超声引导下针刀联合神经触激治疗腰椎间盘突出症临床观察

Clinical Effect of Ultrasound-guided Acupotomology Combined with Nerve Stimulation in Treatment of Lumbar Disc Herniation

目的探讨超声引导下针刀联合神经触激治疗腰椎间盘突出症(lumbar disc herniation,LDH)的临床价值。方法将60例LDH患者分为试验组与对照组,每组30例,对照组采用超声引导下针刀治疗,试验组采用超声引导下针刀联合神经触激治疗,每周1次,连续4周。采用疼痛视觉模拟评分法(visual analogue score,VAS)评价患者疼痛程度,采用日本骨科协会(Japanese Orthopaedic Association,JOA)评分标准评价患者腰椎功能,采用直腿抬高试验角度观察患者下肢活动度,比较两组疗效并进行统计分析。结果与治疗前比较,治疗后两组患者VAS评分显著降低,JOA评分、直腿抬高角度显著升高,差异均有统计学意义(P<0.05);且试验组VAS评分、JOA评分、直腿抬高角度改善程度均显著优于对照组(P<0.05)。试验组综合疗效优于对照组(P<0.05)。结论超声引导下针刀联合神经触激疗法能够更加精准有效地缓解LDH的临床症状,疗效优于超声引导下针刀松解术。

Objective To investigate the clinical value of ultrasound-guided acupotomology combined with nerve stimulation in the treatment of lumbar disc herniation(LDH).Methods A total of 60 patients with LDH were divided into experimental group and control group,with 30 patients in each group.The patients in the control group received ultrasound-guided acupotomology,and those in the experimental group received ultrasound-guided acupotomology combined with nerve stimulation,once a week for 4 consecutive weeks.Visual Analogue Scale(VAS)score was used to evaluate the degree of pain,the Japanese Orthopaedic Association(JOA)scoring standard was used to evaluate lumbar function,and the angle of straight leg elevation was used to assess the range of motion of lower limbs.Treatment outcome was compared between the two groups,and a statistical analysis was performed.Results After treatment,both groups had a significant reduction in VAS score and significant increases in JOA score and angle of straight leg elevation(P<0.05),and compared with the control group,the experimental group had significantly greater improvements in VAS score,JOA score,and angle of straight leg elevation(P<0.05).The experimentalgroup had a significantly better overall response than the control group(P<0.05).Conclusion Ultrasound-guided acupotomology combined with nerve stimulation can alleviate the clinical symptoms of LDH more accurately and effectively,with a better clinical effect than ultrasound-guided acupotomolysis.