Clinical Study of Silver Needle Combined with DSA Mediated Intervertebral Foramen Injection for the Treatment of Blood Stasis Type Lumbar Disc Herniation
Objective:To analyze the effect of silver needle combined with digital subtraction angiography(DSA)mediated inter-vertebral foramen injection in patients with blood stasis type lumbar disc herniation(LDH).Methods:Sixty patients with blood stasis type LDH admitted to the First People's Hospital of Jiujiang City from September 2021 to October 2023 were randomly divided into two groups,with 30 cases in each group.The control group received DSA mediated intervertebral foramen injection,while the observation group received comprehensive silver needle therapy.Compare the clinical efficacy,traditional Chinese medicine syndrome score,pain level,and lumbar spine function between two groups.Results:The total effective rate of the observation group was higher than that of the control group,with a statistical difference(P<0.05);Before treatment,there was no statistically significant difference(P>0.05)between the two groups in terms of lower back and leg pain scores such as pricking,localized pain,day and night severity,lower back stiffness,visual analogue pain scale(VAS),Japanese Orthopedic Association Assessment of Treatment(JOA),and Oswestry Dysfunction Index(ODI)scores;After treatment,the observation group had lower back and leg pain such as stings,localized pain,mild day and heavy night,lower lumbar stiffness scores,VAS and ODI scores than the control group,and higher JOA scores than the control group,with statistical differences(P<0.05);The adverse reactions in the two groups were comparable and there was no statistically significant difference(P>0.05).Conclusion:The combination of silver needle comprehensive therapy and DSA mediated intervertebral foramen injection can alleviate symptoms,alleviate pain,and promote lumbar functional recovery in patients with blood stasis type LDH.It can be widely promoted and applied in clinical practice.
Lumbar disc herniationBlood stasis typeTraditional Chinese Medicine syndromeLumbar spine functionPain