经皮椎间孔镜联合针刺治疗腰椎间盘突出症临床观察

发布时间：2018-06-24 22:10

本文选题：椎间孔镜 + 针刺　；参考：《中华中医药杂志》2017年03期

【摘要】：目的:探讨腰椎经皮椎间孔镜联合针刺治疗腰椎间盘突出症临床疗效。方法:选取2012年1月至2014年1月在本院住院治疗的腰椎间盘突出症患者104例。按照预先制定的随机表,以1∶1的比例随机分为治疗组和对照组,治疗组予以经皮椎间孔镜微创手术联合传统针刺治疗,对照组予以单纯经皮椎间孔镜微创手术。两组于术前、术后1周行疼痛视觉模拟评分(VAS),术前、术后1年随访时行Oswestry功能障碍指数(ODI)评定,按改良Macnab标准评价临床疗效。结果:两组患者术后VAS评分、ODI、改良Macnab标准均优于术前(P0.05)。治疗组患者在术后VAS评分、ODI、改良Macnab标准均优于对照组(P0.05)。结论:经皮椎间孔镜联合针刺治疗腰椎间盘突出症具有较佳的临床疗效,值得在临床运用。
[Abstract]:Objective: to investigate the clinical effect of lumbar intervertebral foramen combined with acupuncture in the treatment of lumbar disc herniation. Methods: 104 patients with lumbar disc herniation who were hospitalized in our hospital from January 2012 to January 2014 were selected. According to the pre-made random table, the treatment group was randomly divided into treatment group and control group at 1:1. The treatment group was treated with percutaneous foraminal minimally invasive surgery combined with traditional acupuncture, while the control group was treated with simple percutaneous foraminal surgery. Visual analogue pain score (VAS) was performed before and 1 week after operation in both groups. Oswestry dysfunction index (ODI) was evaluated before and 1 year after operation. The clinical efficacy was evaluated according to the modified Macnab standard. Results: the VAS score and the modified Macnab standard were better in both groups than those before operation (P0.05). In the treatment group, the VAS scores and the modified Macnab criteria were better than those in the control group (P0.05). Conclusion: the treatment of lumbar intervertebral disc herniation with percutaneous foramen and acupuncture has better clinical effect and is worthy of clinical application.
【作者单位】：广州中医药大学第四临床医学院;深圳市中医院;
【分类号】：R687.3

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