TREATMENT OF 247 CASES OF PROLAPSE OF LUMBAR INTERVERTEBRAL DISC WITH COMPREHENSIVE PLUM-BLOSSOM MAGNETIC NEEDLE THERAPY

Objective: To observe the therapeutic effect of comprehensive plum-blossom magnetic needle therapy on prolapse of lumbar intervertebral disc. Methods: 247 cases of prolapse of lumbar intervertebral disc were treated first with manual treatment and then with plum-blossom magnetic needle therapy and effect-increasing pad therapy at specified points and reactive points. Results: After treatment for 2 therapeutic courses,153 cases were cured accounting for 61.94%, 71 cases were markedly effective accounting for 28.75%, 22 cases were improved accounting for 8.91% and the rest one failed,accounting for 0.45%. Conclusion: The comprehensive plum-blossom magnetic needle therapy has a better therapeutic effect on prolapse of lumbar intervertebral disc.

Conservative Treatment of Lumbar Intervertebral Disc Prolapse by Epidural Injection Combined with Massage under Traction

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80 CASES OF PROLAPSE OF LUMBAR INTERVERTEBRAL DISC TREATED BY ROUND-SHARP NEEDLE

Objective: To observe the therapeutic effect of round-sharp needle for prolapse of lumbar intervertebral disc. Methods: A total of 80 cases of lumbar intervertebral disc prolapse were treated by puncturing Qihaishu (气海俞 BL 24), Guanyuanshu (关元俞 BL 26), etc., with round-sharp needle, once every week, continuously for 4 sessions. Results: After the treatment, of the 80 cases, 56 (70 %) were cured, 16 (20%) improved,and 8 (10)%) failed, with an effective rate of 90%. Conclusion: Round-sharp needle works well in the treatment of prolapse of lumbar intervertebral disc.

CLINICAL OBSERVATION ON TREATMENT OF 80 CASES OF PROLAPSE OF LUMBAR INTERVERTEBRAL DISC BY COMBINATION OF ACUPUNCTURE AND MEDICINE

cases of prolapse of lumbar intervetebral disc were randomly divided into treatment and control groups. 80 cases in treatment group were treated with combination of acupuncture, oral administration of Chinese medicinal herbs, traction, point injection and intravenous drip of energy dehydration mixture; 70 cases in control group were managed by combination of acupuncture, oral administration of herbal medicines, traction, acupoint injection (without energy dehydration mixture). The results showed that the curative rate and the total effective rate of the treatment group were 91.25% and 98.75% separately, while those of the control group 62.86% and 92.86% respectively. Comparison of the curative rate between the 2 groups showed a remarkable significance (P<0.01). The observation demonstrated that combined treatment of prolapse of lumbar intervertebral disc with traditional Chinese and Western medicine is an effective approach.

EFFECT OF ACUPUNCTURE ON POST-OPERATIVE FUNCTIONAL RECOV-ERY IN PATIENTS WITH LUMBAR INTERVERTEBRAL DISC PROTRUSION

Objective To observe the influence of acupuncture on the post-operative rehabilitation in patients undergoing vertebral pulp extraction due to lumbar intervertebral disc protrusion （LIDP） so as to evaluate its efficacy in the treatment of lumbago induced by LIDP. Methods A total of 69 patients undergoing vertebral pulp extraction were randomized into acupuncture group （ n = 35） and control group （ n = 34）. Patients of acupuncture group were treated with routine rehabilitation method and electroacupuncture （EA） stimulation on Zhìbiān （秩边 BL54） and Wěizhōng （委中 BL40）, acupuncture on Shènshū （ 肾俞 BL23）, Dàchángshū （大肠俞 BL25）, BL54, BL40, Jiájǐ （夹脊 EX-B 2）, Shàngliáo （上髎 BL31）, etc., and cupping on BL40, with 15 days being a therapeutic course and for average 7. 36 courses. Patients of control group were treated with simple rehabilitation method. Functional recovery state was judged before and after surgery by using the standards of Japanese Orthopedic Association （JOA）. Results The average recovery rates of 3 months, 6 months and one year after surgery were 49.93% ,90.31% and 95.08% separately in acupuncture group, and 26.24% ,63.42% and 71.36% successively in control group. The recovery rates of acupuncture group were significantly higher than those of control group at the same time-points （P〈0. 05）. Conclusion Acupuncture has a definite effect on promoting post-operative functional recovery in LIDP patients undergoing vertebral pulp extraction and spinal fusion.

Therapy of auricular subcutaneous penetration needling combined with row acupuncture at the meridian sinew in 103 cases of prolapse of lumbar intervertebral disc

Objective To observe the clinical efficacy of auricular subcutaneous penetration needling combining with row acupuncture at meridian sinew on prolapse of lumbar intervertebral disc. Methods One hundred and three patients with prolapse of lumbar intervertebral disc were treated with a combined treatment of auricular subcutaneous penetration needling and row acupuncture at meridian sinew. Results Of 103 patients, 46 cases were cured, 33 were markedly effective, 21 effective and 3 ineffective. The total effective rate was 97.1% （100/103）. Conclusion The combined treatment of auricular subcutaneous penetration needling and row acupuncture at meridian sinew has a significant efficacy for the treatment of prolapse of lumbar intervertebral disc.

Observation of efficacy on prolapse of lumbar intervertebral disc treated with body acupuncture and wrist-ankle acupuncture

Objective To observe the clinical effects of body acupuncture and wrist-ankle acupuncture on prolapse of lumbar intervertebral disc, Methods One hundred and eighty cases of prolapse of lumbar intervertebral disc were randomly divided into body acupuncture and wrist-ankle acupuncture group （observation group） and simple body acupuncture group （control group）, 90 cases in each one. In observation group, body acupuncture was applied on Ahshi points of lumbar region, lumbar Jiájǐ （夹脊EX-B 2）, Dàchángshú（大肠俞 BL 25）, etc. and wrist-ankle acupuncture was applied on lower No. 4, 5 and 6 regions. In control group, simple body acupuncture was applied on the same points as observation group. Results The lumbar vertebral function and pain scale were improved in either group in comparison before and after treatment （P〈0.05）. Concerning pain improvement, the total effective rate was 95.6% in observation group, which was superior to that （86.7%） in control group （P〈0.05）. Concerning the improvement of lumbar vertebral function, the total effective rate was 90.0% in observation group and 93.3% in control group, without significant difference between two groups （P〉0.05）. Conclusion Combined therapy of body acupuncture and wrist-ankle acupuncture demonstrates apparent analgesia in prolapse of lumbar intervertebral disc.

Coflex棘突间动态稳定系统治疗青壮年单节段腰椎间盘突出症的临床观察

目的探讨Coflex棘突间动态稳定系统在青壮年单节段腰椎间盘突出症的应用趋向。方法回顾性分析2009年8月～2012年4月采用Coflex内固定手术治疗18例青壮年单节段腰椎间盘突出症的临床资料,通过记录手术时间、出血量、JOA评分、VAS评分,评价手术疗效,随访其有无动态稳定系统相关并发症。结果术后3d、1个月VAS评分及术后1、3、6个月JOA评分与术前比较,差异有统计学意义(P<0.05);术后随访JOA评分改善率为100%,无感染、脑脊液漏、神经损伤、植入物移位等并发症。结论 Coflex棘突动态稳定系统治疗腰椎间盘突出,创伤小,手术时间短,术后能早期下地活动,初期疗效良好,是治疗青壮年腰椎间盘突出症的好方法。

小针刀联合补肾活血祛痛方治疗腰椎间盘突出症临床观察

目的 探讨小针刀联合补肾活血祛痛方治疗腰椎间盘突出症(LDH)的临床效果。方法 选取2016年7月—2018年4月沈阳市中医院收治的135例患者作为研究对象,将所有患者随机分为甲组(小针刀联合补肾活血祛痛方)、乙组(补肾活血祛痛方)和丙组(小针刀),观察与对比3组患者的腰痛分级、治疗前后视觉模拟量表(VAS)评分和总体效果。结果 甲组总有效率为97.78%(44/45),高于乙组的88.89%(40/45)、丙组的82.22%(37/45),差异具有统计学意义(P<0.05);甲组治疗后VAS评分下降程度明显大于乙组和丙组;甲组治疗后Denis腰痛分级明显优于乙组和丙组,差异具有统计学意义(P<0.05)。结论对LDH患者进行小针刀联合补肾活血祛痛方治疗可以有效缓解患者的疼痛程度、缩短患者的住院时间、提升患者的生活质量,同时患者腰椎功能可以得到快速恢复,值得临床应用与推广。

中医特色健康管理模式联合中药热敷对腰突症患者疼痛及功能康复的影响

目的研究探讨中医特色健康管理模式联合中药热敷对腰突症患者疼痛及功能康复的影响。方法选取2021年6月—2023年6月本院收治的100例腰突症患者为对象,随机数字表法分为观察组、对照组,每组50例。对照组以常规护理干预结合中药热敷干预,观察组在此基础上增加中医特色健康管理模式干预。评估对比两组中医症状评分、疼痛程度、康复效果、不良事件发生率。结果观察组在干预2、4、8、12周时中医症状评分低于对照组(P<0.05)。观察组在干预2、4、8、12周时视觉模拟评分低于对照组(P<0.05)。观察组在干预2、4、8、12周时日本骨科协会评估治疗评分低于对照组(P<0.05)。观察组不良事件发生率6.00%,低于对照组的22.00%(P<0.05)。结论中医特色健康管理模式联合中药热敷对腰突症效果良好,缓解中医症状和疼痛程度,恢复腰椎功能,降低各种不良事件发生。

中药熏蒸疼痛干预结合路径式康复措施对微创治疗腰椎间盘突出症术后患者VAS评分与康复效果的影响

目的分析中药熏蒸疼痛干预结合路径式康复措施对微创治疗腰椎间盘突出症术后患者视觉模拟评分法(VAS)评分与康复效果的影响。方法选取2022年6月至2023年9月接受脊柱内镜下髓核摘除术的腰椎间盘突出症126例,随机分为对照组(n=63)、观察组(n=63),在常规干预基础上,对照组采用中药熏蒸疼痛干预,观察组采用中药熏蒸疼痛干预结合路径式康复措施。比较2组腰痛VAS评分、腰椎功能、健康状况调查简表(SF-36)评分及不良反应发生率。结果干预后,观察组腰痛VAS评分、Oswestry功能障碍指数评分低于对照组,日本骨科协会评分及不同维度SF-36评分高于对照组(P<0.05,P<0.01)。观察组不良反应发生率低于对照组(P<0.05)。结论微创治疗腰椎间盘突出症术后患者应用中药熏蒸疼痛干预结合路径式康复措施,可行性良好,能有效减轻腰痛症状,提升腰椎功能及生活质量。

电针联合运动疗法治疗腰椎间盘突出症临床观察

目的评估电针联合运动疗法治疗腰椎间盘突出症的疗效及安全性。方法选取2022年10月—2023年2月收治的73例腰椎间盘突出症患者,按随机数字表法分为治疗组35例和对照组38例。治疗组采用针灸联合运动疗法,对照组采用传统康复疗法。比较2组治疗前后各项指标变化。结果治疗组治疗后腰痛程度、ODI得分均优于对照组(P<0.05);2组不良反应均较轻微,且治疗组复发率低于对照组(P<0.05)。结论电针联合运动疗法可有效缓解腰椎间盘突出症患者疼痛和腰椎功能障碍,降低复发率,安全性高,值得临床推广。

针灸联合康复训练对脑卒中后偏瘫并腰椎间盘突出症患者患肢运动功能及生存质量的影响

目的探讨针灸联合偏瘫肢体综合训练对脑卒中后偏瘫并腰椎间盘突出症(LDH)患者患肢运动功能及生存质量的影响。方法选取2019年6月至2021年6月收治的脑卒中后偏瘫并LDH患者68例,采用随机数字表法分为观察组和对照组各34例。2组均给予常规治疗及偏瘫肢体综合训练,观察组在偏瘫肢体综合训练前采用针灸进行治疗。比较2组治疗前后患肢运动功能[脑卒中康复运动功能评定量表(STREAM)]、痉挛程度[改良的Ashworth量表法(MAS)]、神经功能缺损[美国国立卫生研究院卒中量表(NIHSS)]、生活自理能力[日常生活活动能力评定(ADL)]、疼痛程度[视觉模拟评分法(VAS)]、腰椎功能[日本骨科协会评估治疗分数量表(JOA)]、腰背肌力学[屈伸松弛比(FRR)、肌张力、压痛阈]、足底压力、生活质量[脑卒中生活质量量表(SS-QOL)]。结果治疗后,2组STREAM各项评分、JOA各项评分、压痛阈、SS-QOL评分、患足静态压力占比、患足中部动态压力峰值均较治疗前升高,且观察组高于对照组(P<0.05)。治疗后,2组MAS评分、NIHSS评分、ADL各项评分、VAS评分、健足中部动态压力峰值、FRR、肌张力均较治疗前显著下降,且观察组低于对照组(P<0.05)。结论针灸联合偏瘫肢体综合训练用于脑卒中后偏瘫并LDH患者治疗,可显著改善患者患肢运动功能,缓解痉挛、疼痛和神经功能缺损程度,同时改善腰椎功能、腰背肌力学和足底压力相关指标,促进患者生活自理能力恢复,提升生活质量。

综合护理干预在督脉改良督灸治疗寒湿痹阻型腰椎间盘突出症患者中的应用效果

目的:分析综合护理干预在督脉改良督灸治疗寒湿痹阻型腰椎间盘突出症患者中的应用效果。方法:选取于酒泉市中医院进行治疗的寒湿痹阻型腰椎间盘突出症患者128例作为研究对象(选取时间2020年10月—2022年10月),随机抽签分为对照组(n=64,实施常规护理)和观察组(n=64,实施综合护理)。比较两组护理质量。结果:护理后,观察组腰椎功能、心理状态、生活质量均优于对照组(P<0.05)。结论:寒湿痹阻型腰椎间盘突出症患者在采用督脉改良督灸治疗过程中配合综合护理干预,能够改善患者的腰椎功能和心理状态,提升生活质量。

推拿配合针刺及牵引复位治疗腰椎间盘突出症疗效及对血清IL-1β、TNF-α的影响

目的观察推拿配合针刺及牵引复位治疗腰椎间盘突出症的疗效及对患者血清IL-1β、TNF-α影响。方法将62例腰椎间盘突出症患者随机分为观察组和对照组。对照组给予卧床休息、功能锻炼以及腰椎牵引等常规治疗,观察组在此基础上给予推拿和针刺治疗,以10 d为1个疗程,疗程之间间隔2 d,治疗2个疗程。观察2组治疗前后临床症状、腰腿疼痛及血清IL-1β、TNF-α、TXB2含量和血液流变学指标变化。结果观察组治疗后总有效率显著高于对照组(P<0.05);治疗后,2组JOA评分均显著升高(P均<0.05),VAS评分及血清IL-1β、TNF-α、TXB2含量均显著降低(P均<0.05),且观察组治疗后上述指标改善情况均优于对照组(P<0.05);治疗后,观察组高切、低切全血黏度、血浆黏度、血沉以及聚集指数均显著低于治疗前和对照组(P均<0.05),而对照组治疗前后血液流变学各项指标比较差异无统计学意义(P均>0.05)。结论推拿配合针刺及牵引复位能够显著改善腰椎间盘突出症患者局部炎症反应和微循环障碍,缓解腰腿疼痛等临床症状,疗效确切,值得临床推广应用。

腰椎间盘突出症人工椎间盘置换手术及效果

目的 :观察采用SBCharit啨人工椎间盘置换手术治疗腰椎间盘突出症的临床效果?椒?:左下腹部腹直肌旁切口 ,切断腹直肌鞘及后层 ,钝性分离腹主动脉和静脉 ,并游离到右边用棉垫加以保护。然后作一“H”型切口切开纤维环 ,用刮匙和咬骨钳清除椎间盘组织特别是髓核。将SBCharit啨人工椎间盘植入?峁?:8例中有 7例 (87.5 % )的临床效果为相当好 ,1个病人 (12 .5 % )为一般 ,有背疼或腿部症状需偶尔服药。椎体活动范围平均为 9°。没有发现有假体松动、下沉入椎体。结论 :若适应证选择得当 ,将获得满意效果。

独活寄生汤联合电针夹脊穴对腰椎间盘突出症患者生活质量的改善效果分析

目的：分析独活寄生汤联合电针夹脊穴对腰椎间盘突出症患者生活质量的改善效果。方法：选择本院在2015年3月—2017年2月间收治的120例腰椎椎间盘突出症的患者参与研究,按照随机数字表法随机分为两组,对照组和观察组各60例。对照组采用电针夹脊穴加服用双氯芬酸钠缓释片治疗;观察组采用电针夹脊穴结合独活寄生汤治疗。比较两组临床疗效,以视觉模拟评分法（Visual Analogue Scale/Score,VAS）和日本骨科协会评估治疗分数（Japanese Orthopaedic Association Scores,JOA）对患者治疗前后疼痛情况及临床症状进行评分,并检测两组患者治疗前后相关炎症因子水平。结果：观察组总有效率96.67%,对照组总有效率86.67%,两组经秩和检验,u=3.0532,P=0.0023,差异有统计学意义（P〈0.05）。两组患者治疗后VAS评分显著降低,观察组治疗后VAS评分明显低于对照组（P〈0.05）;两组治疗后JOA评分显著升高,观察组JOA评分明显高于对照组（P〈0.05）。两组治疗后患者的IL-6和CRP水平均显著降低;观察组检测的炎症因子水平明显低于对照组（P〈0.05）。结论：电针夹脊穴结合独活寄生汤治疗腰椎间盘突出症具有良好疗效,能有效缓解患者临床症状及炎症反应。

腰痹通胶囊对腰椎间盘突出症的疗效及炎性因子的影响

目的探讨腰痹通胶囊治疗腰椎间盘突出症所致疼痛的疗效及对炎性因子的影响。方法将120例患者随机分为治疗组和对照组,各60例。两组患者均采用腰椎牵引和推拿疗法,对照组患者给予洛索洛芬钠胶囊(1粒/次,3次/日),治疗组患者给予腰痹通胶囊(3粒/次,3次/日),治疗2周。结果治疗组总有效率为90.00%,明显高于对照组的75.00%(P<0.05);治疗后,两组患者视觉模拟疼痛评分法(VAS)评分均下降(P<0.05),治疗组下降幅度高于对照组(P<0.05);两组患者血清白细胞介素(IL)-6及IL-8表达均下降(P<0.05),治疗组下降幅度高于对照组(P<0.05);治疗组荨麻疹、嗜睡、恶心等不良反应发病率显著低于对照组(P<0.05)。结论腰椎间盘突出症患者在腰椎机械牵引、推拿的基础上口服腰痹通胶囊,能显著提高临床疗效,镇痛效果佳,抗炎作用明确,安全性好,值得临床推广。

仰卧牵引时屈髋、伸髋位对腰椎间盘突出症治疗效果的影响

目的探讨屈髋位和伸髋位在腰椎间盘突出症牵引时的疗效差异。方法84例腰椎间盘突出症患者全部采用仰卧位牵引,屈髋组与伸髋组各42例,治疗前后对两组患者采用FairbankJC"腰痛病情计分表"和疼痛视觉模拟评分法(VAS)进行症状体征及疼痛评定。结果屈髋组在病情、体征及疼痛改善等方面均显著优于伸髋组(P<0.001)。结论腰椎间盘突出症仰卧牵引治疗时,屈髋位更有利于改善和缓解病情。

综合分期疗法对急性期腰椎间盘突出症神经肌电作用影响

[目的]分析比较综合分期法和整复手法对急性期腰椎间盘突出症的神经肌电作用和量表评价。[方法]180例腰椎间盘突出症急性期患者随机分为综合分期疗法治疗组、传统推拿手法组(以整复手法为主)和西医非手术常规治疗组3组,对以上患者治疗前和急性期后进行胫骨前肌和腓肠肌肌电和腰痛量表评估。[结果]治疗后各组肌电和腰痛评估表评分较治疗前均有所下降(P<0.01),其中以综合分期疗法组改善作用最为明显,传统推拿手法组改善作用最差(P<0.01,P<0.05),肌电和腰痛量表评分两者呈正相关。[结论]综合分期法对腰椎间盘突出症急性期神经肌电和腰痛量表评分有较好的改善作用,整复手法不适宜在急性期应用。