| 余昊天,于宁宁,张亮,刘志刚.电针与高能激光治疗腰椎间盘突出微创术后残留痛疗效观察[J].中国康复,2025,40(9):544-548 |
| 电针与高能激光治疗腰椎间盘突出微创术后残留痛疗效观察 |
| Therapeutic efficacy of electroacupuncture and high-energy laser for residual pain after minimally invasive surgery for lumbar disc herniation |
| |
| DOI：10.3870/zgkf.2025.09.007 |
| 中文关键词: 电针 高能激光 腰椎间盘突出症 微创手术 残留痛 |
| 英文关键词: electroacupuncture high-energy laser lumbar disc herniation minimally invasive surgery residual pain |
| 基金项目:江苏省中医药科技发展计划项目（YB2020085）；武汉市医学科学研究项目（WX23Y03） |
|
| 摘要点击次数: 504 |
| 全文下载次数: 273 |
| 中文摘要: |
| 目的：探究电针与高能激光治疗腰椎间盘突出症（LDH）微创术后残留痛疗效。方法：选取2022年2月~2024年2月期间在我院住院治疗的LDH患者88例作为研究对象，并根据随机数字表法分为高能激光组和电针组各44例，2组患者均进行4周的常规干预，电针组给予电针干预，高能激光组患者进行高能激光干预，连续干预4周，并比较2组患者治疗前后的疼痛情况、腰椎功能改善情况、生活质量、炎症因子、临床疗效及安全性。结果：干预前VAS、腰椎JOA、SF-36评分及血清IL-1β、TNF-α、CRP水平2组比较差异无统计学意义。干预4周后，2组VAS评分及血清IL-1β、TNF-α、CRP水平均较干预前明显降低（P<0.05），且高能激光组明显低于电针组（P<0.05）；2组JOA及SF-36评分均较干预前明显提高（P<0.05），且高能激光组明显高于电针组（P<0.05）；2组临床疗效比较，高能激光组总有效率明显高于电针组（97.73%、81.82%，P<0.05）。2组患者在干预过程中均未出现不良反应。结论：相对于电针干预，高能激光治疗干预在腰椎间盘突出微创术后残留痛的应用能促进改善腰椎功能，降低血清炎症因子水平，从而提高患者的临床效果与生活质量，且安全性高。 |
| 英文摘要: |
| Objective: To explore the therapeutic efficacy of electroacupuncture and high-energy laser in treating residual pain after minimally invasive surgery for lumbar disc herniation (LDH). Methods: A total of 88 patients with LDH who were hospitalized in our hospital from February 2022 to February 2024 were selected as study participants. They were randomly divided into two groups using the random number table method: the high-energy laser group (n=44) and the electroacupuncture group (n=44). Both groups underwent 4 weeks of routine intervention. Both groups were given routine intervention. The electroacupuncture group received electroacupuncture intervention in addition to the routine intervention, and the high-energy laser group received high-energy laser therapy. The intervention lasted for 4 consecutive weeks. The pain levels, lumbar function improvement, quality of life, inflammatory factors, clinical efficacy, and safety of the two groups were compared before and after the treatment. Results: After 4 weeks of intervention, the VAS scores in the high-energy laser group were significantly lower than those in the electroacupuncture group (P<0.05). After 4 weeks of intervention, both groups showed significant differences compared to before intervention (P<0.05). The JOA lumbar function scores in the high-energy laser group were significantly higher than those in the electroacupuncture group (P<0.05). The SF-36 scores in the high-energy laser group were also significantly higher than those in the electroacupuncture group (P<0.05). The levels of IL-1β, TNF-α, and CRP in the high-energy laser group were significantly lower than those in the electroacupuncture group (P<0.05). Additionally, the overall effective rate of treatment in the high-energy laser group (97.73%) was significantly higher than that in the electroacupuncture group (81.82%) (P<0.05). Conclusion: Compared with elec-troacupuncture intervention, the application of high-energy laser therapy intervention in residual pain after minimally invasive surgery for LDH can promote the improvement of lumbar spine function, reduce serum inflammatory factor levels, thereby improving the clinical efficacy and quality of life of patients, and has high safety. |
|
查看全文
下载PDF阅读器 HTML全文 |
| 关闭 |
