银质针疗法联合CT引导下经椎间孔神经根消炎镇痛治疗腰椎间盘突出症的临床研究*

Clinical observation on treatment of prolapse of lumbar intervertebral disc with silver acupuncture therapy combined with CT guided transforaminal nerve root block

摘要:

目的：研究银质针疗法联合CT引导下经椎间孔神经根消炎镇痛治疗腰椎间盘突出症的临床疗效。方法：选择80例腰椎间盘突出症患者,随机分为神经消炎组(40例)和联合银质针组(40例),神经消炎组采用CT引导下经椎间孔神经根阻滞,联合银质针组采用银质针疗法联合CT引导下经椎间孔神经根阻滞治疗,采用Oswestry 功能障碍指数问卷表 ( the oswestry disability index,ODI )进行疗效评价,采用VAS(visual analogue scale, VAS)评分评估疼痛变化。结果：两组疗前ODI评分对比,差异无统计学意义(P>0.05),但联合银质针组治疗后1月、3月ODI评分均显著低于神经消炎组,差异均有统计学意义(P<0.05)；两组疗前VAS评分对比,差异无统计学意义(P>0.05),但联合银质针组治疗后1月、3月VAS评分均显著低于神经消炎组,差异均有统计学意义(P<0.05)。结论：CT引导下经椎间孔神经根阻滞微创治疗联合银质针综合治疗较单纯微创治疗,疗效更显著,是一种止痛迅速、无副作用、操作相对安全、疗效显著的综合治疗,应用价值高。

Abstract:

Objective:To observe the clinical efficiency of treatment of prolapse of lumbar intervertebral disc with silver acupuncture therapy combined with CT guided transforaminal nerve root block. Methods:80 patients with prolapse of lumbar intervertebral disc were randomly divided into nerve block group(n=40) and combined combined silver group(n=40), nerve block group received CT guided transforaminal nerve root block,observation group received silver acupuncture therapy combined with CT guided transforaminal nerve root block. the effects were respectively analyzed with ODI and visual analogue scale (VAS). Results:There was no statistically significant difference in the ODI score between the 2 groups before treatment (P>0.05), but the ODI scores in the combined silver group at 1 and 3 months after treatment were significantly lower than those in the nerve block group, the differences were statistically significant (P<0.05). There was no statistically significant difference in the VAS score between the 2 groups before treatment (P>0.05), but the VAS scores in the combined silver group at 1 and 3 months after treatment were significantly lower than those in the nerve block group, the differences were statistically significant (P<0.05). Conclusion:Minimally invasive treatment of silver acupuncture therapy combined with CT guided transforaminal nerve root block is more effective than simple minimally invasive treatment. It is a comprehensive treatment with quick pain relief, no side effects, relatively safe operation and significant curative effect, and has high application value.