CT layered localization and clinical effect of acupuncture on lumbar disc herniation.
10.13703/j.0255-2930.20240605-0002
- Author:
Yong YANG
1
;
Li ZHANG
1
;
Shoufang LIU
2
;
Youlong ZHOU
1
;
Quanliang WANG
3
;
Jian LIU
4
Author Information
1. Pain Department, Third Affiliated Hospital of Henan University of CM, Zhengzhou 450008, China.
2. Pain Department, Shanghai Nanxiang Hospital of Jiading District.
3. Department of Acupuncture and Moxibustion, Henan Integrated Traditional Chinese and Western Medicine Hospital, Zhengzhou
4. Pain Department, Xi'an Zhongde Orthopedic Hospital.
- Publication Type:Journal Article
- Keywords:
CT layered localization;
acupuncture;
clinical effect;
lumbar disc herniation
- MeSH:
Humans;
Acupuncture Therapy;
Intervertebral Disc Displacement/diagnostic imaging*;
Male;
Female;
Middle Aged;
Adult;
Tomography, X-Ray Computed;
Lumbar Vertebrae/diagnostic imaging*;
Acupuncture Points;
Aged;
Young Adult;
Treatment Outcome
- From:
Chinese Acupuncture & Moxibustion
2025;45(6):757-760
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the relationship between the effect of acupuncture and layered localization of computed tomography (CT) in treatment of lumbar disc herniation.
METHODS:Based on the CT layered localization, the herniated lumbar discs were positioned in 5 layers, A, B, C, D and E among 300 patients with lumbar disc herniation. Combined with the horizontal and the frontal planes, the three-dimensional location was formed. Acupuncture was delivered at acupoints including bilateral Shenshu (BL23), Dachangshu (BL25), and Huantiao (GB30), Weizhong (BL40) on the affected side. One intervention of acupuncture was 30 min, once daily; 1 course of treatment was composed of 10 interventions and 2 courses were required. Before and after treatment, Japanese orthopaedic association (JOA) score was recorded, and the effect was evaluated. The curative effect was classified and compared with the CT layered localization.
RESULTS:Of 300 patients, 226 cases were effective and the effective rate was 75.33%. The JOA scores of all patients, and in the effective group and the non-effective group were higher compared with the scores before treatment (P<0.05). With the layered localization considered, acupuncture was more effective on the cases positioned in C layer. Regarding the horizontal plane, the effect was better on the cases with zone 1 and zone 1-2 involved. In terms of the grade of frontal plane, acupuncture was more effective on the cases graded Ⅰ and Ⅱ.
CONCLUSION:The clinical effect of acupuncture on lumbar disc herniation is related with the layer and the horizontal zone of herniated disc positioned, as well as to the grade of the frontal plane.
