TREATMENT OF 25 CASES OF TRIGEMINAL NEURALGIA WITH ABDOMINAL ACUPUNCTURE THERAPY

Trigeminal Neuralgia is often found in female between 40-60 years old, marked by sudden severe pain on the face (a feeling of knife cutting, electric shock), and it is characterized by sudden, paroxysmal and periodical attack and triggered by touch). The attack usually lasts for 1 to 2 minutes with different intervals. The patient’s life quality can be seriously affected. It is mainly treated with orally taken drugs in western internal department but without satisfactory result, and with local closing therapy in surgical department. The problem may reoccur half a year later in most patients complicated with facial paralysis, so western medicine is not likely to be accepted by the patients. The author has tried to apply abdominal acupuncture in the treatment of 25 cases of trigeminal neuralgia with good effect. The result is as follows.

Complications of high intensity focused ultrasound in patients with recurrent and metastatic abdominal tumors

AIM： To analyze the local and systemic complications of high intensity focused ultrasound （HIFU） for patients with recurrent and metastatic abdominal tumors. METHODS： From Aug 2001 to Aug 2004, 17 patients with recurrent and metastatic abdominal tumors were enrolled in this study. Real-time sonography was taken, and vital signs, liver and kidney function, skin burns, local reactions, and systemic effects were observed and recored before, during, and after HIFU. CT and MR/were also taken before and after HIFU. RESULTS： All 17 patients had skin burns and pain in the treatment region; the next common complication was neurapraxia of the stomach and intestines to variable degrees. The other local and systemic complications were relatively rare. Severe complications were present in two patients; one developed a superior mesenteric artery infarction resulting in necrosis of the entire small intestines, and the other one suffered from a perforation in terminal ileum due to HIFU treatment. CONCLUSION： Although HIFU is a one of noninvasive treatments for the recurrent and metastatic abdominal tumors, there are still some common and severe complications which need serious consideration.

Ultrasound-guided microwave ablation for abdominal wall metastatic tumors: A preliminary study

AIM: To evaluate the feasibility, safety and efficacy of ultrasound-guided microwave (MW) ablation for abdominal wall metastatic tumors. METHODS: From August 2007 to December 2010, a total of 11 patients with 23 abdominal wall nodules (diameter 2.59 cm ± 1.11 cm, range 1.3 cm to 5.0 cm) were treated with MW ablation. One antenna was inserted into the center of tumors less than 1.7 cm, and multiple antennae were inserted simultaneously into tumors 1.7 cm or larger. A 21 gauge thermocouple was inserted near important organs which required protection (such as bowel or gallbladder) for real-time temperature monitoring during MW ablation. Treatment outcome was observed by contrast-enhanced ultrasound and magnetic resonance imaging (MRI) [or computed tomography (CT)] during follow-up. RESULTS: MW ablation was well tolerated by all patients. Six patients with 11 nodules had 1 thermocouple inserted near important organs for real-time temperature monitoring and the maximum temperature was 56 ℃. Major complications included mild pain (54.5%), post-ablation fever (100%) and abdominal wall edema (25%). All 23 tumors (100%) in this group were completely ablated, and no residual tumor or local recurrence was observed at a median follow-up of 13 mo (range 1 to 32 mo). The ablation zone was well defined on contrast-enhanced imaging (contrast-enhanced CT, MRI and/or contrast-enhanced ultrasound) and gradually shrank with time. CONCLUSION: Ultrasound-guided MW ablation may be a feasible, safe and effective treatment for abdominal wall metastatic tumors in selected patients.

Social learning contributions to the etiology and treatment of functional abdominal pain and inflammatory bowel disease in children and adults

This paper reviews empirical work on cognitive and social learning contributions to the etiology and treatment of illness behavior associated with functional abdominal pain and inflammatory bowel disease. A particular emphasis is placed on randomized controlled trials, the majority of which are multi-modal in orientation, incorporating elements of cognitive behavioral therapy, social learning, and relaxation. Based on this review, we offer methodological and clinical suggestions: (1) Research investigations should include adequate sample sizes, long-term follow-up assessments, and a credible, active control group. (2) Standard gastrointestinal practice should include, when appropriate, learning opportunities for patients and family members, for example, instruction regarding the encouragement of wellness behavior.

“Acute postoperative open abdominal wall”: Nosological concept and treatment implications

The so-called 'burst abdomen' has been described for many years and is a well-known clinical condition, whereas the concept of the 'open abdomen' is relatively new. In clinical practice, both nosological entities are characterized by a complex spectrum of symptoms apparently disconnected, which in many cases poses a great challenge for surgical repair. In order to assess the management of these disorders in a more comprehensive and integral fashion, the concept of 'acute postoperative open abdominal wall'(acute POAW) is presented, which in turn can be divided into 'intentional' or planned acute POAW and 'unintentional' or unplanned POAW. The understanding of the acute POAW as a single clinical process not only allows a better optimization of the ther-apeutic approach in the surgical repair of abdominal wallrelated disorders, but also the stratification and collection of data in different patient subsets, favoring a better knowledge of the wide spectrum of conditions involved in the surgical reconstruction of the abdominal wall.

Postoperative Outcome in Children Aged between 6 and 10 Years in Major Abdominal Surgery, Neurosurgery and Orthopedic Surgery

Background: Anticipating postoperative evolution in surgical patients is an important issue in our daily practice. We demonstrated in a previous study that there were multiple predictors of postoperative outcome, including American Society of Anesthesiologists status (ASA), transfusion, emergency, surgery and age. A secondary analysis describing intraoperative and postoperative outcomes was undertaken in children aged between 6 and 10 years old included in the initial study. Objective: To describe intraoperative and postoperative outcomes in children aged between 6 and 10 years old included in the initial cohort in abdominal surgery, neurosurgery and orthopedics. Methods: The secondary analysis of postoperative outcomes in children aged between 6 and 10 years old was retrospectively included in the initial study of 594 patients. The study was approved by the Ethics Committee. Results: There were 88 patients with a mean age of 98.7 ± 13.8 months. The most common surgical interventions were scoliosis in 23 patients (26.1%), limb tumor resection in 8 patients (9.1%), femoral osteotomy in 6 patients (6.8%), intracerebral tumor resection in 6 patients (6.8%), intestinal resection in 5 patients (5.6%), Chiari’s malformation in 4 patients (4.5%), pelvic osteotomy in 4 patients (4.5%) and renal transplantation in 4 patients (4.5%). Most patients (45%) were American Society of Anesthesiologists grade 3 (ASA 3), and 13 (14.8%) were ASA grade 4. Twenty-two (25%) patients had intraoperative and/or postoperative complications (organ dysfunction or sepsis). Two patients (2.3%) had intraoperative hemorrhage, 1 patient (1.1%) had intraoperative difficult intubation, and 1 patient experienced intraoperative anaphylaxis. Nine patients (10.2%) had postoperative neurologic failure, and 2 (2.3%) had postoperative cardio-circulatory failure. Three patients (3.4%) had postoperative septicemia, 2 patients (2.3%) had postoperative pulmonary and urinary sepsis, and 1 patient (1.1%) had postoperative abdominal sepsis. 3 patients (3.4%) had re-operations. 42 (47.7%) patients had intra-operative transfusion. There was 1 in-hospital death (1.1%). The median total length of hospital stay was 9 days [5 - 16]. Conclusion: Twenty-five percent of the patients had intraoperative and/or postoperative complications, and most of them were ASA grade 3 3. Integrating goal-directed therapies to optimize intraoperative management in these patients could be necessary to improve postoperative outcomes in surgical pediatric patients.

OBSERVATION ON THERAPEUTIC EFFECT OF LOCAL SELECTION OF POINTS COMBINED WITH ABDOMINAL ACUPUNCTURE FOR FACIAL SPASM

Objective To observe the therapeutic effect of local selection of points combined with abdominal acupuncture in the treatment of facial spasm. Methods Eighty cases of facial spasm were randomly divided into treatment group and control group, 40 cases in each group,treated respectively by abdominal acupuncture combined with local selected points and local points simply. After 30 sessions of treatment, the therapeutic effect was evaluated. Results In the treatment group, the total effective rate reached 92.5%, the curative rate 75.0%; while in the control group, the total effective rate was 80.0%, the curative rate 55.0% with a significant difference between the two groups ( P<0.05 ). Conclusion The therapeutic effect of abdominal acupuncture combined with local points is superior to that of simple local selection of points in the treatment of facial spasm.

Surgical treatment for abdominal actinomycosis: A report of two cases

Since actinomycosis sometimes causes an abdominal tumor which mimics malignancy, treatment strategy varies from case to case. We herein report two cases which were treated with a combination of antibiotics and surgical intervention. Both patients presented with an intra-abdominal tumor lesion mimicking malignant disease after an appendectomy for acute appendicitis. Case 1 received surgical extirpation of the abdominal tumor in the liver and kidney twice since the clinical diagnosis of actinomycosis was not made. In contrast, case 2 was successfully treated by a combination of antibiotics and laparoscopic surgery following the experience of case 1. When a high probability diagnosis can be made, a laparoscopic approach is a useful and effective option to treat this condition.

Extracellular Fluid Accumulation Predicts Fluid Responsiveness after Hydroxyethyl Starch 70/0.5 Bolus Infusion during Major Abdominal Surgery

Objective: The purpose of this study was to test the hypothesis that extracellular fluid accumulation predicts fluid responsiveness after hydroxyethyl starch (HES) solution bolus infusion during major abdominal surgery. Methods: Twenty patients who underwent elective pancreaticoduodenectomy under general anesthesia were studied. Patients received 4 mL/kg boluses of Ringer’s acetate or 6% HES 70/0.5 solution over 15 min in random order when urine output decreased below 1.0 mL/kg/h. Stroke volume variation (SVV) and stroke volume index (SVI) were measured using the FloTracTM/VigileoTM system at pre-bolus, 15, 30, and 60 min after initiating bolus infusion. The percent change in pre-bolus extracellular fluid volume relative to that at the skin incision for arm (ΔVECF) was measured by bioelectrical impedance. Prediction of fluid responsiveness (an increase in SVI of ≥5%) by pre-bolus SVV or pre-bolus ΔVECF was tested by calculating the area under the receiver operating characteristic curve (AUC). Results: Fluid bolus infusions in this study consisted of 61 Ringer’s acetate infusions and 62 HES infusions. The best AUCs for identifying fluid responsiveness were seen with pre-bolus ΔVECF for HES at 30 min and 60 min (AUC = 0.74, P = 0.022;AUC = 0.74, P = 0.0054, respectively). Optimal threshold values of pre-bolus ΔVECF for predicting fluid responsiveness were 6.5% for 30 min (sensitivity: 78%, specificity: 58%) and 7.7% for 60 min (sensitivity: 56%, specificity: 76%). Conclusion: Extracellular fluid volume predicts fluid responsiveness after HES solution bolus infusion during major abdominal surgery. Substantial fluid responsiveness is observed upon increased accumulation of extracellular fluids.

Locally Advanced Colon Cancer with Abdominal Wall Abscess: A Challenging Case Treated by an Innovative Approach

Colon cancer rarely combines with abscess of the abdominal wall. We here describe a case treated by extensive surgery, biological mesh abdominal wall repair and negative pressure therapy. A 58-year-old woman presented with a locally advanced right colon cancer with abdominal wall abscess and no evidence of distant metastasis. Extended right hemicolectomy was performed with en-bloc excision of the bladder dome, the right annex and full thickness removal of the anterior abdominal wall including the abscess. Abdominal wall repair was perfomed by a biological mesh (PermacolTMBiologic Implant) and to facilitate healing the patient was then treated with Vacuum-Assisted Closure (V.A.C.?) Therapy. Histology showed a mucinous moderately differentiated adenocarcinoma without nodal metastases (n = 57). Surgical margins including the abdominal wall was tumor free. The postoperative clinical course was uneventful. VA.C.? Therapy treatment reported excellent results in terms of active promotion of the granulation tissue, this allowing for a subsequent placement of a skin graft. Patient is alive and disease-free one year after surgery. The present case shows some peculiar characteristics such as the size of the initial lesion, the abdominal wall abscess and the use of innovative devices such as biological mesh and V.A.C.? Therapy. We demonstrate that extensive surgery for locally advanced colon cancer, in high-volume centers, provides favorable results in terms of survival and quality of life.

CLINICAL OBSERVATION ON 36 CASES OF SCAPULOHUMERAL PERIARTHRITIS TREATED BY ABDOMINAL ACUPUNCTURE AND BODY ACUPUNCTURE

Objective: To compare the therapeutic effect of abdominal acupuncture plus body acupuncture and simple body acupuncture in treatment of scapulohumeral periarthritis. Methods: 68 cases of scapulohumeral periarthritis patients were randomly divided into abdominal acupuncture plus body acupuncture (AABA) group (n=36) and simple body acupuncture (BA) group (n=32). In AABA group, abdominal acupuncture points used were Zhongwan(CV 12),Shangqu (KI 17) (on the healthy side) and Huaroumen sanjiao (on the affected side); and body acupoints employed were Jianyu (LI 15), Jianliao(TE 14), Binao (LI 14), Quchi (LI 11), Waiguan (TE 5) and Hegu (LI 4) on the affected side. In BA group, the body acupoints used were the same to those mentioned above. The acupuncture needles were retained for 20 min. Acupuncture treatment was given once daily, with 10 sessions being a therapeutic course and the interval between two courses being one week. 2 courses of treatment were conducted altogether. Results: Following 2 courses of treatment, in AABA and BA groups, 6 (16.7%) and 1 (3.1%) cases were cured, 19 (52.8%) and 12 (37.5%) had remarkable improvement, 11 (30.6%) and 17 (53.1%) had improvement, 0 and 2(6.25%) had no effect respectively. There was a significant difference between two groups in the therapeutic effect (P<0.05). Conclusion: The therapeutic effect of abdominal acupuncture plus body acupuncture is superior to that of simple body acupuncture in treatment of scapulohumeral periarthritis.

腹针导气法联合奥美拉唑治疗咽喉反流性疾病的疗效观察及对焦虑抑郁状态的影响

目的观察腹针导气法联合奥美拉唑治疗肝胃不和型咽喉反流性疾病的临床疗效及对患者焦虑抑郁状态的影响。方法选取90例肝胃不和型咽喉反流性疾病患者作为研究对象,分为观察组和对照组,每组45例。两组均予以口服奥美拉唑肠溶胶囊治疗,观察组另予腹针导气法治疗。比较两组临床疗效,观察两组治疗前后反流症状指数(reflux symptom index,RSI)评分、反流体征评分(reflux finding score,RFS)和医院焦虑抑郁量表(hospital anxiety and depression scale,HADS)评分的变化,比较两组不良反应发生情况。结果观察组总有效率高于对照组,差异具有统计学意义(P<0.05)。治疗后,两组RSI和RFS各单项评分及HADS评分均较治疗前降低(P<0.05),且观察组上述各项评分均低于对照组(P<0.05)。两组均未见明显不良反应事件。结论腹针导气法联合奥美拉唑治疗肝胃不和型咽喉反流性疾病的疗效优于单一奥美拉唑治疗,可促进患者症状与体征恢复,改善焦虑抑郁情绪。

基于“快速康复理念”探讨火龙罐综合灸疗法在腰椎融合术后的效用

目的:基于“快速康复理念”探讨火龙罐综合灸疗法在腰椎融合术后的应用效果,以期为临床早期康复方案的选择提供参考。方法:选择2022年2月至2023年2月于广东省中医院珠海医院脊柱科进行腰椎融合术治疗的126例患者,采用随机数字表法均分为观察组与对照组。对照组术后应用常规康复管理,观察组基于“快速康复理念”实施火龙罐综合灸疗法干预。比较两组康复效果、不良反应发生情况、术后各时间点腹痛程度、干预前后胃肠功能指标水平、临床干预满意度。结果:观察组胃肠功能指标恢复时间短于对照组(P<0.05);观察组术后腹胀腹痛及恶心呕吐总发生率为6.00%,低于对照组的20.00%(P<0.05)。术后8h、32h、56h,观察组VAS评分均低于对照组(P<0.05)。术后3天、术后5天,观察组胃肠激素指标高于对照组(P<0.05)。观察组满意率为96.00%,高于对照组的80.00%(P<0.05)。结论:火龙罐综合灸疗法干预能够显著提升腰椎融合术后患者康复速度,降低不良反应发生风险,同时对患者疼痛反应、胃肠道功能有持续改善作用,患者满意度较高,临床价值显著。

摩腹配合下推七节骨治疗食积内热型小儿便秘临床观察

目的 观察摩腹配合下推七节骨治疗食积内热型小儿便秘的临床效果。方法 门诊收集60例食积内热型便秘患儿,随机分为治疗组和对照组,每组30例。治疗组给予摩腹配合下推七节骨的推拿手法,对照组予口服乳果糖口服溶液,对比2组临床疗效。结果 2个疗程后,治疗组的治疗组愈显率90.00%(27/30)明显高于对照组的66.67%(20/30)(P<0.05);1个疗程后、2个疗程后,治疗组的中医证候疗效明显优于对照组(P<0.05)。2个疗程后,治疗组主证积分、次证积分及证候总积分均低于对照组(P<0.05)。结论 摩腹配合下推七节骨手法简单、易于操作,安全性高,治疗小儿食积内热型便秘效果确切,且易被患者接受,可在临床加强推广。

血府逐瘀汤加味联合隔药灸治疗肠粘连临床观察

目的探讨血府逐瘀汤加味联合隔药灸治疗术后肠粘连的临床效果。方法将122例术后肠粘连患者随机分为对照组和试验组,每组61例。对照组给予常规对症处理及枸橼酸莫沙必利片、颠茄片治疗,试验组在对照组基础上给予血府逐瘀汤加味联合隔药灸治疗,两组均治疗3周。比较两组临床疗效、腹痛程度评分、血清炎性细胞因子及肠道屏障功能指标水平。结果治疗后,试验组总有效率为90.16%(55/61),高于对照组的73.77%(45/61)(P<0.05)。与对照组比较,试验组治疗后疼痛分级指数(PRI)、视觉模拟量表(VAS)及现时疼痛强度(PPI)评分均较低,血清肿瘤坏死因子(TNF-α)、白细胞介素-1(IL-1)及白细胞介素-6(IL-6)水平较低,血清D-乳酸、二胺氧化酶(DAO)水平较低,谷氨酰胺(GLN)水平较高(P<0.05)。结论血府逐瘀汤加味联合隔药灸治疗术后肠粘连的临床效果显著,能明显减轻腹痛症状、抑制炎症反应、促进肠黏膜屏障功能恢复,具有临床推广应用价值。

吴茱萸敷脐对腹部手术后患者胃肠运动功能和胃肠激素分泌的影响

目的探讨吴茱萸敷脐对腹部手术患者术后胃肠运动功能和胃肠激素分泌的影响。方法将接受腹部手术的80例患者随机分为对照组和观察组,每组40例。观察组术后在对照组常规治疗的基础上予以吴茱萸敷脐治疗,比较两组患者术后胃肠运动功能、胃肠激素分泌和营养状况恢复情况。结果观察组患者腹部术后肛门排气时间、排便时间、肠鸣音恢复时间以及进食时间均较对照组明显缩短(P<0.05);观察组患者术后血清胃泌素水平、胃动素水平均显著高于对照组(P<0.05)。结论腹部手术后给予吴茱萸敷脐,能够促进患者胃肠功能恢复,其作用机制可能与其调节胃肠激素分泌有关。

节拍式呼吸疗法在老年急性心肌梗死患者PCI术后家庭心脏康复中的应用效果

目的 探讨节拍式呼吸疗法在老年急性心肌梗死(AMI)患者经皮冠状动脉介入(PCI)术后家庭心脏康复中的应用效果。方法 纳入46例PCI术后老年AMI患者,其中观察组26例、对照组20例。两组患者在病情稳定出院后接受家庭心脏康复干预,其中观察组患者采取节拍式呼吸疗法,对照组患者采取常规腹式呼吸训练。在出院当天(干预前)和干预3个月后检测两组患者的血流动力学指标[每搏输出量(SV)、每搏输出量指数(SVI)、心排血量(CO)、心排血量指数(CI)、左心室做功(LVSW)、左心室做功指数(LVSWI)、加速指数(ACI)、速度指数(VI)、全身血管阻力(SVR)、全身血管阻力指数(SVRI)、心率及收缩压、舒张压],采用36项健康调查简表(SF-36)评定两组患者的生活质量。通过康复记录评估患者的家庭心脏康复干预依从性。结果 (1)干预3个月后,观察组的SV、SVI、CO、CI、VI、LVSW、LVSWI高于干预前水平,SVR、SVRI低于干预前(P<0.05);观察组的SV、SVI、CO、CI和VI高于对照组,SVR、SVRI和收缩压低于对照组(P<0.05)。(2)干预3个月后,观察组SF-36原始总分和生理功能维度、躯体疼痛维度、总体健康维度、活力维度、社会功能维度、情感职能维度、精神健康维度得分高于干预前(P<0.05);观察组SF-36原始总分和生理功能维度、躯体疼痛维度、总体健康维度和精神健康维度的得分高于对照组(P<0.05)。(3)观察组患者的家庭心脏康复干预依从性优于对照组(P<0.05)。结论 与常规腹式呼吸训练相比,应用节拍式呼吸疗法进行PCI术后家庭心脏康复,可以在短期内有效地降低老年AMI患者的体循环血管阻力,增强患者的左心室射血功能,提高其家庭心脏康复依从性,改善其生活质量,值得临床应用推广。

推拿治疗失眠临床研究进展

失眠的根本病机为阳不入阴,病位在心,与肝胆、脾胃、肺、肾关系密切,先天禀赋、个性特征、内伤七情、饮食不节、病理产物等均为发病的相关因素,脏腑功能失调、气机失常、气血亏虚等均是其重要病机。推拿疗法治疗失眠的方法有:单纯推拿疗法(循经推拿疗法、点穴推拿疗法、腹部推拿疗法等)、推拿联合针刺疗法、推拿联合中药、推拿联合拔罐、推拿联合其他疗法等。推拿治疗失眠仍存在以下不足:(1)手法、穴位、治疗部位的选择繁杂不一,难以对不同手法以及不同穴位的疗效进行比较;(2)手法的力度、频率、刺激量没有统一的标准;(3)采用的疗效评价标准不统一,多为临床主观评价量表,缺少客观指标证据;(4)缺少病例回访报道,对推拿有无长期疗效、复发率高低研究较少;(5)缺少多中心、大样本、双盲对照试验;(6)缺少高质量外文文献,国外多将推拿作为失眠的补充疗法,相关研究较少,中文文献多注重研究推拿对失眠的有效性,对于其作用机制的研究较少。

脾胃虚寒型胃脘痛患者腹部穴位按摩及隔姜灸护理临床观察

目的观察脾胃虚寒型胃脘痛患者应用腹部穴位按摩及隔姜灸护理的效果。方法选入2021年1月—2022年1月上海市嘉定区中医医院治疗脾胃虚寒型胃脘痛患者58例,将使用腹部穴位按摩及隔姜灸护理的29例患者作为结合组,将使用腹部穴位按摩护理治疗的29例作为单一组,对比2组临床疗效、中医证候积分、生活质量量表(SF-36)评分、视觉模拟量表(VAS)评分、护理满意度。结果结合组总有效率为93.10%(27/29),高于单一组的68.97%(20/29)(P<0.05)。护理后,结合组的胃脘或脘腹胀满、胃脘疼痛、嗳气反酸的中医证候积分低于单一组;生理职能、社会功能、心理健康得分高于单一组;VAS评分低于单一组,差异均有统计学意义(P<0.05)。结合组护理满意度为96.55%(28/29),高于单一组的72.41%(21/29)(P<0.05)。结论脾胃虚寒型胃脘痛患者应用腹部穴位按摩及隔姜灸护理,较仅使用腹部穴位按摩护理的临床效果好,能够改善患者临床症状、减轻疼痛,提高护理满意度及生活质量。

郑氏中医非手术疗法联合腹式呼吸训练治疗破裂型腰椎间盘突出症的临床疗效

目的探讨郑氏中医非手术疗法联合腹式呼吸训练对破裂性腰椎间盘突出(ruptured lumbar disc herniation,RLDH)患者矢状面平衡参数、疼痛、功能障碍和生活质量的影响。方法回顾性分析该院2017年10月—2020年3月389例破裂型腰椎间盘突出症患者资料,根据治疗方法不同分为对照组137例(西医常规治疗联合腹式呼吸训练)和观察组252例(郑氏中医非手术疗法联合腹式呼吸训练),比较治疗前、治疗2周疼痛情况、腰部功能障碍、生活质量,12个月后随访,比较矢状面平衡参数变化。结果治疗后,两组NRS评分均随时间延长而显著降低,各时间点差异有统计学意义,且观察组治疗1、2周及治疗后12个月NRS评分显著低于对照组(P<0.05);治疗后,两组JOA评分均随时间延长而显著升高,ODI指数均随时间延长而显著降低,各时间点差异有统计学意义(P<0.05),且观察组治疗2周及治疗后12个月JOA评分显著高于对照组,ODI指数低于对照组(P<0.05);治疗后,两组生理健康、心理健康、社会关系、环境方面生活质量评分均随时间延长而显著升高,各时间点差异有统计学意义(P<0.05),且观察组治疗2周及治疗后12个月各项生活质量评分显著高于对照组(P<0.05);治疗后12个月,观察组SS、LL较治疗前升高(P<0.05),PT较治疗前降低(P<0.05),观察组PI变化及对照组各项矢状面平衡参数变化均无统计学意义(P>0.05),且观察组SS、LL高于对照组(P<0.05),PT低于对照组(P<0.05);治疗2周期间以及治疗12个月后,两组无不良反应发生。结论郑式中医非手术疗法联合腹式呼吸训练在近期和远期均能减轻RLDH患者腰部疼痛,改善功能障碍、生活质量,并改善矢状面平衡。