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| Effect of shock wave combined with electroacupuncture on residual skin sensation disorder in lumbar 5 innervation area after spinal endoscopy |
| LI Jing* WANG Peng* ZHAO Jian ZHAO Chongcheng LU Huoyan |
| The Second Department of Bone Traumatology, the First Affiliated Hospital of Hebei University of Chinese Medicine, Hebei Province, Shijiazhuang 050011, China |
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Abstract Objective To analyze the clinical effect of shock wave combined with electroacupuncture on residual skin sensation disorder in lumbar 5 innervation area after spinal endoscopy. Methods From January 2018 to June 2019, seventy-five patients were admitted to the First Affiliated Hospital of Hebei University of Chinese Medicine and the Hospital of medical association who were diagnosed as L4/5 disc herniation and residual skin sensation disorder in lumbar 5 nerve innervation area after percutaneous endoscopic lumbar discectomy were included. According to the random number table method, they were divided into electroacupuncture group, shock wave group and combined group, with 25 cases in each group. The electroacupuncture group received electroacupuncture treatment, the shock wave group received extracorporeal shock wave treatment, and the combined group received extracorporeal shock wave combined electroacupuncture treatment. The treatment took two weeks as one course of treatment, a total of two courses of treatment. Visual analogue scales (VAS) of numbness scores and Japanese orthopaedic association (JOA) lumbar pain assessment standard scores were recorded before treatment, after one course of treatment, and after two courses of treatment. The therapeutic effect and clinical efficacy were evaluated. Results Overall analysis showed that the differences among groups, time points and interactions were statistically significant (all P ＜ 0.05). Compared with before treatment, VAS scores of numbness decreased and JOA scores increased after one or two courses of treatment in the three groups, with statistically significant differences (all P ＜ 0.05). After treatment, VAS score of numbness in the combined group was lower than that in the electroacupuncture group and shock wave group, and JOA score was higher than that in the electroacupuncture group and shock wave group. There was no significant difference in VAS and JOA scores between the electroacupuncture group and the shock wave group (P ＞ 0.05). The overall clinical efficacy of the combined group was higher than that of the electroacupuncture group and shock wave group (P ＜ 0.017). Conclusion Shock wave combined with electroacupuncture has a good clinical effect on residual skin sensation disorder in the lumbar 5 nerve innervation area after percutaneous endoscopic lumbar discectomy, and its therapeutic effect is superior to other monotherapy regiments, and can significantly relieve the symptoms of skin sensation disorder after percutaneous endoscopic lumbar discectomy.
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