铍针联合电磁波照射治疗后路腰椎椎间融合术后腰痛临床研究

Clinical Study on Stiletto Needle Combined with Electromagnetic Wave Irradiation for Pain in Low Back After Posterior Lumbar Interbody Fushion

目的:观察铍针联合特定电磁波谱(TDP)照射治疗后路腰椎椎间融合术后腰痛的效果。方法:将60例后路腰椎椎间融合术后3~24个月出现腰痛的患者作为研究对象,根据治疗方法分为2组各30例,研究组采用铍针联合TDP照射治疗,每周治疗2次,4次为1个疗程。对照组采用整脊推拿联合TDP照射治疗,每周治疗5次,10次为1个疗程。2组均治疗2个疗程。治疗前后评定腰部疼痛视觉模拟评分法(VAS)评分、日本骨科协会(JOA)下腰痛评分,记录压痛点个数和腰椎活动度。比较2组的临床疗效。结果:治疗后,观察组临床疗效总有效率高于对照组(P<0.05)。2组VAS评分均较治疗前下降,观察组VAS评分低于对照组,差异均有统计学意义(P<0.05)。2组压痛点个数均较治疗前减少,观察组压痛点个数少于对照组,差异均有统计学意义(P<0.05)。2组JOA下腰痛评分均较治疗前升高,观察组JOA下腰痛评分高于对照组,差异均有统计学意义(P<0.05)。2组前屈、后伸、侧屈、旋转等动作的腰椎活动度均较治疗前增加,观察组各个动作的腰椎活动度均大于对照组,差异均有统计学意义(P<0.05)。结论:铍针联合TDP照射治疗对后路腰椎椎间融合术后出现的腰痛有明确的缓解作用,可有效改善腰椎活动度,效果优于整脊推拿联合TDP照射治疗。

Objective:To summarize and discuss the effect of stiletto needle combined with specific electromagnetic spectrum(TDP)irradiation for pain in low back after posterior lumbar interbody fushion.Methods:All patients who had pain in low back from the 3rd month to the 24th month after posterior lumbar interbody fushion were enrolled as the analysis objects,and divided into two groups according to the treatment.Both groups were given TDP irradiation;the study group was additionally given stiletto needle,and treated twice a week,two weeks as one course;the control group was additionally given spinal rotation massage,and treated five times a week,two weeks as a course.Both groups were treated for two courses.Before and after treatment,the scores of Visual Analogue Scale(VAS)and Japanese Orthopaedic Association(JOA)for pain in low back were evaluated,and the number of tender points and the lumbar mobility were recorded.The clinical effect was compared between the two groups.Results:After treatment,the total effective rate in the observation group was higher than that in the control group(P<0.05).The scores of VAS in the two groups were decreased when compared with those before treatment,and the score in the observation group was lower than that in the control group,differences being significant(P<0.05).The number of tender points in the two groups was decreased when compared with that before treatment,and the number in the observation group was lower than that in the control group,differences being significant(P<0.05).The scores of JOA for pain in low back in the two groups were increased when compared with those before treatment,and the score in the observation group was higher than that in the control group,differences being significant(P<0.05).The lumbar mobility including anteflexion,posterior extension,lateral bending and rotation in the two groups was increased when compared with that before treatment,and the lumber mobility of each movement was larger than that in the control group,differences being significant(P<0.05).Conclusion:The therapy of stiletto needle combined with TDP irradiation has significant remission effect on the pain after lumbar fusion with internal fixation,which can effectively improve the lumbar mobility,whose effect is better than that of spinal rotation massage combined with TDP irradiation.