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Effect of semiconductor laser therapy combined with auricular pressure beans on postoperative pain and limb movement in patients with lumbar disc herniation undergoing low-temperature plasma radiofrequency ablation |
LIU Hui WANG Shasha▲ ZHU Yuqi ZHAO Yingjun |
Department of Orthopedics, Eye Hospital China Academy of Chinese Medical Sciences, Beijing 100040, China |
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Abstract Objective To explore the effect of semiconductor laser therapy combined with auricular pressure beans on postoperative pain and limb movement in patients with lumbar disc herniation undergoing low-temperature plasma radiofrequency ablation. Methods A total of 100 patients with lumbar disc herniation undergoing low-temperature plasma radiofrepuency ablation admitted to the orthopedic ward of the Eye Hospital China Academy of Chinese Medical Sciences from January 2021 to January 2022 were included, according to the random number table method, the patients were divided into control group and study group, with 50 cases in each group. The control group was treated with routine care and semiconductor laser therapy. The study group was treated with auricular pressure beans therapy on the basis of the control group. Postoperative visual analogue scale (VAS) score, Japanese Orthopaedic Association (JOA) score, Oswestry Disability Index (ODI) score, and length of hospital stay, and clinical efficacy were compared between the two groups. Results Overall analysis found that there were significant differences in VAS, JOA and ODI scores, inter-group and interaction between the two groups (P<0.05). Intra-group comparison, VAS, JOA scores, and ODI scores of the two groups were compared at each time point after surgery, and the differences were statistically significant (P<0.05). Compared between groups, VAS and ODI scores of the study group were lower than those of the control group at one, three and five days after surgery, JOA score was higher than that of the control group, and the differences were statistically significant (P<0.05). The postoperative hospitalization time of the study group was shorter than that of the control group, and the difference was statistically significant (P<0.05). The clinical effect of the study group was better than that of the control group, and the difference was statistically significant (P<0.05). Conclusion The implementation of semiconductor laser therapy combined with auricular pressure beans for patients after lumbar low-temperature plasma radiofrequency ablation is conducive to early relief of pain, recovery of limb motion, promoting postoperative recovery of patients, and shortening hospital stay.
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[1] 支晓丞,徐进,钱晓忠.腰椎间盘突出症的保守治疗进展[J].中国医药导报,2018,15(30):36-39. [2] 崔志健,何涛,李越,等.经皮内镜治疗腰椎间盘突出症术后再突出与脊柱骨盆矢状面参数的相关性分析[J].成都医学院学报,2023,18(4):454-458. [3] 何武权,曾朝辉,鲁冬梅.曾朝辉自拟腰痛方治疗腰椎间盘突出症(寒湿阻络证)的经验[J].中医临床研究,2023, 15(9):103-105. [4] 洪秋阳,刘晓静,王桂玲.针药结合治疗腰椎间盘突出症的效果[J].中国医药报,2021,18(12):111-114. [5] 钱游伷,蔡舒婷.射频消融术联合臭氧在腰椎间盘突出症患者中的应用效果分析[J].上海医药,2022,43(5):46- 49. [6] 窦全梅.临床护理路径对腰椎间盘突出症患者生活质量、疼痛程度及护理满意度的影响[J].河南医学研究,2021, 30(10):1916-1918. [7] 中华医学会骨科学分会.腰椎间盘突出症诊疗指南[J].中华骨科杂志,2020,40(8):477-478. [8] 国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:124-125. [9] 梁雪,张红艳,张傲君.子午流注理论应用于蜡疗护理寒湿型腰椎间盘突出患者效果评价[J].中国医药导报,2022,19(16):191-193,197. [10] 卢小莲.中医综合护理腰椎间盘突出症患者的效果观察[J].临床合理用药杂志,2018,11(14):125-126. [11] 霍路遥,于大伟,冯天笑,等.椎间孔镜下髓核摘除术和靶点射频热凝术治疗包容型腰椎间盘突出症的疗效比较[J].中国骨伤,2023,36(1):17-24. [12] 郑琎喆,李伍建,赵金龙,等.经椎间孔入路与椎板间入路脊柱内镜下治疗老年椎间盘突出症疗效及对VAS、JOA评分的影响[J].解放军医药杂志,2020,32(7):72-75. [13] 高莉莉,周宇,刘梦雅,等.患者出院准备度干预策略的国内外研究进展[J].护理学报,2020,27(10):28-31. [14] 高林翼.单纯等离子射频消融术与等离子射频消融结合臭氧术治疗腰椎间盘突出症的不同疗效[D].太原:山西医科大学,2015. [15] 张育珠,徐梅玲.低温等离子射频消融术与臭氧注射术治疗腰椎间盘突出症的疗效及对患者生活质量的影响[J].中国医师杂志,2018,20(11):1622-1626. [16] 朱凤祥,朱洪英,于红霞,等.中医综合护理干预对腰椎间盘突出症患者术后疼痛和睡眠质量的影响[J].中西医结合护理(中英文),2019,5(10):53-55. [17] 孔博,颜威,刘素君,等.腰椎间盘突出症非药物保守治疗的研究进展[J].上海中医药杂志,2022,56(4):97-101. [18] 周丽梅,安方静,王晚晚,等.耳穴贴压治疗非特异性腰痛的快速止痛通络疗效观察[J].颈腰痛杂志,2023,44(2):277-278,290. [19] 赵莉,马倩,张玉玲.隔药灸联合耳穴压豆对腰椎间盘突出症患者疼痛及睡眠质量的影响[J].现代中西医结合杂志,2021,30(4):420-422,426. [20] 吴丹,何桂娟,王翠娟.腰椎间盘突出症患者不同中医护理技术效果的网状Meta分析[J].中国现代医生,2023, 61(3):75-79. [21] 刘海玲.耳针联合夹脊温针对腰椎间盘突出症镇痛疗效的观察[D].广州:广州中医药大学,2021. [22] 杨卫卫,张文乾,王婷婷.耳穴压豆联合康复锻炼对腰椎间盘突出患者术后腹胀、腰椎功能及生活质量的影响[J].辽宁医学杂志,2021,35(5):75-77. [23] 陆刚锋.中医综合疗法治疗腰椎间盘突出患者腰痛症状的效果[J].临床医学研究与实践,2018,3(22):124-125. [24] 陈香云.中医情志疗法配合耳穴埋豆改善眩晕患者症状及情绪状态的应用价值研究[J].黑龙江医药,2022,35(6):1429-1432. [25] 程璐.半导体激光骨膜减张术在引导骨再生同期种植术中的临床疗效研究[D].广州:广州医科大学,2020. [26] 张竞争,郭闯.中频脉冲电结合半导体激光治疗腰椎间盘突出症坐骨神经痛的临床效果[J].中国医药导报,2021,18(6):111-114. [27] 张振雨.半导体激光对腰椎间盘突出症坐骨神经痛的疗效及血清炎性因子水平的影响[J].颈腰痛杂志,2019, 40(4):483-485. |
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