8医疗装备2024年1月第37卷第2期MedicalEquipment,January.2024,Vol.37,No.2腕踝针对椎间盘源性腰痛行UBE下髓核摘除术后疼痛的临床研究史俊丽,陆文杰,徐涵斌江西省中西医结合医院(江西南昌330003)〔摘要〕目的探讨腕踝针对椎间盘源性腰痛行单侧双通道内镜(UBE)下髓核摘除术后疼痛的临床研究。方法选取2021年1月至2022年12月于医院进行UBE下髓核摘除术治疗的60例椎间盘源性腰痛患者作为研究对象,随机分为对照组和试验组,每组30例。对照组术后给予塞来昔布胶囊治疗,试验组术后采用腕踝针治疗,均治疗4周。比较两组总有效率、疼痛程度[采用视觉模拟评分法(VAS)评估]及腰椎功能[采用日本骨科协会腰痛评价量表(JOA)、改良Oswestry腰椎功能指数(ODI)评估]。结果治疗4周后,试验组总有效率、JOA评分高于对照组,疼痛程度轻于对照组,ODI评分低于对照组,差异均有统计学意义(P<0.05)。结论腕踝针可提高UBE下髓核摘除术治疗椎间盘源性腰痛患者的疗效,减轻术后疼痛程度,促进腰椎功能恢复。〔关键词〕腕踝针;椎间盘源性腰痛;单侧双通道内镜下髓核摘除术;视觉模拟评分法〔中图分类号〕R681.5〔文献标识码〕B〔文章编号〕1002-2376(2024)02-0008-04〔DOI〕10.3969/j.issn.1002-2376.2024.02.003基金项目:江西省中医药管理局科技计划(2022A317)收稿日期:2023-02-27·论著·ApplicationEffectofWrist-AnkleNeedleintheTreatmentofPatientswithDiscogenicLowBackPainbyNucleusPulposusRemovalwithUnilateralBiportalEndoscopyShiJunli,LuWenjie,XuHanbin.JiangxiProvinceIntegratedTraditionalChineseandWesternMedicineHospital,NanchangJiangxi330003,China【Abstract】ObjectiveTheapplicationeffectofwrist-ankleneedleintreatmentofpatientswithdiscogeniclowbackpainbynucleuspulposusremovalwithunilateralbiportalendoscopywasexplored.MethodsWiththeselectionofsixtypatientswithdiscogeniclowbackpainwhounderwentunilateralbiportalendoscopicnucleuspulposusremovalinthehospitalfromJanuary2021toDecember2022asthestudysubjects,theywererandomlydividedintothecontrolgroupandtheexperimentalgroup,with30patientsineachgroup.Withthecontrolgroupreceivedpostoperativetreatmentwithcelecoxibcapsules,andtheexperimentalgroupreceivedpostoperativetreatmentwithwrist-ankleneedlefor4weeks,thetotaleffectiverate,pa...