摘要
目的 观察腹部十字灸联合腰五针治疗腰椎间盘突出症椎间孔镜术后残余疼痛的临床疗效。方法 将腰椎间盘突出症椎间孔镜术后残余疼痛患者80随机分为观察组和对照组，每组各40例。对照组采用腰五针针刺治疗，腹部十字灸法。10日为一疗程。比较两组患者治疗前和治疗后日本骨科协会评分（JOA）、视觉模拟评分（VAS）、直腿抬高角度及疗效。结果 治疗后观察组JOA评分高于对照组（P＜0.05）。治疗后观察组VAS评分低于对照组（P＜0.05）。治疗后观察组直腿抬高角度高于对照组（P＜0.05）。观察组的总有效率高于对照组（P＜0.05）。结论 腹部十字灸联合腰五针治疗椎间孔镜术后残余疼痛效果显著，可明显缓解患者的术后残余疼痛症状，改善患者的术后腰椎功能。
关键词： 腹部十字灸；腰五针；椎间孔镜；残余疼痛；腰椎间盘突出
Abstract
Objective To observe the clinical effect of abdominal cross moxibustion combined with lumbar five acupuncture in the treatment of residual pain after lumbar disc herniation through foraminoscopy. Methods 80 patients with residual pain after foraminoscopy of lumbar disc herniation were randomly divided into observation group and control group, 40 cases in each group. The control group was treated with five needle acupuncture and abdominal cross moxibustion. 10 days is a course of treatment. The Japanese Orthopaedic Association score (JOA), visual analogue score (VAS), straight leg elevation Angle and efficacy of the two groups were compared before and after treatment. Results After treatment, the JOA score of the observation group was higher than that of the control group (P < 0.05). The VAS score of observation group was lower than that of control group after treatment (P < 0.05). After treatment, the Angle of straight leg elevation in observation group was higher than that in control group (P < 0.05). The total effective rate of observation group was higher than that of control group (P < 0.05). Conclusion Abdominal cross moxibustion combined with lumbar five acupuncture is effective in the treatment of residual pain after foraminoscopy, which can significantly relieve the symptoms of residual pain and improve the function of lumbar spine.
Key words： Abdominal cross moxibustion; Waist five needle; Foraminoscope; Residual pain; Lumbar disc herniation
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