热敏灸联合射频热凝靶点消融术对腰椎间盘突出症患者疼痛、腰椎活动度的影响

Effects of heat-sensitive moxibustion combined with radiofrequency thermocoagulation target ablation on pain and lumbar mobility in patients with lumbar disc herniation

关键词:  热敏灸  射频热凝靶点消融术  腰椎间盘突出症  疼痛  腰椎活动度

Key words:  heat-sensitive moxibustion  radiofrequency thermocoagulation target ablation  lumbar disc herniation  pain  lumbar spine mobility

摘要:

[目的] 探究热敏灸联合射频热凝靶点消融术对腰椎间盘突出症（LDH）患者疼痛、腰椎活动度的影响。[方法] 选取在本院接受治疗的LDH患者118例作为研究对象，按随机数字表法分为消融组和热敏组。其中消融组采用射频热凝靶点消融术治疗，热敏组在消融组的基础上加用热敏灸治疗。比较治疗前后两组患者临床疗效、中医证候积分、腰椎活动度、疼痛及相关评分指标、并记录不良反应。[结果] 热敏组总有效率为91.53%，高于消融组的76.27%（P<0.05）。热敏组患者主症证候积分、次症证候积分、视觉模拟评分法（VAS）、Oswestry功能障碍指数（ODI）均低于消融组（P<0.05）；热敏组患者伸展、侧屈、前屈角度、日本骨科学会（JOA）评分均高于消融组（P<0.05）。[结论] 热敏灸联合射频热凝靶点消融术治疗LDH患者有较好的疗效，可有效减轻疼痛，提高腰椎活动度，改善腰椎功能，促进患者恢复，且安全性高。

Abstract:

[Objective] To investigate the effects of heat-sensitive moxibustion combined with radiofrequency thermocoagulation target ablation on pain and lumbar mobility in patients with lumbar disc herniation（LDH）. [Methods] A total of 118 LDH patients treated in our hospital were selected and randomly assigned to an ablation group or a combination group via a random number table. The ablation group received radiofrequency thermocoagulation target ablation alone，while the combination group received additional heat-sensitive moxibustion therapy. Clinical efficacy，traditional Chinese medicine syndrome scores，lumbar mobility，pain and related scores，and adverse reactions were compared between the two groups before and after treatment. [Results] The total effective rate in the combination group was higher than that in the ablation group（91.53% vs. 76.27%，P<0.05）. The combination group showed lower scores for primary and secondary traditional Chinese medicine symptoms，visual analog scale（VAS），and oswestry disability index（ODI） compared to the ablation group（P<0.05）. Moreover，the combination group exhibited greater range of motion in lumbar extension，lateral flexion，and anterior flexion，as well as higher Japanese Orthopaedic Association（JOA） scores than the ablation group（P<0.05）. [Conclusion] The combination of heat-sensitive moxibustion and radiofrequency thermocoagulation target ablation demonstrates favorable therapeutic effects for LDH patients. It can effectively alleviate pain，improve lumbar mobility and function，promote recovery，and exhibits a high safety profile.