腰椎间盘突出症微创术后腰痛的临床治疗

目的 探讨腰椎间盘突出症微创术后残留腰痛症状的最佳治疗方法.方法 128例患者随机分为治疗组和对照组,分别给予腰部腧穴银质针导热治疗和腰部密集型银质针导热治疗.结果 治疗组和对照组视觉模拟评分法(VAS)评分比较,治疗后均较治疗前明显减少,有统计学差异(P＜0.05),2组间VAS评分治疗前后无统计学差异(P＞0.05)；2组近、远期疗效均显著,而2组间疗效比较无统计学差异(P＞0.05).结论 腰部腧穴和腰部密集型银质针导热治疗均为腰椎间盘突出症微创术后残留腰痛症状的有效治疗方法,而腰部腧穴银质针导热治疗针刺数量少、并发症少、患者费用少、痛苦少,故具有较高的临床应用价值.

Treatment of lumbago after minimally invasive surgery of lumbar intervertebral disc protrusion

Objective To investigate the best therapy for lumbago after minimally invasive surgery of lumbar intervertebral disc protrusion(LIDP).Methods All 128 patients were randomly divided into treatment group treated with heat conduction therapy with silver needles in lumbar acupoints,and control group,with heat conduction therapy with close silver needles.Results The comparison of VAS scores showed that the scores decreased significantly after the treatment than before(P<0.05) in two groups,and VAS scores between two groups had no statistical difference before and after the treatment(P>0.05).The short-term curative effect and long-term curative effect were significant in two groups,but there was no statistical difference in curative effect between two groups(P>0.05).Conclusion The heat conduction therapy with silver needles and heat conduction therapy with close silver needles in lumbar acupoints are all effective therapies for lumbago after minimally invasive surgery of LIDP,and the former has higher practicable value in clinic because less needles and complications,low cost and little suffering.