半导体激光联合电动牵引治疗盘源性下腰痛58例  

A Clinical Observation on 58 Cases of Discogenic Low Back Pain Treated with Semiconductor Laser and Electric Traction

作　　者：林涛[1] 郑梓灌[1] 张慧铭[1] 吴超英[1] 

机构地区：[1]厦门市第二医院中医骨伤科,福建厦门361021

出　　处：《中国中医骨伤科杂志》2013年第6期32-34,共3页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:观察半导体激光联合电动牵引治疗盘源性下腰痛的疗效。方法:将58例确诊的盘源性下腰痛患者通过使用随机数字表随机分为对照组、治疗组各29例,分别采用依托芬那酯凝胶外涂法和半导体激光联合电动牵引法治疗。治疗前后采用疼痛视觉类比评分(VAS)、改良JOA腰痛疗效问卷评分进行疗效评定。分别于治疗后3、6个月电话随访两组患者的自觉复发及不良反应发生情况。结果:(1)与治疗前比较,治疗后两组改良JOA问卷记分显著升高(P<0.05),疼痛视觉类比评分(VAS)显著降低(P<0.05);与对照组比较,治疗组改良JOA问卷记分显著升高(P<0.05),疼痛视觉类比评分(VAS)显著降低(P<0.05)。(2)治疗结束后3个月随访,治疗组有1例复发,对照组有4例复发;治疗结束后6个月随访,治疗组有2例复发,对照组有9例复发。(3)治疗组未见明显不良反应,对照组3例出现皮肤过敏反应。结论:半导体激光联合电动牵引治疗盘源性下腰痛疗效显著,复发率低,安全性高,是一种值得临床推广的治疗方案。Objective：To observe the clinical curative effects of semiconductor laser and electric traction in the treatment of discogenic low back pain. Methods：Fifty-eight patients diagnosed with discogenic low back pain were randomly divided e- qually into 2 groups. Patients in the control group were administrated with external application of Etofenamate gel, while the treatment group received semiconductor laser and electric traction. The curative effects of the patients were evaluated from the visual analogue scale （VAS） and JOA questionnaire score. Telephone follow-up was conducted 3 and 6 months af- ter the treatment in two groups for information of conscious recurrence and the occurrence of adverse reaction. Results：（1） Compared with before treatment, M-JOA questionnaire score was significantly increased after treatment in both groups （P〈0.05）, and VAS decreased significantly （P〈0.05）. Compared with the control group, M-JOA questionnaire score in the treatment group was significantly increased （P〈0.05）, while VAS decreased significantly （P〈0.05）. （2） There was 1 case of recurrence in treatment group and 4 in control group 3 moths after the treatment. At 6 months follow-up, there were 2 cases of recurrence in treatment group and 9 in control group. （3） The treatment group showed no obvious adverse reaction, while 3 cases in control group showed skin allergic reaction. Conclusion：The therapy of semiconductor laser com- bined with electric traction in the treatment of discogenic low back pain has obvious curative effect, low recurrence rate, and high safety, which is worthy of clinical application.

关 键 词：盘源性下腰痛 半导体激光 电动牵引 

分 类 号：R681.53[医药卫生—骨科学]