[1]刘金展.针灸联合神经损伤治疗仪对腰间盘突出术后马尾神经损伤的影响[J].医学信息,2022,35(05):171-173.[doi:10.3969/j.issn.1006-1959.2022.05.046]
　LIU Jin-zhan.Effect of Acupuncture and Nerve Injury Therapeutic Apparatus on Cauda Equina Injury After Lumbar Disc Herniation[J].Medical Information,2022,35(05):171-173.[doi:10.3969/j.issn.1006-1959.2022.05.046]
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针灸联合神经损伤治疗仪对腰间盘突出术后马尾神经损伤的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年05期
页码:
171-173
栏目:
中医中药
出版日期:
2022-03-01

文章信息/Info

Title:
Effect of Acupuncture and Nerve Injury Therapeutic Apparatus on Cauda Equina Injury After Lumbar Disc Herniation
文章编号:
1006-1959（2022）05-0171-03
作者:
刘金展
（天津市静海区中医医院针灸科，天津 301600）
Author(s):
LIU Jin-zhan
(Department of Acupuncture and Moxibustion,Jinghai District Hospital of Traditional Chinese Medicine,Tianjin 301600,China)
关键词:
腰间盘突出术; 马尾神经损伤; 针灸; 神经损伤治疗仪; 排尿功能
Keywords:
Lumbar disc herniation; Cauda equina injury; Acupuncture; Nerve injury therapeutic apparatus; Urination function
分类号:
R681.5+7；R245.9+7
DOI:
10.3969/j.issn.1006-1959.2022.05.046
文献标志码:
A
摘要:
目的 研究针灸联合神经损伤治疗仪对腰间盘突出术后马尾神经损伤（CEI）的影响。方法 选取2020年2月-2021年2月天津市静海区中医医院收治的64例腰间盘突出术后CEI患者，采用随机数字表法分为对照组和观察组，各32例。对照组采用神经损伤治疗仪治疗，观察组采用针灸联合神经损伤治疗仪治疗，比较两组临床疗效、排尿情况、疼痛症状[疼痛视觉模拟评分（VAS）评分]及功能恢复效果[日本骨科协会评估治疗（JOA）评分、Frankel脊髓损伤评分]。结果 观察组治疗有效率为87.50%，高于对照组的71.88%，差异有统计学意义（P＜0.05）；两组残余尿量小于治疗前，最大尿流率大于治疗前，且观察组残余尿量小于对照组，最大尿流率大于对照组，差异有统计学意义（P＜0.05）；两组VAS评分低于治疗前，且观察组VAS评分低于对照组，差异有统计学意义（P＜0.05）；两组JOA、Frankle评分均高于治疗前，且观察组JOA、Frankle评分高于对照组，差异有统计学意义（P＜0.05）。结论 针灸联合神经损伤治疗仪治疗腰间盘突出术后CEI疗效肯定，可显著改善患者的排尿情况及疼痛症状，同时促进机体功能的有效恢复。
Abstract:
Objective To study the effect of acupuncture and nerve injury therapeutic apparatus on cauda equina injury (CEI) after lumbar disc herniation.Methods A total of 64 patients with CEI after lumbar disc herniation in Tianjin Jinghai District Hospital of Traditional Chinese Medicine from February 2020 to February 2021 were selected and randomly divided into control group and observation group according to random number tables, with 32 cases in each group. The control group was treated with nerve injury therapeutic apparatus, and the observation group was treated with acupuncture combined with nerve injury therapeutic apparatus. The clinical efficacy, urination, pain symptoms [Visual Analogue Scale (VAS) score] and functional recovery effect [Japanese Orthopaedic Association (JOA) score, Frankel spinal cord injury score] were compared between the two groups.Results The effective rate of the observation group was 87.50%, which was higher than 71.88% of the control group, and the difference was statistically significant (P<0.05). The residual urine volume of the two groups was less than that before treatment, the maximum urine flow rate was greater than that before treatment, and the residual urine volume of the observation group was less than that of the control group, and the maximum urine flow rate was greater than that of the control group, the difference was statistically significant (P<0.05). The VAS score of the two groups was lower than that before treatment, and the VAS score of the observation group was lower than that of the control group, the difference was statistically significant (P<0.05). The JOA and Frankle scores of the two groups were higher than those before treatment, and the JOA and Frankle scores of the observation group were higher than those of the control group,the difference was statistically significant(P<0.05).Conclusion Acupuncture combined with nerve injury therapeutic apparatus is effective in treating CEI after lumbar disc herniation, which can significantly improve the urination and pain symptoms of patients, and promote the effective recovery of body function.

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更新日期/Last Update: 1900-01-01