臭氧侧隐窝注射联合内热针对腰椎间盘突出症患者疼痛症状与生活质量的影响

Effect of Ozone Lateral Recess Injection Combined with Internal Heat Acupuncture on Pain Symptoms and Quality of Life in Patients with Lumbar Disc Herniation

目的 研究臭氧侧隐窝注射联合内热针对腰椎间盘突出症(LDH)患者疼痛症状与生活质量的影响。方法 选取2021年1月-2023年1月吉安志强中西结合医院收治的60例LDH患者,经随机数字表法分为对照组(30例)与观察组(30例)。对照组给予臭氧侧隐窝注射治疗,观察组在其基础上联合内热针治疗,比较两组疼痛症状[视觉模拟评分(VAS)、腰痛欧氏功能障碍指数(ODI)评分]、中医症状积分、腰椎功能[日本骨科协会评分(JOA)]、生活质量[健康调查简表(SF-36)]。结果 两组治疗后VAS、腰痛ODI评分低于治疗前,且观察组治疗后VAS、腰痛ODI评分低于对照组(P<0.05);两组治疗后中医症状积分(主症、次症)低于治疗前,且观察组治疗后中医症状积分(主症、次症)低于对照组(P<0.05);两组治疗后JOA评分(主观症状、临床体征、日常生活受限度)高于治疗前,且观察组治疗后JOA评分(主观症状、临床体征、日常生活受限度)高于对照组(P<0.05);两组治疗后SF-36评分高于治疗前,且观察组治疗后SF-36评分高于对照组(P<0.05)。结论 臭氧侧隐窝注射联合内热针可减轻LDH患者的疼痛症状,缓解其中医症状表现,有助于腰椎功能的改善,可提高患者生活质量。

Objective To study the effect of ozone lateral recess injection combined with internal heat acupuncture on pain symptoms and quality of life in patients with lumbar disc herniation(LDH).Methods Sixty patients with LDH admitted to Ji'an Zhiqiang Hospital of Integrated Traditional Chinese and Western Medicine from January 2021 to January 2023 were selected and divided into control group(30 patients)and observation group(30 patients)by random number table method.The control group was treated with ozone lateral recess injection,and the observation group was treated with internal heat acupuncture on the basis of the control group.The pain symptoms[Visual Analogue Scale(VAS),low back pain Oswestry disability index(ODI)score],TCM symptom score,lumbar function[Japanese Orthopaedic Association score(JOA)],quality of life[Short-Form 36-Item Health Survey(SF-36)]were compared between the two groups.Results The VAS and low back pain ODI scores of the two groups after treatment were lower than those before treatment,and the VAS and low back pain ODI scores of the observation group after treatment were lower than those of the control group(P<0.05).After treatment,the scores of TCM symptoms(main symptoms and secondary symptoms)in the two groups were lower than those before treatment,and the scores of TCM symptoms(main symptoms and secondary symptoms)in the observation group were lower than those in the control group(P<0.05).The JOA scores(subjective symptoms,clinical signs and daily life limitation)of the two groups after treatment were higher than those before treatment,and the JOA scores(subjective symptoms,clinical signs and daily life limitation)of the observation group after treatment were higher than those of the control group(P<0.05).The SF-36 score of the two groups after treatment was higher than that before treatment,and the SF-36 score of the observation group after treatment was higher than that of the control group(P<0.05).Conclusion Ozone lateral recess injection combined with internal heat acupuncture can reduce the pain symptoms of LDH patients,relieve their TCM symptoms,help improve lumbar function,and improve the quality of life of patients.