蒙医温针治疗腰椎间盘突出症的疗效评价

Evaluation of the Therapeutic Effect of Mongolian Medicine Warm Needle Therapy on Lumbar Disc Herniation

摘要: 目的：探讨蒙医温针疗法治疗腰椎间盘突出症(LDH)的临床效果及安全性。方法：选取2020年12月至2022年1月期间于伊金霍洛旗蒙医综合医院蒙医传统疗术科就诊的60例LDH患者，随机分为治疗组(30例)和对照组(30例)。治疗组采用蒙医温针治疗，对照组采用常规针刺治疗。观察两组患者治疗前后的JOA下腰痛评分、VAS视觉模拟评分及临床疗效。结果：治疗前两组患者JOA评分、VAS评分差异无统计学意义(P > 0.05)；治疗后两组评分均改善，治疗组JOA评分改善率为(65.32 ± 10.56)%，对照组为(42.15 ± 8.97)%，治疗组VAS评分降低至(2.15 ± 1.02)分，对照组降低至(3.89 ± 1.23)分，两组改善程度差异有统计学意义(P < 0.05)。治疗组治愈12例，显效10例，有效6例，无效2例，总有效率为93.33%；对照组治愈8例，显效7例，有效9例，无效6例，总有效率为80.00%，治疗组总有效率高于对照组(P < 0.05)。治疗过程中，治疗组，对照组均未出现不良事件。结论：蒙医温针疗法治疗LDH疗效显著，可有效改善患者症状，安全性较高，具有临床推广价值。

Abstract: Objective: To explore the clinical efficacy and safety of Mongolian medicine warm needle therapy in the treatment of lumbar disc herniation (LDH). Method: Sixty LDH patients who visited the Yijinhuoluo Banner Mongolian Medical General Hospital from December 2020 to January 2022 were randomly divided into a treatment group (30 cases) and a control group (30 cases). The treatment group received Mongolian medicine warm needle, while the control group received conventional acupuncture treatment. We observed the JOA lumbar pain scores, VAS visual analog scores, and clinical outcomes for both groups of patients before and after treatment. Results: Before treatment, there were no statistically significant differences in JOA scores and VAS scores between the two groups (P > 0.05). After treatment, both groups showed improvements in their scores. The improvement rate of JOA scores in the treatment group was (65.32 ± 10.56)%, while that in the control group was (42.15 ± 8.97)%. The VAS scores in the treatment group decreased to (2.15 ± 1.02) points, and those in the control group decreased to (3.89 ± 1.23) points. The differences in the degree of improvement between the two groups were statistically significant (P < 0.05). In terms of clinical outcomes, the treatment group had 12 cases of complete recovery, 10 cases of significant improvement, 6 cases of improvement, and 2 cases of no effect, with a total effective rate of 93.33%. The control group had 8 cases of complete recovery, 7 cases of significant improvement, 9 cases of improvement, and 6 cases of no effect, with a total effective rate of 80.00%. The total effective rate of the treatment group was higher than that of the control group (P < 0.05). During the treatment process, no adverse events were observed in either the treatment group or the control group. Conclusion: Mongolian medicine warm needle therapy has significant therapeutic effects on LDH, can effectively improve patient symptoms, has high safety, and has clinical promotion value.