针灸治疗腰椎间盘突出症术后遗留疼痛的疗效观察

摘要

Objective:To observe the efficacy of acupuncture treatment on pain legacy after lumbar disc herniation surgery,and to explore the effective treatment.Methods:All 84 patients with lumbar disc herniation legacy pain were randomly divided into a treatment group and a control group,each 42 cases.The treatment group received acupuncture treatment,the control group conventional therapy.At 3,7 and 14 days after treatment,the pain VAS score as well as JOA score of all patients were observed and evaluated,and then the curative effect,too.Results:Before treatment,the general data of two groups of patients were compared,and the difference was not statistically significant (P>0.05).After 3 days′ treatment,the difference between curative effect of two groups was not statistically significant (Z=-1.714,P=0.087);however,after 7 days′ treatment,the curative effect of the treatment group was superior to the control group,and the difference was statistically significant (Z=-2.193,P=0.028).And after 14 treatment days,the curative effect of the treatment group was superior to the control group (Z=-2.825,P=0.005).After 7 and 14 days′ treatment,pain VAS scores of the two groups were reduced,while JOA scores were increased,and the difference was statistically significant (P<0.05).After 7 and 14 days′ treatment,the VAS scores of the treatment group were lower than the control group,while its JOA scores were higher than the control group,and the difference was statistically significant (P<0.05).Conclusion:Acupuncture treatment of lumbar disc herniation pain has good efficacy,thus it is worthy of clinical application.%目的:观察针灸对腰椎间盘突出症(Lumbar Disc Herniation,LDH)术后遗留疼痛的临床疗效,并探讨其有效治疗方法.方法:将84例符合论文纳入标准的腰椎间盘突出症术后遗留疼痛患者,按随机数字表法随机分为治疗组和对照组各42例.治疗组采用针灸治疗,对照组采用常规治疗.治疗3、7、14 d后观察比较2组患者疼痛(Visual Analogue Scale,VAS)评分、下腰痛功能评定表(Japanese Orthopedic Association,JOA)评分,并评价疗效.结果:治疗前2组患者在一般资料比较,差异均无统计学意义(P>0.05).治疗3 d后2组疗效进行比较,差异无统计学意义(Z=-1.714,P=0.087);治疗7 d后,治疗组疗效优于对照组,差异有统计学意义(Z=-2.193,P=0.028);治疗14 d后,治疗组疗效优于对照组(Z=-2.825,P=0.005).2组治疗后7、14 d疼痛VAS评分均降低,JOA评分均增加,差异有统计学意义(P<0.05);2组治疗后7、14 d比较,治疗组疼痛VAS评分低于对照组,但治疗组JOA评分高于对照组(P<0.05).结论:针灸治疗腰椎间盘突出症术后遗留疼痛具有较好疗效,值得临床推广应用.