经络皮部理论配合脊神经定位诊断技术治疗腰椎间盘突出症远期疗效观察

Long term curative effect of lumbar disc herniation with Meridian-skin theory combined with spinal nerve localization diagnosis technique

目的:观察经络皮部理论配合脊神经定位诊断技术治疗腰椎间盘突出症的远期疗效,为临床诊疗提供依据。方法:本研究选取2021年1月—2021年12月期间90例腰椎间盘突出症志愿受试者为研究对象,采用随机对照试验的方法,分别给予皮部针刺治疗、脊神经定位诊断技术配合针刺治疗、脊神经定位诊断技术配合皮部针刺治疗,对患者治疗前后及治疗后3个月、6个月VAS评分和JOA评分指标进行疗效观察,并进行远期疗效评价。结果:(1)治疗后3个月和6个月进行疗效评估,三组患者治疗后VAS评分和JOA评分均有改善,其中经络皮部理论配合脊神经定位诊断技术组的改善程度优于其他两组;(2)治疗后6个月统计远期疗效,三组的总有效率分别为20%、24%、27%,差异有统计学意义(P<0.05),说明对比皮部针刺治疗组和脊神经定位诊断技术配合针刺治疗组,经络皮部理论配合脊神经定位诊断技术治疗腰椎间盘突出症的远期疗效更突出。结论:经络皮部理论配合脊神经定位诊断技术治疗腰椎间盘突出症疗效肯定,对比皮部针刺治疗和脊神经定位诊断技术配合针刺治疗,远期疗效更为理想,疾病复发率更低。

Objective To observe the long term curative effect of Meridian-skin theory combined with spinal nerve localization diagnosis technique in the treatment of lumbar disc herniation.Methods In this study,90 volunteer subjects of lumbar disc herniation from January 2021 to December 2021 were selected as the study objects,and a randomized controlled trial was used to give Meridian-skin acupuncture treatment(group 1),spinal nerve localization diagnosis technology combined with acupuncture treatment(group 2),and spinal nerve localization diagnosis technology combined with Meridian-skin acupuncture treatment(group 3).VAS score and JOA score indexes were observed before and after treatment,3 months and 6 months after treatment,and thelong term therapeutic effect was evaluated.Results 3 and 6 months after treatment,VAS score and JOA score of the three groups were statistically significant compared with those before treatment,suggesting that treatment of the three groups was effective in improving pain and symptoms,and the group3 was higher than that of group B and group A.(2)6 months after treatment,the long-term curative effect was calculated,and the total effective rate of the three groups was 20%,24%and 27%,indicating that the Meridian-skin theory combined with spinal nerve localization diagnosis technique had more prominent long-term curative effect.Conclusion The Meridian-skin theory combined with spinal nerve localization diagnosis technology has a positive long-term effect in the treatment of lumbardisc herniation.