Lv Ying, Dai De-Chun, Jiang Hui-Na, Shen Xiao-Min, Lu Jin-Chao
Department of Acupuncture-Moxibustion, Tuina and Rehabilitation, Kunshan Hospital of TCM, Kunshan 215300, Jiangsu Province, China.
Zhongguo Zhen Jiu. 2022 Oct 12;42(10):1103-7. doi: 10.13703/j.0255-2930.20220215-k0006.
To observe the effect of electroacupuncture (EA) on lumbar dysfunction and multifidus muscle characteristics in patients with lumbar disc herniation (LDH).
Sixty patients with LDH were randomly divided into an observation group and a control group, 30 cases in each group. The patients in the control group were treated with symptomatic treatment. On the basis of the treatment of the control group, the patients in the observation group were treated with acupuncture at L-S Jiaji (Ex-B 2) and Dachangshu (BL 25), and the ipsilateral L and L Jiaji point were connected with EA (continuous wave, frequency of 20 Hz, and the intensity was appropriate to the patient's tolerance). The needles were retained for 20 min, once every other day, and 10 times were taken as a course of treatment. A total of 2 courses of treatment was given. The modified Oswestry disability index (ODI) as well as the physical component summary (PCS) and mental component summary (MCS) of the 36-item short form health survey (SF-36) were compared between the two groups before and after treatment. Lumbar MRI was performed before and after treatment to measure the cross-sectional area (CSA), fatty infiltration (FI) and T2 values of multifidus muscle at the lower edge of L and L vertebral bodies.
After treatment, the ODI, PCS and MCS socres in the two groups were improved compared with those before treatment (<0.05), and the ODI and PCS socres in the observation group were better than those in the control group (<0.05). After treatment, the FI and value of T2 in the observation group were lower than those before treatment (<0.05), and lower than those in the control group (<0.05).
EA could improve lumbar dysfunction, relieve edema and fatty infiltration of multifidus muscle in patients with LDH.
观察电针（EA）对腰椎间盘突出症（LDH）患者腰部功能障碍及多裂肌特征的影响。
将60例LDH患者随机分为观察组和对照组，每组30例。对照组患者采用对症治疗。观察组患者在对照组治疗的基础上，针刺腰4 - 骶1夹脊穴（EX - B 2）和大肠俞穴（BL 25），并将患侧腰4、腰5夹脊穴连接电针（连续波，频率20 Hz，强度以患者耐受为宜）。留针20分钟，隔日1次，10次为1个疗程。共进行2个疗程的治疗。比较两组治疗前后的改良Oswestry功能障碍指数（ODI）以及36项简明健康调查（SF - 36）的生理健康评分（PCS）和心理健康评分（MCS）。治疗前后行腰椎磁共振成像（MRI），测量腰4、腰5椎体下缘多裂肌的横截面积（CSA）、脂肪浸润（FI）及T2值。
治疗后，两组的ODI、PCS及MCS评分均较治疗前改善（P < 0.05），且观察组的ODI及PCS评分优于对照组（P < 0.05）。治疗后，观察组的FI及T2值低于治疗前（P < 0.05），且低于对照组（P < 0.05）。
电针可改善LDH患者的腰部功能障碍，减轻多裂肌的水肿及脂肪浸润。
