关键词:

腰椎间盘突出症, 皮内针, 中药药熨, 疼痛, 功能障碍

Abstract:

Objective　To observe the efficacy of Chinese medicine ironing combined with intradermal acupuncture in the treatment of lumbar disc herniation. Methods　A total of 90 patients with lumbar disc herniation hospitalized in Department of Orthopedics, Guangdong Second Hospital of Traditional Chinese Medicine from January 2021 to June 2022 were selected for the random xontrol trial, including 54 males and 36 females who were 18-80 years old. They were divided into a control group, an observation group 1, and an observation group 2, with 30 cases in each group. The control group orally took celecoxib. On the basis of the control group, the observation group 1 were ironed with Chinese medicine. On the basis of the observation group 1, the observation group 2 took intradermal acupuncture at Shenshu, Danshu, Weizhong, Yaoyangguan, Zusanli, etc. The degrees of lumbar pain, lumbar function and range of motion, and clinical efficacies of the three groups were observed and compared. The measurement data of normal distribution were compared between these 3 groups by independent sample t test and within the group by paired t test. The enumeration data were compared by χ² test. Results　The Visual Analogue Scale (VAS) scores in the observation group 1 and the observation group 2 were (2.5±0.3) and (2.1±0.5), which were significantly lower than that in the control group [(3.9±0.8)], with statistical differences (P=0.041 and 0.032); the VAS score of the observation group 2 was lower than that of the observation group 1. The scores of the Modified Oswestry Disability Index (ODI) of the Japanese Orthopaedic Association in the observation group 1 and the observation group 2 were (14.6±1.6) and (13.19±2.8), which were significantly lower than that in the control group [(19.7±1.2)], with statistical differences were (P=0.031 and 0.025); the ODI score of the observation group 2 was lower than that of the observation group 1 (P<0.05). The clinical efficacies of the observation group 1, the observation group 2, and the control group were 80.00% (24/30), 93.33% (28/30), and 66.67% (20/30), with statistical differences between the observation group 1 and the observation group 2 on one hand and the control group on the other hand (P=0.045 and 0.037) and no statistical difference between the observation group 1 and the observation group 2 (P>0.05). Conclusion　Chinese medicine ironing combined with intradermal acupuncture in the treatment of patients with lumbar disc herniation can significantly relieve their pain, and effectively improve the treatment effect and their quality of life and lumbar function.

Key words:

Lumbar disc herniation, Intradermal acupuncture, Chinese medicine ironing, Pain, Dysfunction