针刺治疗犬胸腰椎椎间盘突出症的回顾性研究

Qianyu Jia, Yu Wang, Haidong Pang, Kai Fan, Huisheng Xie, Jiahao Lin
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摘要

摘要胸腰椎椎间盘突出症(TL-IVDH)是犬类常见的神经系统疾病,经常影响患者及其护理人员的生活质量。针灸越来越被兽医和动物主人所接受,并已被用于治疗神经系统疾病。本研究旨在评价针刺治疗犬TL-IVDH的效果。收集2016 - 2021年的临床病例。根据纳入和排除标准,选择94例接受针灸治疗的TL-IVDH病例。根据Frankel评分制定临床分型及疗效标准。记录每例患者的临床表现、改善情况、恢复情况及复发情况。患有TL-IVDH的雄性犬占所有病例的64%。平均年龄7.49岁,优势犬种为贵宾犬,发病部位集中在T11 ~ L1。针刺治疗后的总体恢复率为79.78%,仅考虑2级、3级、4级脊髓损伤时的恢复率为83.33% ~ 85.19%。综上所述,2级、3级和4级TL-IVDH脊髓损伤犬接受针灸治疗恢复率高,提示针灸可能是TL-IVDH犬的一种可行的治疗选择。
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Retrospective study of acupuncture treatment for canine thoracolumbar intervertebral disc herniation
Abstract Thoracolumbar interverbal disk herniation (TL-IVDH) is a common neurological disorder in dogs, which often affects the life quality of patients and their caregivers. Acupuncture is increasingly accepted by veterinarians and animal owners, and has been used in the treatment of neurologic disorders. This study aims to evaluate the effects of acupuncture treatment for canine TL-IVDH. Clinical cases from 2016 to 2021 were collected. According to the inclusion and exclusion criteria, 94 TL-IVDH cases that received acupuncture treatment were selected. Clinical classification and efficacy criteria were formulated based on the Frankel Score. For each case, clinical presentation, improvement, recovery and recurrence were recorded. Male dogs with TL-IVDH accounted for 64% of all cases. The average age was 7.49 years old, the predominant breed was poodle, and the incidence site was concentrated from T11 to L1. The overall recovery rate after receiving acupuncture treatment was 79.78%, which was comparable when considering only cases with grade 2, 3, or 4 spinal cord lesions (83.33% ~ 85.19%). In conclusion, canine with grade 2, 3, and 4 spinal cord lesions due to TL-IVDH receiving acupuncture had a high recovery rate, suggesting acupuncture could be a viable treatment options for canine with TL-IVDH.
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