烙灸联合腰背肌功能锻炼对后纵韧带破裂型腰椎间盘突出症患者髓核重吸收及复发率的影响

Effects of flipping moxibustion combined with lumbodorsal muscle function exercise on pulpiform nucleus reabsorption and recurrence rate of patients with prolapse of lumbar intervertebral disc of posterior longitudinal lignmentous rupture type

目的观察烙灸联合腰背肌功能锻炼对后纵韧带破裂型腰椎间盘突出症患者髓核重吸收及复发率的影响。方法将经过常规保守治疗达到临床治愈的24例后纵韧带破裂型腰椎间盘突出症患者随机分为治疗组和对照组,各12例。对照组予腰背肌功能锻炼;治疗组在腰背肌功能锻炼的基础上予烙灸疗法,每周烙灸1次,每次30 min,治疗6月后追踪随访1年,比较2组的髓核吸收率及复发率。结果治疗组髓核吸收率为41.67%,对照组为16.67%,2组比较差异有统计学意义(P<0.05);经过1年随访,治疗组复发率为25.00%,对照组为50.00%,2组比较差异有统计学意义(P <0.05);治疗组中髓核重吸收的患者复发率为20.00%,未发生髓核重吸收的患者复发率为28.57%,比较差异有统计学意义(P<0.05)。结论在腰背肌功能锻炼的基础上联合烙灸疗法,可以促进后纵韧带破裂型腰椎间盘突出症患者的髓核重吸收,进而降低腰椎间盘突出症的复发率,值得临床推广。

Objective To observe the effects of flipping moxibustion combined with lumbodorsal muscle function exercise on pulpiform nucleus reabsorption and recurrence rate of patients with prolapse of lumbar intervertebral disc of posterior longitudinal lignmentous rupture type.Methods Twenty-four cases with prolapse of lumbar intervertebral disc of posterior longitudinal lignmentous rupture type which had achieved the clinical cure effect after routine conservative treatment were randomly divided into treatment group and control group,with 12 cases in each.The control group was given lumbodorsal muscle function exercise;while the treatment group was given flipping moxibustion on the basis of lumbodorsal muscle function exercise,flipping moxibustion once a week,30 min per time.Follow-up 1 year after 6 months of treatment,the pulpiform nucleus reabsorption rate and recurrence rate of the 2 groups were compared.Results The pulpiform nucleus reabsorption rate of the treatment group was 41.67%,that of the control group was 16.67%,there was statistically significant difference between the two groups(P<0.05).After 1 year of follow-up,the recurrence rate of the treatment group was 25.00%,that of the control group was50.00%,there was statistically significant difference between the two groups(P<0.05).In the treatment group,the recurrence rate of patients with pulpiform nucleus reabsorption was 20.00%,and that of patients without pulpiform nucleus reabsorption was 28.57%,there was statistically significant difference(P<0.05).Conclusion Combined flipping moxibustion on the basis of lumbodorsal muscle function exercise can promote the pulpiform nucleus reabsorption of patients with prolapse of lumbar intervertebral disc of posterior longitudinal lignmentous rupture type,and then reduce the recurrence rate of prolapse of lumbar intervertebral disc,which deserves clinical promotion.