Abstract
Objective To evaluate the efficacy and safety of Wentong Gua sha therapy versus conventional therapy for lower limb numbness in patients with lumbar disc herniation(LDH). Methods A total of 64 LDH patients with lower limb numbness were randomly divided into study group and control group, with 32 cases in each group. The study group received Wentong Gua Sha treatment plus conventional treatement, while the control group received conventional treatment, both groups were treated once every two days, 7 days as a course of treatment, a total of two courses of treatment. Changes in the modified Oswestry Disability Index (ODI), Lumbar Spine Japanese Orthopaedic Association(JOA) Score, and Numbness Visual Analog Scale (VAS) were compared between the two groups before treatment and aftet first-time , first course and second course of treatment. Results There were four patients lost to follow-up (2 cases in the control group and 2 cases in the study group). A significant decrease in numbness VAS score was found in the treatment group after one week and two weeks of treatment compared with that in the control group(P<0. 05). After two weeks of intervention, the ODI score in the treatment group decreased more significantly than that in the control, and JOA score in the treatment group increased more significantly than that in the control (P<0. 05). The total effective rate of the treatment group was 86. 67% (26/30), which was higher than 73. 33% (22/30) of the control group (P<0. 05). Conclusion Wentong Gua Sha therapy is potentially effective in the treatment of lower limb numbness, and it shows a better curative effect than the conventional treatment. (目的 探讨温通刮痧疗法对比常规疗法对腰椎间盘突出症(LDH)患者下肢麻木的效果及安全性。方法 选取2023年11月—2024年2月医院收治的64例LDH伴下肢麻木患者为研究对象, 随机分为研究组与对照组, 每组32例。对照组接受常规治疗和护理; 研究组在对照组基础上增加温通刮痧治疗, 每2天1次, 7 d为1个疗程, 共2个疗程。采用改良Oswestry功能障碍指数(ODI)、日本骨科协会腰椎评分(JOA)及麻木视觉模拟量表(VAS)评分, 于治疗前、首次治疗后、治疗1周及2周进行疗效评估, 并记录不良事件。结果 对照组因病情加重手术脱落2例(最终n=30), 研究组因个人原因脱落2例(最终n=30)。治疗1周和2周后, 研究组麻木VAS评分降幅优于对照组, 差异有统计学意义(P＜0. 05); 治疗2周后, 研究组改良ODI评分低于对照组, JOA量表评分高于对照组, 差异有统计学意义(P＜0. 05)。研究组总有效率为86. 67%(26/30), 高于对照组的73. 33%(22/30), 差异有统计学意义(P<0. 05)。结论 温通刮痧可有效缓解LDH患者下肢麻木症状, 其疗效(2周后)及对功能障碍的改善效果优于常规疗法, 且安全性良好。)