Effect of acupuncture treatment on clinical outcomes for cervical disc herniation after mini-mally invasive surgery
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.
万方数据
维普
