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Effect of deep muscle rehabilitation exercise combined with thumb-tack needle for subcutaneous embedding on lumbago and daily life of patients after minimally invasive lumbar surgery |
CHEN Lijuan1 MAO Zhijuan1 LU Fangqin1 SHENG Yuanyuan1 XIA Xiaopeng2▲ |
1.Operation Room, Nantong Hospital of Traditional Chinese Medicine, Jiangsu Province, Nantong 226001, China;
2.Department of Orthopedics, Nantong Hospital of Traditional Chinese Medicine, Jiangsu Province, Nantong 226001, China |
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Abstract Objective To explore the effect of deep muscle rehabilitation exercise combined with thumb-tack needle for subcutaneous embedding on lumbago and daily life of patients with lumbar disc herniation after percutaneous transforaminal endoscopic discectomy. Methods Ninety patients diagnosed with lumbar disc herniation (LDH) and underwent percutaneous foraminal endoscopic discectomy in Nantong Hospital of Traditional Chinese Medicine, Jiangsu Province from January 2018 to April 2021 were selected as subjects. They were divided into observation group (45 case) and control group (45 case) by random number table method. The control group was treated with deep muscle rehabilitation exercise (one month) combined with conventional acupuncture (two days), and the observation group was treated with deep muscle rehabilitation exercise (one month) combined with thumb-tack needle for subcutaneaus embedding (two days). The differences of visual analog scale (VAS), Japanese Orthopaedic Association (JOA), traditional Chinese medicine symptom score, and Oswestry disability index (ODI) before and after surgery were compared between the two groups. Results After treatment, VAS and traditional Chinese medicine symptom scores in two groups were lower than those before treatment, while JOA score was higher than that before treatment, VAS and traditional Chinese medicine symptom scores in observation group were lower than those in control group, while JOA score was higher than that in control group (P < 0.05). After treatment, pain intensity, self-care ability, extract, walking, standing, sleep, social activity, travel, and total score in two groups were lower than those before treatment, and observation group was lower than that in control group (P < 0.05). Conclusion Deep muscle rehabilitation exercise combined with thumb-tack needle for subcutaneaus embedding can significantly reduce the lumbago of patients after lumbar disc herniation, improve the range of motion of lumbar spine and the ability of daily living, which can be popularized in clinical application.
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[1] 钱宇章,王楠,董煜祺,等.经皮椎间孔镜治疗腰椎间盘突出症术后复发相关因素的Meta分析[J].中国组织工程研究,2020,24(36):5886-5896.
[2] 郭玲,田春燕,邵月琴,等.改良腰腹肌康复锻炼对经皮椎间孔镜髓核摘除术后患者的影响[J].护理学杂志,2019, 34(21):13-14,24.
[3] 尹国栋,林舟丹,程昌志,等.两种入路椎间孔镜技术治疗巨大腰椎间盘突出症的比较[J].中国矫形外科杂志,2019,27(23):2119-2124.
[4] 王鑫,史晨辉,孙建华,等.椎间盘镜下髓核摘除术对不同年龄段腰椎间盘突出症患者临床疗效分析[J].实用医学杂志,2019,35(22):3463-3467.
[5] Liu X,Yuan S,Tian Y,et al. Comparison of percutaneous endoscopic transforaminal discectomy,microendoscopic discectomy,and microdiscectomy for symptomatic lumbar disc herniation:minimum 2-year follow-up results [J]. J Neurosurg Spine,2018,28(3):317-325.
[6] 王志鹏,张晓刚,李元贞,等.经皮内窥镜下腰椎间盘切除术治疗复发性腰椎间盘突出症并发症的Meta分析[J].中国脊柱脊髓杂志,2020,30(1):53-61.
[7] 邵睿,祝斌,刘晓光.内窥镜下腰椎间盘髓核摘除术后复发危险因素的研究进展[J].中国脊柱脊髓杂志,2020,30(5):459-462.
[8] 孙建民,丁永国,李昌隆,等.经皮脊柱内镜下腰椎间盘切除术后复发因素及治疗方案[J].中国疼痛医学杂志,2020,26(5):362-367.
[9] 庞全瑭,卢红玉.普拉提运动疗法对腰椎间盘突出症患者微创术后功能恢复的影响[J].中华物理医学与康复杂志,2020,42(11):1020-1022.
[10] 罗进,兰海.经皮椎间孔镜与椎板开窗髓核摘除术治疗中年腰椎间盘突出症对比疗效分析[J].中国全科医学,2019,22(S2):28-31.
[11] 刘丰平,赵红卫,董军峰,等.后外侧入路椎间孔镜下L5/S1椎间盘突出伴高髂嵴髓核摘除术的技术改进[J].中国微创外科杂志,2019,19(2):101-105.
[12] 李贵双,王滨城.经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症的效果[J].中国当代医药,2021,28(17):93-95,99.
[13] 朱灏,刘波,张华溢,等.经皮椎间孔镜与椎间盘镜髓核摘除术治疗腰椎间盘突出症的疗效及复发影响因素分析[J].河北医学,2021,27(3):429-436.
[14] 张冲锋,李现林,彭卫兵,等.中药、针刺、灸法和推拿等中医疗法治疗血瘀型腰椎间盘突出症的网状Meta分析[J].中国组织工程研究,2021,25(17):2781-2788.
[15] 郭光昕,朱清广,孙武权,等.推拿干预腰椎间盘突出症的免疫机制研究进展[J].中华中医药杂志,2019,34(7):3132-3135.
[16] 娄玉,汤井芳,员林,等.80 kV低剂量及超低剂量CT扫描对青年军人腰椎间盘突出的临床应用研究[J].军事医学,2019,43(7):555-558.
[17] 池伟东,庄娟娜,吴俊哲,等.腰三针联合分经辨证取穴配合揿针留针候气治疗腰椎间盘突出症急性期临床研究[J].浙江中医药大学学报,2018,42(8):654-658.
[18] 钟润芬,尹旭辉,曹玉华,等.不同时间间隔针刺治疗腰椎间盘突出症的疗效对比[J].中国针灸,2019,39(5):457-461.
[19] 易端,朱薇,孟秀丽,等.慢性腰腿痛患者微创术前焦虑、抑郁状态及相关影响因素分析[J].北京大学学报(医学版),2020,52(2):285-289.
[20] 薛爱荣,宋薛艺,徐鹏,等.理筋调脊通络法对腰椎间盘突出症患者SF-MPQ、Owestry、JOA评分及中医症状评分的研究[J].时珍国医国药,2019,30(9):2169-2171.
[21] 伍搏宇,康辉,徐峰,等.PELD与MED治疗内镜术后复发性腰椎间盘突出症[J].中国矫形外科杂志,2020,28(1):15-19.
[22] 林建.经皮椎间孔镜技术在腰椎间盘突出症患者中的应用效果研究[J].中国医药科学,2022,12(4):173-175, 189.
[23] 王道泽,费昊东,陈晓钢,等.椎间孔镜髓核摘除术配合主动腰背肌锻炼治疗腰椎间盘突出症[J].中国矫形外科杂志,2019,27(15):1365-1369.
[24] 潘恒德,潘文亭,潘华杰,等.深层肌肉刺激结合手法肌肉放松治疗延迟性肌肉酸痛的疗效观察[J].中国临床医学,2020,27(4):598-602.
[25] 田照民,陈红梅,丁宇,等.腰椎微创术后深层肌康复护理对腰椎管狭窄症患者的临床疗效研究[J].解放军护理杂志,2018,35(20):50-53,58.
[26] 霍钻宜,李廷发,罗锐银,等.针灸结合运动锻炼对腰椎间盘突出症患者的影响[J].中国医药科学,2020,10(1):62-65.
[27] 王树东,张寒,关红阳,等.电针对腰椎间盘突出症大鼠神经根形态及其NK1、NK2表达影响的实验研究[J].中华中医药学刊,2020,38(12):23-26,281.
[28] 孙旭,马新平,吕麟亚,等.揿针干预空军机务人员脊源性腰痛:随机对照研究[J].中国针灸,2020,40(11):1180-1184. |
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