电针夹脊穴联合康复训练治疗腰椎间盘突出症疗效分析

Curative Effect of Electro-Needling Jiaji Points Combined with Rehabilitation Training in the Treatment of LDH

目的:分析电针夹脊穴联合康复训练对腰椎间盘突出症患者的临床疗效。方法:选取我院收治的腰椎间盘突出症患者115例,按随机数字表法将其分为对照组(n=57)和实验组(n=58)。对照组给予康复训练治疗,实验组在此基础上给予电针夹脊穴治疗。于治疗前后对两组社会活动和功能、疼痛、腰部功能改善情况及相关指标进行比较。结果:与治疗前比较,治疗后两组VAS、ODI、JOA评分均显著改善,且实验组显著优于对照组(P<0.01);与治疗前比较,治疗后两组血浆血栓素B2水平均显著降低,且实验组显著低于对照组(P<0.01);与治疗前比较,治疗后两组血清IL-6、TNF-α水平均显著降低,且实验组显著低于对照组(P<0.01)。结论:电针夹脊穴联合康复训练可有效缓解腰椎间盘突出症患者临床症状,调节其炎性细胞因子及血栓素B2水平,改善生活质量,提高腰部功能,且疗效优于单独康复训练治疗。

Objective:To analyze the clinical effect of electro-needling Jiaji points combined with rehabilitation training in the treatment of lumbar disc herniation LDH. Methods:115 cases of LDH were randomly divided into the control group( n =57) and the study group( n =58).The control group was treated with rehabilitation training,on which basis,the study group was also treated with electro-needling Jiaji points.The improvements of social activity,pain and lumbar function and other related indexes were observed and compared before and after the treatment in the two groups. Results:The scores of VAS,ODI and JOA were significantly improved in the two groups after the treatment;of which the study group improved more significantly( P <0.01).The plasma levels of thromboxane B 2 was significantly decreased in the two groups after the treatment;of which the study group was lower than the control group( P <0.01).The serum levels of IL-6 and TNF-α were also significantly decreased in the two groups;of which the study group was lower than the control group( P <0.01 ). Conclusion:Electro-needling Jiaji points combined with rehabilitation training can significantly relieve the clinical symptoms of LDH,it can regulate the level of inflammatory cytokines and thromboxane B 2,as well as improve the life quality and enhance the waist function,and the efficacy is superior to single rehabilitation training.