关键词:

腰椎间盘突出症, 术后康复期, 择时耳穴压豆, 太极拳左右揽雀尾, 疼痛程度, 腰部功能

Abstract:

Objective　To explore the application effect of elective ear acupoint pressing bean + Taijiquan round the tail of the bird in the postoperative rehabilitation period of prolapse lumbar disc herniation (LDH) patients. Methods　A total of 168 patients with prolapse LDH from January to December 2023 in Ward 4, Spine Center, Baoji Hospital of Traditional Chinese Medicine were prospectively selected and were divided into a control group and a study group with 84 cases in each group according to the random number table method. In the study group, there were 51 males and 33 females, aged (58.79±6.53) years, with a body mass index of (23.52±2.24) kg/m² and a disease course of (4.79±1.53) years, protruding segments: L_3-4 in 26 cases, L_4-5 in 31 cases, and L₅-S₁ in 27 cases. In the control group, there were 54 males and 30 females, aged (59.21±6.44) years, with a body mass index of (23.43±2.35) kg/m² and a course of disease of (4.61±1.44) years, protruding segments: L_3-4 in 29 cases, L_4-5 in 32 cases, and L₅-S₁ in 23 cases. Both groups underwent endoscopic discectomy through percutaneous foraminal approach, the control group received regular care after surgery, and the study group received elective ear acupoint pressing bean + Taijiquan round the tail of the bird for 12 weeks. The pain degree [Numeric Rating Scale (NRS) score], lumbar function [Oswestry Disability Index (ODI)], and quality of life [Generic Quality of Life Inventory-74 (GQOLI-74)] were compared between the two groups at different time points. Independent sample t test and χ² test were used for statistical analysis. Results　The NRS scores of the study group 6 and 12 weeks after surgery were lower than those of the control group [(4.04±0.86) points vs. (5.67±1.18) points, (1.71±0.60) points vs. (2.94±0.91) points] (both P<0.05); the ODI scores were lower than those of the control group [(15.92±2.40) points vs. (21.71±3.15) points, (7.20±1.43) points vs. (13.61±2.19) points] (both P<0.05); the scores of psychological function, somatic function, social function, and material life status were higher than those of the control group (all P<0.05). Conclusion　Elective ear acupoint pressing bean + Taijiquan round the tail of the bird can effectively relieve the degree of pain in postoperative rehabilitation of prolapse LDH patients, improve the patients' lumbar function and quality of life.

Key words:

Lumbar disc herniation, Postoperative rehabilitation period, Elective ear acupoint pressing bean, Taijiquan , round the tail of the bird,  , Degree of pain, Lumbar function