毫火针联合温针法治疗腰椎间盘突出症的临床效果分析

Analysis of Clinical Effect of the Treatment of Lumbar Intervertebral Disc Herniation by the Mild Fire Needle Combined with Warm Needle

目的探讨腰椎间盘突出症(Lumbar Disc Herniation,LDH)采用毫火针联合温针法治疗的临床效果。方法方便选取2022年3月—2023年8月山东颐养健康集团新汶中心医院收治的92例LDH患者为研究对象,以随机数表法分成对照组和研究组,每组46例,对照组给予温针法治疗,研究组给予毫火针联合温针法治疗,比较两组临床疗效、中医证候积分、疼痛程度、腰椎功能、不良反应。结果研究组治疗总有效率为95.65%,高于对照组的80.43%,差异有统计学意义(χ^(2)=5.060,P<0.05)。治疗后,两组患者中医证候积分均下降,且研究组低于对照组,差异有统计学意义(P<0.05);治疗后,两组患者疼痛视觉模拟评分下降,研究组低于对照组,差异有统计学意义(P<0.05);治疗后,两组患者日本骨科协会评估治疗分数(Japanese Orthopaedic Association Scores,JOA)评分升高,Oswestry功能障碍指数问卷表(Oswestry Disability Index,ODI)评分下降,研究组JOA评分高于对照组,ODI评分低于对照组,差异有统计学意义(P均<0.05)。研究组不良反应发生率为8.70%低于对照组的15.22%,但差异无统计学意义(P>0.05)。结论毫火针联合温针法用于治疗LDH,可提高临床疗效,促进缓解临床症状、减轻疼痛程度、改善腰椎功能,安全性较高。

Objective To investigate the clinical effect of treating lumbar disc herniation(LDH)with mild fire needle combined with warm needle.Methods A total of 92 patients with LDH admitted to Shandong Yiyang Health Group Xinwen Central Hospital from March 2022 to August 2023 were conveniently selected as the study objects,and were divided into control group and study group by random number table method,with 46 cases in each group.The control group was treated with warm acupuncture,and the study group was treated with mild fire needle combined with warm needle.The clinical efficacy,Tranditional Chinese Medicine(TCM)syndrome score,pain degree,lumbar function and adverse reactions were compared between the two groups.Results The total effective rate of the study group was 95.65%,which was higher than that of the control group(80.43%),the difference was statistically significant(χ^(2)=5.060,P<0.05).After treatment,TCM syndrome scores of both groups decreased,and the study group was lower than the control group,the difference was statistically significant(P<0.05);after treatment,the Visual Analogue Scale score of pain in two groups decreased,and the study group was lower than the control group,the difference was statistically significant (P<0.05);after treatment, the Japanese Orthopaedic Association Scores (JOA) increased and the Oswestry Disability Index (ODI) score decreased in both groups, JOA score of the study group was higher than that of the control group, and ODI score was lower than that of the control group, the differences were statistically significant (all P< 0.05). The incidence of adverse reactions in the study group was 8.70%, which was lower than that in the control group (15.22%), but there was no statistically significant different between the two groups (P>0.05). Conclusion The mild fire needle combined with warm needle for the treatment of LDH can improve the clinical efficacy, promote the relief of clinical symptoms, reduce the degree of pain, improve the function of lumbar spine, and have high safety.