目的 探讨浮针扫散与传统针刺治疗腰椎间盘突出症疗效的对比。方法 选取2022-04至2023-12于武警第一机动总队医院康复医学与理疗科门诊,因长跑、越野拉练、障碍跑、单双杠、搏击等科目导致腰椎间盘突出症(LDH)的军人患者70例,采用随机数字表法将其分为观察组和对照组各35例。观察组采用浮针扫散治疗,对照组采用传统针刺治疗。比较治疗前后两组患者Oswestry功能障碍指数(ODI)问卷评分、视觉模拟评分(VAS)、腰椎关节功能活动度、SF-36量表评分以及针口感染、断针等不良事件发生情况,进行疗效评价。结果 两组患者治疗后即刻与2周后Oswestry功能障碍指数(ODI)问卷评分、视觉模拟量表评分、腰椎关节功能活动度与同组未经治疗时明显改善,且应用浮针扫散治疗的观察组更为显著,差异均有统计学意义(P＜0.01)。2周后随访SF-36量表评分也较治疗前显著改善,观察组改善更为显著(P＜0.05)。两组在治疗期间均无不良事件发生。结论 浮针扫散疗法对治疗LDH患者在止痛方面,治疗结束即刻与远期优于传统针刺疗法;在腰椎活动度改善方面亦优于传统刺法。

Objective To compare the therapeutic effects of floating needle scanning and traditional acupuncture in treatment of lumbar disc herniation. Methods A total of 70 military patients with lumbar disc herniation caused by long-distance running, cross-country training, obstacle running, single and parallel bars, and combat were selected from the First Mobile Corps Hospital of Chinese People's Armed Police Force from April 2022 to December 2023, they were randomly divided into an observation group and a control group, with 35 cases in each group by random number table method. The observation group was treated with floating needle scanning, while the control group was treated with traditional acupuncture. The score of Oswestry Disability Index (ODI) questionnaire, visual analogue scale (VAS), lumbar joint functional range of motion, SF-36 scale, and the incidence of adverse events such as needle mouth infection and broken needles were compared between the two groups before and after treatment to evaluate the efficacy. Results ODI questionnaire score, visual analogue scale score, and lumbar joint function range of motion improved significantly in both groups immediately and 2 weeks after treatment compared to the same group without treatment. The observation group treated with floating needle was more significant, and the differences were statistically significant (P<0.01). After 2 weeks of follow-up, the SF-36 scale score significantly improved compared to before treatment, and the observation group showed even more significant improvement (P<0.05). Both groups had no adverse events during the treatment period. Conclusions Floating needle scanning therapy is superior to traditional acupuncture therapy in terms of pain relief in the treatment of LDH patients with military training injuries in the immediate and long-term after treatment. The improvement of lumbar mobility is also better than traditional acupuncture.