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

摘要：

目的　探究择时耳穴压豆+太极拳左右揽雀尾在脱出型腰椎间盘突出症（LDH）患者术后康复期中的应用效果。方法　前瞻性选取2023年1月至12月宝鸡市中医医院脊柱中心4病区收治的168例脱出型LDH患者，按随机数字表法分为对照组与研究组各84例。研究组男51例，女33例，年龄（58.79±6.53）岁，体重指数（23.52±2.24）kg/m²，病程（4.79±1.53）年，突出节段：L_3～4 26例、L_4～5 31例、L₅～S₁ 27例。对照组男54例，女30例，年龄（59.21±6.44）岁，体重指数（23.43±2.35）kg/m²，病程（4.61±1.44）年，突出节段：L_3～4 29例、L_4～5 32例、L₅～S₁ 23例。两组均行经皮椎间孔入路内窥镜下椎间盘切除术，对照组术后实施常规护理，研究组在对照组基础上实施择时耳穴压豆+太极拳左右揽雀尾干预，两组患者均护理12周。比较两组不同时间点疼痛程度［数字评分法（NRS）评分］、腰部功能［Oswestry功能障碍指数（ODI）］、生活质量［生活质量综合评定问卷（GQOLI-74）］。采用独立样本t检验、χ²检验进行统计学分析。结果　研究组术后第6周、第12周的NRS评分均低于对照组［（4.04±0.86）分比（5.67±1.18）分、（1.71±0.60）分比（2.94±0.91）分］（均P<0.05）；ODI评分均低于对照组［（15.92±2.40）分比（21.71±3.15）分、（7.20±1.43）分比（13.61±2.19）分］（均P<0.05）；心理功能、躯体功能、社会功能、物质生活状态评分均高于对照组（均P<0.05）。结论　择时耳穴压豆+太极拳左右揽雀尾能有效缓解脱出型LDH患者术后康复期疼痛程度，改善患者腰部功能及生活质量。

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