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椎间盘针治疗腰椎间盘突出症的临床效果观察
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R681.5

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Observation of clinical effect of intervertebral disc needle in treatment of lumbar disc herniation
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    摘要:

    目的 探讨椎间盘针治疗腰椎间盘突出症的临床效果,以及对患者炎症指标、疼痛调节因子水平的影响。方法 选取 2020 年 1 月至 2021 年 1 月中国人民解放军海军陆战队医院收治的 92 例腰椎间盘突出症患者,以随机数字表法分为对照组(46 例,传统针刺 治疗)和观察组(46 例,椎间盘针治疗),4 周为 1 个疗程,共治疗 1 个疗程。比较两组患者治疗后临床效果,治疗前后疼痛情况、腰 椎功能情况、炎症指标、疼痛调节因子水平,治疗期间不良反应发生情况。结果 观察组患者治疗后临床总有效率为 93.48%,较对照组 的 76.09% 显著升高;相比治疗前,治疗后两组患者视觉模拟疼痛量表(VAS)、Oswestry 功能障碍指数(ODI)评分及血清 C- 反应蛋 白(CRP)、白细胞介素 -6(IL-6)、白细胞介素 -1β(IL-1β)、前列腺素 E2(PGE2)水平均显著降低,观察组显著低于对照组;两组 患者血清 β- 内啡肽(β-EP)水平显著升高,观察组显著高于对照组(均P<0.05);两组患者不良反应发生情况比较,差异无统计学意义 (P>0.05)。结论 椎间盘针在缓解腰椎间盘突出症患者疼痛、改善腰椎功能、抑制炎症因子水平、调节疼痛因子及疗效巩固等方面均优 于常规针刺,且安全性良好。

    Abstract:

    Objective To investigate the clinical effect of intervertebral disc needle in the treatment of lumbar disc herniation, and its effect on inflammatory indicators and pain regulatory factors of the patients. Methods A total of 92 patients with lumbar disc herniation admitted to People's Liberation Army Marine Corps Hospital from January 2020 to January 2021 were selected and divided into the control group (46 cases, treated with traditional acupuncture) and the observation group (46 cases, treated with intervertebral disc needle) according to the random number table method, 4 weeks was one course of treatment, treated for a total of one course of treatment. The clinical effects after treatment, pain, lumbar function, inflammatory indicators and pain regulatory factors levels of patients in the two groups before and after treatment were compared, and the occurrence of adverse reactions during treatment of patients were compared between the two groups. Results The total clinical effective rate of patients in the observation group after treatment was 93.48%, which was significantly higher than 76.09% in the control group; compared to before treatment, the scores of visual analogue scale (VAS), oswestry disability index (ODI) and serum C-reactive protein (CRP), interleukin-6 (IL-6), interleukin-1β (IL-1β), prostaglandin E2 (PGE2) levels of patients in the two groups after treatment significantlydecreased, the observation group was significantly lower than the control group; serum β-endorphin (β-EP) levels of patients in the two groups after treatment significantly increased, and the observation group was significantly higher than the control group (all P<0.05); there was no statistically significant difference in the incidence of adverse reactions of patients between the two groups (P>0.05). Conclusion Intervertebral disc needle is superior to conventional acupuncture in relieving pain, improving lumbar function, inhibiting the level of inflammatory factors, regulating pain factors, and consolidating the therapeutic effect in the teretment of patients with lumbar disc herniation, which has a good safety.

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  • 在线发布日期: 2023-04-26
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