中国康复2025，Vol.40Issue(9)：544-548,5.DOI:10.3870/zgkf.2025.09.007
电针与高能激光治疗腰椎间盘突出微创术后残留痛疗效观察
Therapeutic efficacy of electroacupuncture and high-energy laser for residual pain after minimally invasive surgery for lumbar disc herniation
摘要
Abstract
Objective:To explore the therapeutic efficacy of electroacupuncture and high-energy laser in treating re-sidual pain after minimally invasive surgery for lumbar disc herniation(LDH).Methods:A total of 88 patients with LDH who were hospitalized in our hospital from February 2022 to February 2024 were selected as study partici-pants.They were randomly divided into two groups using the random number table method:the high-energy laser group(n=44)and the electroacupuncture group(n=44).Both groups underwent 4 weeks of routine intervention.Both groups were given routine intervention.The electroacupuncture group received electroacupuncture intervention in addition to the routine intervention,and the high-energy laser group received high-energy laser therapy.The in-tervention lasted for 4 consecutive weeks.The pain levels,lumbar function improvement,quality of life,inflamma-tory factors,clinical efficacy,and safety of the two groups were compared before and after the treatment.Results:After 4 weeks of intervention,the VAS scores in the high-energy laser group were significantly lower than those in the electroacupuncture group(P＜0.05).After 4 weeks of intervention,both groups showed significant differences compared to before intervention(P＜0.05).The JOA lumbar function scores in the high-energy laser group were significantly higher than those in the electroacupuncture group(P＜0.05).The SF-36 scores in the high-energy la-ser group were also significantly higher than those in the electroacupuncture group(P＜0.05).The levels of IL-1β,TNF-α,and CRP in the high-energy laser group were significantly lower than those in the electroacupuncture group(P＜0.05).Additionally,the overall effective rate of treatment in the high-energy laser group(97.73％)was sig-nificantly higher than that in the electroacupuncture group(81.82％)(P＜0.05).Conclusion:Compared with elec-troacupuncture intervention,the application of high-en-ergy laser therapy intervention in residual pain after minimally invasive surgery for LDH can promote the improvement of lumbar spine function,reduce serum inflammatory factor levels,thereby improving the clini-cal efficacy and quality of life of patients,and has high safety.关键词
电针/高能激光/腰椎间盘突出症/微创手术/残留痛Key words
electroacupuncture/high-energy laser/lumbar disc herniation/minimally invasive surgery/residual pain分类
医药卫生引用本文复制引用
余昊天,于宁宁,张亮,刘志刚..电针与高能激光治疗腰椎间盘突出微创术后残留痛疗效观察[J].中国康复,2025,40(9):544-548,5.基金项目
江苏省中医药科技发展计划项目(YB2020085) （YB2020085）
武汉市医学科学研究项目(WX23Y03) （WX23Y03）
