文献类型：期刊文献

中文题名：红光照射与口服中药联合经皮椎间孔镜技术治疗腰椎间盘突出症的疗效观察

英文题名：The therapeutic effect of red light irradiation plus oral TCM medicine and TESSYS on lumbar disc herniation

作者：王振[1];贾宝强[1];张晓刚[2];李元贞[2];王少飞[1];姚毅[1]

第一作者：王振

机构：[1]庆阳市中医医院,甘肃庆阳745000;[2]甘肃中医药大学附属医院,甘肃兰州730000

第一机构：庆阳市中医医院,甘肃庆阳745000

年份：2022

卷号：14

期号：33

起止页码：110

中文期刊名：中医临床研究

外文期刊名：Clinical Journal Of Chinese Medicine

基金：甘肃省科技厅重点研发计划(18YF1FA043)。

语种：中文

中文关键词：椎间孔镜技术;腰椎间盘突出症;红光照射;临床观察

外文关键词：Transforaminal Endoscopic Spine System;Lumbar disc herniation;Red light irradiation;Clinical observation

摘要：目的:观察红光照射与口服中药联合经皮椎间孔镜技术(Transforaminal Endoscopic Spine System,TESSYS)对腰椎间盘突出症患者的临床治疗效果。方法:选取2018年11月-2020年10月因腰椎间盘突出症行TESSYS治疗的患者共64例,随机分为对照组和治疗组,对照组患者单纯行TESSYS治疗,治疗组患者行TESSYS治疗之后给予局部红光照射与口服活血化瘀类中药,然后比较两组患者术前、术后1周、术后3个月、术后6个月的疼痛视觉模拟评分法(Visual Analogue Scale,VAS)及Oswestry功能障碍指数(Oswestry disability Index,ODI)评分,术后6个月随访时根据改良MacNab评价标准评价总体优良率。结果:术前两组患者的VAS评分及ODI评分相比较,差异无统计学意义(P>0.05),两组患者术后1周、3个月、6个月的VAS评分及ODI评分与术前比较,差异均有统计学意义(P<0.05);两组患者之间术后1周、3个月、6个月比较,差异均有统计学意义(P<0.05)。治疗组终末期总体优良率高于对照组,差异无统计学意义(P>0.05)。结论:TESSYS治疗椎间盘突出症临床疗效满意;如果将红光照射与口服活血化瘀中药联合TESSYS应用到腰椎间盘突出症患者的治疗中,则患者术后1周、3个月、6个月的VAS评分、ODI评分均降低,可见红光照射与口服活血化瘀类中药对TESSYS术后腰椎间盘突出患者起到了一定的镇痛作用,可加快患者康复。
Objective: To observe the clinical therapeutic effect of red light irradiation plus oral TCM medicine and TESSYS on lumbar disc herniation. Methods: A total of 64 patients with lumbar disc herniation treated by TESSYS from November 2018 to October 2020 were selected and randomly divided into the control group and the treatmentg roup. The control group was treated by TESSYS only, and the treatment group wats treated by local red light irradiation plus oral TCM medicine of promoting blood circulation and removing blood stasis more. The visual analogue scale(VAS) and Oswestry disability index(ODI) in the two groups were compared before operation, 1 week after operation, 3 months and 6 months after operation. The overall excellent and good rate were evaluated according to the modified Mac Nab evaluation standard at the last follow-up. Results: There was no significant difference in VAS score and ODI score between the two groups before operation(P>0.05). There were significant differences in VAS score and ODI score between the two groups 1 week, 3 months and 6 months after operation(P<0.05). The differences between the two groups were statistically significant. The overall excellent and good rate in the treatment group was higher than the control group, and there was no significant difference between the two groups(P>0.05). Conclusion: The clinical effect of red light irradiation plus oral TCM medicine and TESSYS is satisfactory in the treatment of lumbar disc herniation. If red light irradiation plus oral TCM medicine for activating blood circulation and removing blood stasis and TESSYS technology are applied into the treatment of patients with lumbar disc herniation, the VAS score and ODI score of the patients at 1 week, 3 months and 6 months after surgery will be reduced. It can be seen that red light irradiation plus oral TCM medicine for activating blood circulation and removing blood stasis play a certain analgesic role in treating lumbar disc herniation in patients after TESSYS, and it can speed up their rehabilitation.