| Objective: Our objective is to observe whether it is more effective by using target radiofrequency thermocoagulation combined with int ernal heating acupuncture needle than the single treatment of t hem. From the angle of the soft tissue damage both from the ins ide and outside of the spinal canal, we look forward to to prov ide a reliable treatment for the lumbar disc herniation.Methods:In this study, we selected 60 patients with lumbar disc hern iation with soft tissue damage both from the inside and outside of the spinal canal, who was treated in Shiyan Taihe Hospital from October 2015 to February 2016.Patients was randomly groupe d into 3 groups according to the sequence number of the patient s admitted to the hospital, The treatment of two methods combin ed as treatment group(group A),the target radiofrequency ther mocoagulation group as controlling group 1( group B),the inter nal heating acupuncture needle treatment group as the controlli ng group 2(group C). Each group choose 20 patients.Finally, by comparing the related indexes of A with B,A with C and befo re and after in each group,we will evaluate whether there are difference in clinical effect form the angle of Japanese Orthopedic Association(JOA) low back pain score standard of curative effect and the 《TCM syndrome diagnosis and curative effect st andard 》in “lumbar intervertebr disc herniation”standard of curative effect.Result:1)The statistical comparison of JOA scores :the JOA preoper ative score in group A、B、C was 11.95 ± 6.96;11.75 ± 7.04、11.65 ± 8.00;2 weeks after the treatment in group A、B、C it w as 19.23 ±5.76,14.88 ±6.23、15.75 ±5.25;2 months after the treatment in group A、B、C it was 27.42 + 6.38、22.69 ± 5.68、 21.97±8.94,Whether the comparison within each groups(two wee ks after the treatment to preoperative, two months to two week s after the therapy) or among groups(A to B or A to C on the t ime of two months and two weeks after the therapy), the differ ence of the JOA score all had statistical significance(P <0.05).2)According to the modified low back pain rating scale for c linical efficacy evaluation of Japanese Department of orthopedi cs Association(JOA) : after 2 weeks of the therapy, the clini cal treatment effective rates achieve to excellent standards o f A、B、C were 8、2、2;to good standards were 6、3、4;to mode rate standards were 4、10、11;to poor standards were 2、5、3; after 2 months of the therapy, the clinical treatment effectiv e rates achieve to excellent standards of A、B、C were 17、10、11;to good standards were 2、4、2;to moderate standards were 1、5、6;to poor standards were 0、1、1;Whether the comparison within each groups( two months to two weeks after the therapy) or among groups(A to B or A to C on the time of two months and two weeks after the therapy), the difference of the JOA score all had statistical significance(P <0.05).3)According to《 TCM syndrome diagnosis and curative effect standard 》in “lumbar intervertebr disc herniation”standard o f curative effect: after 2 weeks of the therapy, the clinical treatment effective rates achieve to cured standards of A、B、C were 13、4、5;to improved standards were 5、10、12;to uncure d standards were2、6、3;after 2 months of the therapy, the cl inical treatment effective rates achieve to cured standards of A、B、C were 19、14、13;to improved standards were 1、5、6;t o uncured standards were 0、1、1,Whether the comparison within each groups( two months to two weeks after the therapy) or amo ng groups(A to B or A to C on the time of two months and two w eeks after the therapy), the difference of the JOA score all ha d statistical significance(P <0.05).Conclusion: The three methods of clinical treatment for lumbar disc hern iation patients have positive clinical effect; The improvement of clinical curative effect of the target radiofrequency thermo coagulation combined with internal heating acupuncture needle i s better than that single of them; So the treatment effect of target radiofrequency thermocoagulation combined with internal heating acupuncture needle from the angle of both inside and o utside of soft tissue damage of the spinal canal in the treatme nt of intervertebral disc herniation, is better than the singly use of one of them. |
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