针刀“有限”减压法治疗腰骶部慢性骨筋膜间隔综合征的临床研究  

Clinical research on chronic lumbosacral osteo-fascial compartment syndrome treated with limited-acupotomy therapy

作　　者：王荣国 林新晓[2] 饶景飞 章永东[3] 郭长青 

机构地区：[1]中医药大学针灸推拿学院针刀医学中心,北京100029 [2]中国中医科学院望京医院骨关节二科,北京100102 [3]中国中医科学院望京医院脊柱一科,北京100102 [4]北京市昌平区回龙观社区卫生服务中心,北京100096

出　　处：《国际中医中药杂志》2011年第6期484-486,共3页International Journal of Traditional Chinese Medicine

基　　金：2009年度北京中医药大学科研基金课题（项目编号：2009-X-14）

摘　　要：目的观察针刀“有限”减压法治疗腰骶部慢性骨筋膜问隔综合征（chronic compart mentsyndrome，CCS）的临床疗效。方法按病例尾号将59例患者随机分为两组，对照组29例采用针刀常规松解法治疗，治疗组30例采用针刀“有限”减压法治疗，在第1次、第2次治疗前和治疗3个月后，分别进行疼痛视觉模拟标尺法（VAS）、功能障碍指数（CODI）等评分以评价疗效。结果治疗结束后3个月随访，埘照组有效率为96．56％，治疗组有效率为100％，两组有效率比较，差异无统计学意义（X^2，=O．19，P〉O．05）。两组各阶段治疗前后的疼痛VAS、JOA、CODI评分组内比较，差异均有统计学意义（对照组F值分别为165．70、99．90、106．60，治疗组F值分别为279．76、154．34、67．36，P均〈0．01）。组间比较，差异无统计学意义（P〉O．05）。结论针刀“有限”减压法治疗腰骶部CCS安全、有效。Objective To study the curative effect of limited-acupotomy therapy on chronic lumbosacral osteo-fascial compartment syndrome. Methods 59 patients were randomly recruited into a control group （with 29 patients） and a treatment group （with 30 patients）. The control group was treated with general-acupotomy therapy, and treatment group was treated with limited-acupotomy therapy. Evaluate the curative effects before the first and the second therapy, and 3 months after the therapy respectively, as well as VAS pain, JOA and CODI scores. Results The curative effect was 96.56% and 100% respectively in the control group and the treatment group 3 months after the treatment. The difference between the two groups was not statistically significant （X^2=0.19, P〉 0.05）. As to VAS pain scores, JOA and CODI scores, the difference among the three stages of the treatment were significant （in control group F= 165.70, 99.90, 106.60 respectively, in treatment group F=279.76, 154.34, 67.36 respectively, P〈0.01）in both groups respectively, but the difference between the two groups were not significant （P〉0.05） in each stage. Conclusion Limited-acupotomy therapy was safe and effective in treating chronic lumbosacral osteo-fascial compartment syndrome.

关 键 词：下腰痛 慢性骨筋膜间隔综合征 针刀"有限"减压法 

分 类 号：R246.9[医药卫生—针灸推拿学]