针刀治疗腰椎间盘突出症患者的效果及对JOA评分、Barthel指数、VAS评分和ODI的影响研究

Effect of needle knife on patients with lumbar disc herniation and its effect on JOA score, Barthel index, VAS score and ODI

目的 探究针刀治疗腰椎间盘突出症患者的效果及对日本骨科学会腰痛疾患评定表(JOA)评分、Barthel指数、疼痛视觉模拟量表(VAS)评分和Oswestry功能障碍指数(ODI)的影响。方法 回顾性分析2019年11月至2021年4月于航空总医院骨科、中医科就诊的84例腰椎间盘突出症患者,按治疗方式分组,实施针灸治疗42例患者为对照组,实施针刀治疗42例患者为研究组。比较两组治疗4周后临床疗效,治疗前及治疗4周后JOA评分、Barthel指数评分、VAS评分、ODI评分。结果 治疗4周后,研究组总有效率(95.24%)高于对照组(76.19%),差异有统计学意义(P <0.05)。与治疗前比较,两组JOA评分均升高,VAS评分均降低,差异有统计学意义(P <0.05);与对照组比较,治疗4周后研究组JOA评分上升更明显,VAS评分下降更明显,差异有统计学意义(P <0.05)。与治疗前比较,两组Barthel指数均升高,ODI均降低,差异有统计学意义(P <0.05);与对照组比较,治疗4周后研究组Barthel指数上升更明显,ODI降低更明显,差异有统计学意义(P <0.05)。结论 相比常规针灸治疗,对腰椎间盘突出症患者实施针刀治疗具有较好的治疗效果,可有效缓解腰椎疼痛程度,改善临床症状,促进腰椎功能恢复。

Objective To explore the efficacy of needle knife in the treatment of lumbar disc herniation and its influence on the scores of JOA, Barthel index, VAS and Oswestry disability index(ODI). Methods A retrospective analysis of 84patients with lumbar disc herniation who visited the Department of Orthopedics and Department of Traditional Chinese Medicine of Aviation General Hospital from November 2019 to April 2021. The patients were grouped according to the treatment method, 42 patients who received acupuncture and moxibustion were the control group, and 42 patients who received acupuncture treatment were the research group. The clinical efficacy of the two groups after 4 weeks of treatment,JOA score, Barthel index score, VAS score, ODI score before and after 4 weeks of treatment were compared. Results After 4 weeks of treatment, the total effective rate in the study group(95.24%) was higher than that in the control group(76.19%), and the difference was statistically significant(P < 0.05). Compared with before treatment, the JOA scores in the two groups were increased, and the VAS scores were decreased, and the differences were statistically significant(P < 0.05).Compared with the control group, after 4 weeks of treatment, the JOA score in the study group increased more significantly,and the VAS score decreased more significantly, and the differences were statistically significant(P < 0.05). Compared with before treatment, the Barthel index in the two groups was increased, and the ODI was decreased, and the differences were statistically significant(P < 0.05). Compared with the control group, after 4 weeks of treatment, the Barthel index in the study group increased more obviously, and the ODI decreased more obviously, and the differences were statistically significant(P < 0.05). Conclusion Compared with conventional acupuncture treatment, needle knife treatment for patients with lumbar disc herniation has better therapeutic effect, which can effectively alleviate the degree of lumbar pain, improve clinical symptoms and promote the recovery of lumbar function.