穴位电针治疗对腰椎间盘突出症疗效及疼痛影响

摘要/Abstract

摘要： 目的探讨穴位电针治疗对腰椎间盘突出症的疗效及对疼痛的影响。方法选取2020年1月—2023年3月第923医院贵港医疗区收治的160例腰椎间盘突出症患者,依据随机数表法将其分为对照组和观察组,各80例。对照组采取牵引治疗,观察组在对照组基础上联合穴位电针治疗。治疗前后采用视觉模拟量表（VAS）和日本骨科学会（JOA）评分系统对患者进行评估,评价近期疗效,并随访3个月了解疼痛复发情况。结果观察组治疗1个疗程、2个疗程、3个疗程的VAS评分均明显低于对照组,差异有统计学意义（P<0.05）。治疗后,两组JOA总分均明显提高,且观察组JOA总分明显高于对照组,差异有统计学意义（P<0.05）。观察组总有效率明显高于对照组,差异有统计学意义（P<0.05）。随访3个月,观察组疼痛复发程度明显轻于对照组,差异有统计学意义（P<0.05）,疼痛发作频率低于对照组,持续发作时间明显短于对照组,差异有统计学意义（P<0.05）。结论穴位电针治疗对腰椎间盘突出症具有明确效果,可有效缓解疼痛,并减少疼痛反复发作的程度与频率,提高近期临床疗效。

关键词: 腰椎间盘突出症, 穴位电针, 疼痛

Abstract: Objective To investigate the effect of acupoint electroacupuncture on lumbar disc herniation and its effect on pain. Methods From January 2020 to March 2023,160 patients with lumbar disc herniation were randomly divided into two groups using a random number table method, 80 cases in each group. The control group was treated with traction, and the observation group was combined with acupoint electroacupuncture on the basis of the control group. Patients were evaluated before and after treatment using the visual analogue scale(VAS) and Japanese Orthopaedic Society (JOA) scoring system to evaluate short-term efficacy, and were followed up for 3 months to understand pain recurrence. Results Compared with baseline, the total score of JOA in both groups after treatment was significantly increased (P<0.05), and the total score of JOA in the observation group was significantly higher than that in the control group (P<0.05).The total effective rate of observation group(93.75%) was significantly higher than that of control group (77.50%)(P<0.05).After 3 months of follow-up, the severity of pain recurrence in the observation group was significantly less than that in the control group (P<0.05), and the frequency and duration of pain attack were significantly less than that in the control group (P<0.05). Conclusion Acupoint electroacupuncture treatment for lumbar disc herniation has a clear effect,can effectively relieve back and leg pain, and reduce the recurrence of pain, improve the short-term clinical effect.

Key words: lumbar disc herniation, acupoint electric acupuncture, pain

中图分类号:

R681.5

赵正杰, 管玲玲, 宁丽明, 阮业义, 覃红莉. 穴位电针治疗对腰椎间盘突出症疗效及疼痛影响[J]. 中华养生保健, 2024, 42(16): 18-20.

ZHAO Zheng-jie, GUAN Ling-ling, NING Li-ming, RUAN Ye-yi, QIN Hong-li. The Efficacy and Pain of Acupoint Electroacupuncture on Patients with Lumbar Disc Herniation[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(16): 18-20.

参考文献

[1] 中华医学会疼痛学分会脊柱源性疼痛学组.腰椎间盘突出症诊疗中国疼痛专家共识[J].中国疼痛医学杂志,2020,26(1):2-6.
[2] RAHMANI N.Lumbar Multifidus Muscle Morphology Changes in Patient with Different Degrees of Lumbar Disc Herniation: An Ultrasonographic Study[J]. Medicina,2021,57(7):699-709.
[3] 邓德万,王彬,周震,等.针灸治疗腰椎间盘突出症机制研究概况[J].针灸临床杂志,2020,36(1):91-94.
[4] 朱彬,田兴琴,雷爽,等.经皮穴位电刺激联合温针灸治疗腰椎间盘突出症疗效评价[J].现代中西医结合杂志,2019,28(31):3508-3511.
[5] 张刘波,周峻,王佩佩,等.五种针灸疗法治疗腰椎间盘突出症的网状Meta分析[J].海南医学院学报,2020,26(23):1807-1813.
[6] 世界中医药学会联合会骨质疏松专业委员会,上海中医药大学附属龙华医院,中日友好医院,等.腰椎间盘突出症中西医结合诊疗专家共识[J].世界中医药,2023,18(7):945-952.
[7] 李俊杰,梁舒涵,吴从俊,等.壮腰祛瘀方治疗腰椎间盘突出症术后残留症状的临床研究[J].中国中医骨伤科杂志,2020,28(2):24-28.
[8] 黄仕荣,潘良德,马燕文,等.腰椎间盘突出症单穴电针疗法社区推广应用研究[J].中国针灸,2021,41(4):391-394.
[9] 沈琪幸,许金海,夏烨,等.中药辨证论治结合骶管封闭术治疗腰椎间盘突出症的多中心随机对照临床研究[J].上海中医药杂志,2021,55(8):48-53.
[10] 牛朝阳,李鹏超,孟庆良.腰椎间盘突出症的中医诊疗思路探析[J].辽宁中医杂志,2020,47(9):37-40.
[11] 田少磊,王映辉,李敬华,等.痹证诊断标准刍议[J].中医杂志,2020,61(5):414-417.
[12] 周冰雪,老锦雄,徐浩琦,等.老锦雄教授“颈腰合治”经验总结及临床应用[J].西部中医药,2020,33(4):64-67.
[13] 高俊虎,王博仑,刘巍,等.基于“腰背委中求”理论浅谈对委中穴治疗腰痛病的认识[J].针灸临床杂志,2020,36(8):91-94.
[14] 张晓玲,王雷,郭运岭,等.穴位放血结合调脊电针法治疗腰椎间盘突出症对患者腰部后伸肌力的影响[J].针灸临床杂志,2023,39(7):36-41.
[15] 俞晓杰,张琳,陆文誉,等.电针结合骶裂孔注射对腰椎间盘突出症患者功能康复的影响[J].针刺研究,2021,46(7):605-609.
[16] 徐磊,李琳,杜俊涛,等.针刺华佗夹脊穴结合核心肌群训练对脑卒中偏瘫患者下肢运动功能的影响[J].针刺研究,2022,47(2):154-159.