Clinical Study On The Control Of Low Back Pain By Fu’s Subcutaneous Needling During Transforaminal Endoscopic Discectomy In Patients With Lumbar Disc Herniation

ObjectiveBy performing Fu’s Subcutaneous Needling treatment for patients who needed percutaneous percutaneous transforaminal endoscopic discectomy for the treatment of lumbar disc herniation,we investigated the efficacy and safety of Fu’s Subcutaneous Needling in the control of low back pain.MethodsIn this study,we collected 50 patients who needed primary transforaminal endoscopic discectomy for lumbar disc herniation from April 2019 to January 2020 in the Guangdong Provincial Hospital of Traditional Chinese Medicine.The researchers randomly divided the patients into a test group(conventional surgery plus Fu’s Subcutaneous Needling)and a control group(conventional surgery),each with 25 patients,and recorded the basic information of the patients.After admission,the indicators of rest status,post-disinfection,intra-operative and post-operative stages were completed,including the simple McGill pain questionnaire,mean arterial pressure,pulse oximetry,and additional lidocaine during the operation.The data were statistically processed using SPSS V20.0 statistical software and concluded.Results1.The age and sex of the two groups of patients were compared before surgery.The statistical analysis showed that there was no significant difference in baseline between the two groups of patients(P>0.05).2.The preoperative pain rating index(PRI)scores of the two groups had no significant difference(P>0.05);the intraoperative PRI score results showed no significant difference between the groups(P>0.05);The postoperative PRI scores were lower than the preoperative resting state,the difference was statistically significant(P<0.05);the postoperative PRI score was significantly lower in the experimental group than the control group,and the difference was statistically significant(P<0.05).3.There was no statistically significant difference in the visual analog scale(VAS)scores before surgery between the two groups(P>0.05);the intraoperative VAS scores showed no significant statistical difference between the groups(P>0.05);The VAS scores of the patients were lower than those before the operation,and the difference was statistically significant(P<0.05).The VAS score of the postoperative test group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).4.There was no statistically significant difference in the present pain intensity(PPI)scores between the two groups of patients(P>0.05);the PPI scores during and after the operation showed no significant statistical difference between the groups(P>0.05);The postoperative PPI scores of the two groups were lower than the resting state before surgery,and the difference was statistically significant(P<0.05).5.The preoperative heart rate,mean arterial pressure,and blood oxygen saturation of the two groups of patients were not significantly different(P>0.05);the follow-up results of the two groups of patients showed no significant statistical difference between the groups(P>0.05).6.The intraoperative addition of lidocaine in the two groups showed that the dosage of the test group was lower than that of the control group,and the difference was statistically significant(P<0.05).ConclusionThe additional amount of lidocaine during the operation and the postoperative pain score in the test group were lower than those in the control group,which indicates that the Fu’s Subcutaneous Needling can reduce the use of anesthetic during the operation of lumbar disc herniation with lumbar discectomy and relieve postoperative low back pain.These effects are conducive to early rehabilitation exercises for patients.