中国中西医结合杂志2025，Vol.45Issue(4)：410-415,6.DOI:10.7661/j.cjim.20241125.296
不同间隔时间下电针治疗非重症腰椎间盘突出症患者队列研究
Cohort Study on Electroacupuncture at Different Time Intervals for Non-Severe Lumbar Disc Herniation Patients
摘要
Abstract
Objective To study the clinical efficacy of electroacupuncture(EA)at different time intervals for treating patients with non-severe lumbar disc herniation(LDH).Methods From January 2020 to May 2024 a retrospective analysis was conducted on 476 non-severe LDH patients at Nanjing Hospital of Traditional Chinese Medicine affiliated to Nanjing University of Chinese Medicine.Patients were assigned to a control group(conventional treatment+standard acupuncture)and an EA group(control treatment with added electroacupuncture,98 patients received daily treatment,and 112 patients received every other day treatment).Clinical outcomes were assessed by Visual Analogue Scale(VAS),Japanese Orthopedic Association(JOA)scores,Modified Oswestry Disability Index(ODI),hospitalization days,pain cessation,significant pain relief time,physical exam positivity rate,CT/MRI follow-up improvement rate,and comparative analyses of VAS and JOA scores at different time intervals within 7 days in the EA group.Results After treatment,the total improvement rate in the EA group[97.1％(204/210)]was significantly higher than that in the control group[90.0％(189/210),x2=8.906,P＜0.01].Compared with before treatment,both VAS and ODI scores significantly decreased(P＜0.01),while the JOA score significantly increased(P＜0.01)in both groups after treatment.The differences in VAS,JOA,and ODI scores were significantly greater in the control group than in the EA group(P＜0.05,P＜0.01).The time to cessation of pain exacerbation in the EA group was significantly shorter than that in the control group(Z=6.053,P＜0.05),while the time to significant pain relief showed no significant difference between the two groups(Z=0.001,P＞0.05).The EA group also showed lower positive rates in the straight leg raising test,straight leg raising with increased difficulty,and pick-up test,as compared with the control group(x12=13.726,x22=6.860,x32=11.789,P＜0.05).Furthermore,the EA group had a higher re-examination improvement rate in CT or MRI compared with the control group(x2=6.635,P＜0.05).Along with increased treatment time intervats,VAS scores in the EA group gradually decreased and JOA scores gradually increased(P＜0.01).On day 7 the VAS score in the every-other-day group was significantly lower than that in the daily treatment group(t=4.669,P＜0.01).Conclusions EA combined with conventional treatment significantly relieved clinical symptoms,improved lumbar function,and enhanced prognosis of LDH patients.EA treatment at different time intervals affected pain reduction with statistical differences.The every-other-day EA group showed superior outcomes to that of the daily EA group.关键词
电针/腰椎间盘突出症/时间间隔/功能评分/队列研究Key words
electroacupuncture/lumbar disc herniation/time interval/functional scoring/cohort study引用本文复制引用
史世杰,杨菲,张天意,罗铮,徐李炜,赵玉洁,计炜龙,张彩荣..不同间隔时间下电针治疗非重症腰椎间盘突出症患者队列研究[J].中国中西医结合杂志,2025,45(4):410-415,6.基金项目
江苏省第六期"333高层次人才培养工程"项目[No.(2022)3-1-310] （2022）
江苏省研究生实践创新计划项目(No.SJCX24-1113) （No.SJCX24-1113）
