首页|腕踝针对椎间盘源性腰痛行UBE下髓核摘除术后疼痛的临床研究

腕踝针对椎间盘源性腰痛行UBE下髓核摘除术后疼痛的临床研究

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目的 探讨腕踝针对椎间盘源性腰痛行单侧双通道内镜(UBE)下髓核摘除术后疼痛的临床研究.方法 选取 2021 年 1 月至 2022 年 12 月于医院进行UBE下髓核摘除术治疗的 60 例椎间盘源性腰痛患者作为研究对象,随机分为对照组和试验组,每组 30 例.对照组术后给予塞来昔布胶囊治疗,试验组术后采用腕踝针治疗,均治疗 4 周.比较两组总有效率、疼痛程度[采用视觉模拟评分法(VAS)评估]及腰椎功能[采用日本骨科协会腰痛评价量表(JOA)、改良Oswestry腰椎功能指数(ODI)评估].结果 治疗 4 周后,试验组总有效率、JOA评分高于对照组,疼痛程度轻于对照组,ODI评分低于对照组,差异均有统计学意义(P<0.05).结论 腕踝针可提高UBE下髓核摘除术治疗椎间盘源性腰痛患者的疗效,减轻术后疼痛程度,促进腰椎功能恢复.
Application Effect of Wrist-Ankle Needle in the Treatment of Patients with Discogenic Low Back Pain by Nucleus Pulposus Removal with Unilateral Biportal Endoscopy
Objective The application effect of wrist-ankle needle in treatment of patients with discogenic low back pain by nucleus pulposus removal with unilateral biportal endoscopy was explored.Methods With the selection of sixty patients with discogenic low back pain who underwent unilateral biportal endoscopic nucleus pulposus removal in the hospital from January 2021 to December 2022 as the study subjects,they were randomly divided into the control group and the experimental group,with 30 patients in each group.With the control group received postoperative treatment with celecoxib capsules,and the experimental group received postoperative treatment with wrist-ankle needle for 4 weeks,the total effective rate,pain level[evaluated using visual analogue scale(VAS)],and lumbar function[evaluated using the Japanese orthopaedicassociation scores(JOA)and the Modified Oswestry disability index(ODI)]were compared between the two groups.Results After 4 weeks of treatment,the total effective rate and JOA score of the experimental group were higher than those of the control group,the pain level was lighter than that of the control group,and the ODI score was lower than that of the control group,with statistically significant differences(P<0.05).Conclusion The wrist-ankle needle can alleviate postoperative pain in patients with discogenic low back pain treated with unilateral biportal endoscopic nucleus pulposus removal and promote lumbar functional recovery.

Wrist-ankle needleDiscogenic low back painUnilateral biportal endoscopic nucleus pulposus removalVisual analogue scale

史俊丽、陆文杰、徐涵斌

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江西省中西医结合医院 (江西南昌 330003)

腕踝针 椎间盘源性腰痛 单侧双通道内镜下髓核摘除术 视觉模拟评分法

江西省中医药管理局科技计划

2022A317

2024

医疗装备
国家食品药品监督管理局北京医疗器械质量监督检验中心 北京市医疗器械检验所

医疗装备

影响因子:0.339
ISSN:1002-2376
年,卷(期):2024.37(2)
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