中国疼痛医学杂志2024,Vol.30Issue(6) :424-431.DOI:10.3969/j.issn.1006-9852.2024.06.005

针刺治疗对颈椎间盘突出症微创手术后疗效的影响

Effect of acupuncture treatment on clinical outcomes for cervical disc herniation after mini-mally invasive surgery

查紫璐 计忠伟 万权 胡佳琦 张南南 茹彬 徐郎海 许运 蔡文君 李顺
中国疼痛医学杂志2024,Vol.30Issue(6) :424-431.DOI:10.3969/j.issn.1006-9852.2024.06.005

针刺治疗对颈椎间盘突出症微创手术后疗效的影响

Effect of acupuncture treatment on clinical outcomes for cervical disc herniation after mini-mally invasive surgery

查紫璐 1计忠伟 1万权 1胡佳琦 1张南南 1茹彬 1徐郎海 1许运 1蔡文君 1李顺1
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作者信息

  • 1. 浙江省人民医院(杭州医学院附属人民医院)疼痛科,杭州 310014
  • 折叠

摘要

目的:探讨针刺治疗对颈椎间盘突出症(cervical disc herniation,CDH)微创手术(minimally invasive surgery,MIS)后疗效的影响.方法:回顾性分析2019年1月1日至2020年12月31日浙江省人民医院疼痛科住院行MIS的CDH病人.采用视觉模拟评分法(visual analogue scale,VAS)评分、颈椎功能障碍指数(neck disability index,NDI)评分和改良MacNab标准分别评估术后1个月、6个月和1年的疼痛程度、颈椎功能和临床疗效.比较接受针刺治疗和未接受针刺治疗病人的临床特点.结果:211名病人被纳入队列,其中102人接受针刺治疗,未接受针刺治疗病人109例.针刺治疗的病人较未接受针刺治疗的病人术后1个月、6个月和1年的VAS和NDI评分更低(P<0.001).针刺治疗与治疗后6个月和1年时更低的改良MacNab标准评分相关(P<0.001).多因素logistic回归显示,针刺治疗是MIS术后1年良好结果的独立因素(P<0.001,OR=9.282,95%CI:3.469-24.836).结论:针刺治疗对MIS后CDH病人的临床结果有益,是MIS后CDH病人的一种有效的辅助治疗方法.

Abstract

Objective:To explore the effect of acupuncture treatment for cervical disc herniation(CDH)patients after minimally invasive surgery(MIS).Methods:We retrospectively reviewed patients with CDH admitted to Pain Department of Zhejiang Provincial People's Hospital from January 1,2019 to December 31,2020.Visual analogue scale(VAS),neck disability index(NDI),and the modified MacNab criteria were used to assess pain severity,cervical spine function,and clinical outcomes at 1 month,6 months,and 1 year after surgery,respectively.Characteristics between patients with acupuncture treatment and those without acupuncture treatment were compared.Results:Two hundred and eleven patients were incorporated in the cohort,102 received acupuncture treatment and 109 not.Compared with patients without acupuncture treatment,patients with acupuncture had a lower postoperative VAS and NDI scores at one month,six months,and one year(P<0.001)after surgery.In addition,acupuncture treatment was associated with lower modified MacNab criteria score at six months and one year(P<0.001).Multivariate logistic regression analysis showed that acupuncture(P<0.001,OR=9.282,95%CI:3.469-24.836)was an independent factor for good outcomes at one year.Conclusion:Acupuncture treatment had beneficial effects on clinical outcomes in CDH patients after MIS,which may be an effective adjunct therapy for CDH patients after MIS.

关键词

针刺治疗/颈椎间盘突出症/微创手术/临床结果/疼痛/功能

Key words

acupuncture treatment/cervical disc herniation/minimally invasive surgery/clinical outcomes/pain/function

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基金项目

浙江省自然科学基金公益项目(LGF20H310004)

浙江省中医药科技计划(2021ZA010)

浙江省中医药科技计划(2023ZR062)

出版年

2024
中国疼痛医学杂志
北京大学,中华医学会疼痛学分会

中国疼痛医学杂志

CSTPCD北大核心
影响因子:1.457
ISSN:1006-9852
参考文献量3
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