椎间孔镜手术联合银质针温热疗法对腰椎间盘突出症患者腰椎功能和局部压痛的影响

Impacts of intervertebral foramen endoscopic surgery combined with silver needle hyperthermia therapy on lumbar spine function and local tenderness in patients with lumbar disc herniation

摘要:

目的 探讨椎间孔镜手术联合银质针温热疗法对腰椎间盘突出症（LDH）患者腰椎功能和局部压痛的影响。方法 选取2020年4月－2023年3月该院收治的LDH患者100例，采用随机数表法将患者分为对照组（50例）和观察组（50例）。对照组采用椎间孔镜手术联合常规腰背肌训练进行治疗，观察组采用椎间孔镜手术联合银质针温热疗法进行治疗，比较两组患者的腰椎功能、局部压痛、实验室指标和不良反应等。结果 两组患者治疗后的日本骨科协会（JOA）评分明显高于治疗前，且观察组明显高于对照组，差异均有统计学意义（P < 0.05）；两组患者治疗后的疼痛视觉模拟评分法（VAS）评分明显低于治疗前，且观察组明显低于对照组，差异均有统计学意义（P < 0.05）；两组患者治疗后的白细胞介素-6（IL-6）、肿瘤坏死因子-α（TNF-α）、前列腺素E2（PGE2）和5-羟色胺（5-HT）明显低于治疗前，且观察组明显低于对照组（P < 0.05）；观察组不良反应发生率为4.00%（2/50），明显低于对照组的20.00%（10/50），差异有统计学意义（P < 0.05）。结论 椎间孔镜手术联合银质针温热疗法能够有效地改善LDH患者的腰椎功能，减轻局部压痛症状。值得临床推广应用。

Abstract:

Objective To investigate the impacts of intervertebral foramen endoscopic surgery combined with silver needle hyperthermia therapy on lumbar spine function and local tenderness in patients with lumbar disc herniation (LDH).Methods From April 2020 to March 2023, 100 LDH patients were randomly devided into a control group (50 cases) and an observation group (50 cases) through random number table method. The control group was treated with intervertebral foramen endoscopic surgery combined with conventional lumbar and dorsal muscle training, while observed group was treated with intervertebral foramen endoscopic surgery combined with silver needle warm therapy. The lumbar function, local tenderness, laboratory indicators, and adverse reactions were compared.Results The Japanese Orthopaedic Association (JOA) score increased in both groups after treatment, and observed group had obviously higher scores, the differences were statistically significant (P < 0.05); After treatment, both groups showed a decrease in pain visual analogue scale (VAS) score, and observed group had obviously lower scores, the differences were statistically significant (P < 0.05); The levels of interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), prostaglandin E2 (PGE2), and 5-hydroxytryptamine (5-HT) in both groups decreased after treatment, and the observed group showed a more obvious decrease in all indicators, the differences were statistically significant (P < 0.05); The incidence of adverse reactions was 4.00% (2/50) in observed group and 20.00% (10/50) in the control group, adverse reactions in observed group were obviously fewer, the difference was statistically significant (P < 0.05).Conclusion The combination of intervertebral foramen endoscopic surgery and silver needle hyperthermia therapy can effectively improve lumbar spine function and alleviate local tenderness symptoms in patients with LDH. It is worthy clinical application.