% in the control group.Conclusion： The treatment of lumbar intervertebral disc by internal heat acupuncture has outstanding clinical efect, and can signifcantly improve the waist temperature of patients and improve the blood supply state of lumbar soft tissue of patients. It is worthy of clinical promotion.