温针疗法联合康复训练促进腰椎间盘突出症术后康复的临床观察OA

Objective:To observe the effect of warming needle therapy combined with rehabilitation training on postoperative recovery in patients with lumbar disc herniation(LDH)after percutaneous endoscopic lumbar discectomy(PELD). Methods:A total of 125 patients with LDH who underwent PELD were enrolled and randomized into two groups using a random number table method(63 cases in the observation group and 62 in the control group).Both groups received identical comprehensive rehabilitation training,while the observation group additionally received warming needle therapy at Jiaji(EX-B2)points.The intervention lasted for one month in both groups.Short-term clinical efficacy was evaluated after treatment,and changes in traditional Chinese medicine(TCM)symptom and visual analog scale(VAS)scores were observed.All patients were followed up for 6 months,during which Japanese Orthopaedic Association(JOA)and Oswestry disability index(ODI)scores were measured to assess lumbar spine function. Results:The total effective rate in the observation group was 93.7%,which was higher than 77.4%in the control group(P<0.05).At 1 week and 1 month postoperatively,the TCM symptom and VAS scores in both groups decreased compared with the preoperative levels(P<0.05),and the scores at 1 month postoperatively were lower than those at 1 week postoperatively(P<0.05).Moreover,the scores in the observation group were lower than those in the control group(P<0.05).Compared with the preoperative values,the JOA score in both groups increased at 6 months postoperatively(P<0.05),and it was higher in the observation group than in the control group(P<0.05).The ODI score in both groups decreased(P<0.05),and it was lower in the observation group than in the control group(P<0.05). Conclusion:Compared with comprehensive rehabilitation training alone,warming needle therapy at Jiaji(EX-B2)points combined with comprehensive rehabilitation training demonstrates greater advantages in alleviating clinical symptoms,improving lumbar function,and reducing pain in LDH patients after PELD.