神经干电刺激疗法治疗腰4~5节段腰椎间盘突出症的临床研究

Clinical study of nerve stem electrical stimulation therapy in the treatment lumbar disc herniation at 4-5 levels

目的探讨神经干电刺激疗法对腰4~5节段腰椎间盘突出症(LDH)的临床疗效。方法将2020年1月至2021年10月该院针灸科住院的140例(研究过程中脱落3例,均为失联,实际完成研究137例)LDH患者随机分为观察组(69例)和对照组(68例),观察组采用直接刺激神经干疗法,对照组采用温针灸疗法。2组患者均连续治疗2个疗程。采用改良版日本骨科协会、视觉模拟疼痛量表评分评估2组患者疗效。比较2组患者显效率的差异。结果2组患者治疗后改良版日本骨科协会、视觉模拟疼痛量表评分均明显改善,观察组患者治愈、显效率均明显高于对照组,差异均有统计学意义(P<0.05)。结论神经干电刺激疗法治疗腰4~5节段LDH疗效显著,具有较高的临床应用价值。

Objective To explore the clinical effect of nerve stem electrical stimulation therapy in the treatment lumbar disc herniation(LDH)at 4-5 levels.Methods From January 2020 to October 2021,A total of 140 patients with LDH(three cases dropped out during the study and 137 cases actually completed the study)in the Department of Acupuncture and Moxibustion of the hospital were randomly divided into the observation group(69 cases)and the control group(68 cases).The observation group was treated with direct nerve trunk stimulation,while the control group was treated with warm acupuncture.The patients in both groups were treated continuously for two courses.The improved version of Japanese Orthopedic Association and Visual Analgesia Scale were used to evaluate the efficacy of the two groups.The the difference in marked response rate between the two groups of patients was compared.Results After treatment,the scores of the modified Japanese Orthopedic Association and Visual Analgesia Scale in the two groups were significantly improved,and the cure rate and effective rate in the observation group were significantly higher than those in the control group,with statistical significances(P<0.05).Conclusion Nerve stem electrical stimulation therapy is effective in the treatment of LDH at 4-5 levels,and has high clinical application value.