| Objective: To establish a postoperative observation group as a control group,providing routine postoperative analgesia,while the experimental group receives additional wrist-ankle acupuncture treatment.The aim is to investigate the clinical efficacy and safety of wrist-ankle acupuncture in alleviating pain and functional impairment after modified TLIF surgery for degenerative lumbar spinal stenosis.This study compares the short-term postoperative pain relief,pre-discharge analgesic use,functional recovery,quality of life,and safety between the two groups of patients,aiming to provide theoretical support for further promoting postoperative functional recovery in patients,for further promotion in clinical practice.Methods: In this randomized controlled trial,a total of 64 patients with degenerative lumbar spinal stenosis who underwent modified TLIF surgery and met the inclusion criteria were randomly assigned to the experimental or control group,with 32 patients in each group,using a random number table method.Both groups were operated on by the same experienced chief physician,and both received routine postoperative analgesic pump analgesia.The experimental group received wrist-ankle acupuncture treatment starting from the first day after surgery,with a needle retention time of 1 hour,lasting for 7 days.The control group received no treatment postoperatively as a blank control.Both groups could receive additional injections of parecoxib sodium(40 mg)intravenously for analgesia when necessary.The primary efficacy endpoints were pain visual analogue scale(VAS)scores collected on postoperative days 1,2,and 7,as well as lumbar JOA scores and Oswestry Disability Index(ODI)scores at 1 week and 1 month after surgery.The number of intravenous administrations of parecoxib sodium from postoperative to discharge was recorded for both groups.This study aims to evaluate the impact of wrist-ankle acupuncture on postoperative pain and functional impairment,providing a theoretical basis for promoResults: Of the initial 64 patients who participated in the study,4 dropped out during treatment,leaving 60 patients for analysis.1.There were no statistically significant differences in baseline data such as gender,age,disease course,and protruding segment between the two groups(P>0.05),indicating comparability.2.Comparing pre-and post-treatment within each group,the VAS,JOA,and ODI scores after treatment in both the wrist-ankle acupuncture group and the routine control group were lower than before treatment,and the differences were statistically significant(P<0.05).3.Comparing between the two groups,the VAS,ODI,and JOA scores at 1 week after surgery in the wrist-ankle acupuncture group were lower than those in the routine control group,with statistically significant differences(P<0.05);the number of analgesic injections used by patients in both groups before discharge,as tested by statistical analysis,showed a significant difference(P<0.05);however,there was no statistically significant difference in ODI and JOA scores between the two groups at 1 month after surgery(P>0.05).4.No serious adverse reactions occurred during treatment and follow-up in either the wristankle acupuncture group or the routine control group,indicating a certain degree of safety for both treatments.Conclusions: The results suggest that adding wrist-ankle acupuncture treatment on top of routine postoperative analgesia can further alleviate pain in patients with degenerative lumbar spinal stenosis undergoing modified TLIF surgery,thus promoting early functional recovery and enhancing patients’ confidence in recovery.These findings highlight the potential clinical significance of ankle acupuncture intervention,which is worthy of further research and clinical application. |
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