钩活术配合红花穴位注射治疗腰椎间盘突出症的临床观察

目的：评价钩活术配合红花穴位注射治疗腰椎间盘突出症（Lumbar Disc Herniation,LDH）的治疗效果。方法：将符合标准的60例LDH患者随机分为治疗组（30例）和对照组（30例）。治疗组采用钩活术配合红花穴位注射治疗；对照组采用电针加红花穴位注射治疗。观察两组临床疗效、视觉模拟疼痛评分(Visual Analogue Scale,VAS)、改良日本骨科学会下腰痛评分(Improved Japanese Orthopaedic Association Low Back Pain Score,M-JOA)。结果：治疗组总有效率为96.67%，优于对照组的70.00%（P<0.05）；治疗后，治疗组VAS评分、M-JOA评分改善优于对照组（P<0.01）。结论：钩活术配合红花穴位注射可以明显减轻LDH患者的症状，起到镇痛的作用。钩活术配合红花穴位注射可以作为临床上治疗LDH的优选方案。

Effectiveness of hooking therapy combined with safflower acupoint injection for lumbar disc herniation

Objective: To evaluate the therapeutic effect of hooking therapy combined with safflower acupoint injection for treatment of lumbar disc herniation (LDH). Methods: Sixty cases of LDH conformed to the standard were randomly assigned to treatment group (30 cases) and control group (30 cases). The treatment group was treated with hooking therapy combined with safflower acupoint injection, and the control group was given electro acupuncture combined with safflower acupoint injection. The clinical effectiveness of the two groups was observed by visual analogue scale (VAS) and improved Japanese orthopaedic association low back pain score (M-JOA). Results: After the treatment, VAS score and M-JOA score in both two groups were significantly lower than those before the treatment (both P<0.01), more obviously in the treatment group than in the control group (P<0.01). The total effective rate in the treatment group was 96.67%, significantly higher than in the control group (70.00%, P<0.05). Conclusion: Hooking therapy combined with safflower acupoint injection can significantly alleviate the symptoms of LDH patients and have the effect of analgesia. Hooking therapy combined with safflower acupoint injection can serve as an optimization scenario for clinical treatment of LDH.