针刀治疗血瘀型腰椎间盘突出症的临床疗效观察  

Curative effect of needle knife therapy on protrusion of lumber intervertebral disc(blood stasis type)

作　　者：罗智超[1] 郭长青[1] 王全贵[2] 马诗凝 付达尔丽 

机构地区：[1]北京中医药大学针灸推拿学院,北京100029 [2]北京军区总医院骨科

出　　处：《现代中医临床》2014年第3期34-37,共4页Modern Chinese Clinical Medicine

摘　　要：目的观察针刀治疗腰椎间盘突出症的临床疗效。方法将80例血瘀型腰椎间盘突出症患者分为治疗组40例、对照组40例。治疗组予针刀治疗,1周治疗2次,对照组予针刺治疗,1周治疗3次,疗程均为4周。观察2组患者临床疗效及日本骨科协会(JOA)下腰痛评分变化。结果治疗组40例中,治疗后改善为优25例(62.5%),良13例(32.5%),中1例(2.5%),差1例(2.5%),治疗后总优良率为95.0%;对照组40例中治疗后改善为优11例(27.5%),良17例(42.5%),中10例(25.0%),差2例(5.0%),治疗后总优良率为70.0%。2组疗效比较,经秩和检验,Z=-4.923,P<0.05,差异有统计学意义,说明治疗组临床疗效优于对照组。JOA下腰痛评分治疗后2组均较本组治疗前增高,差异有统计学意义(P<0.05),治疗后治疗组较对照组增高明显,治疗前后差值与对照组比较差异有统计学意义(P<0.05)。结论针刀治疗血瘀型腰椎间盘突出症具有一定的临床疗效。Objective To observe the curative effect of needle knife therapy on protrusion of lumber intervertebral disc. Methods The patients （n=80） were divided into treatment group and control group （each =40）. Treatment group was given needle knife therapy twice a week, and control group was given acupuncture 3 times a week. A therapeutic course was 4 weeks. The curative effect and scoring changes of Japan Orthopedic Association （JOA） for low back pain were observed. Results Among 40 cases in treatment group, there were 25 （62.5%） with better effect, 13 （32.5%） with good effect, 1 （2.5%） with effect and 1 （2.5%） with poor effect, and the total good rate was 95.0%. Among 40 cases in control group, there were 11 （27.5%） with better effect, 17 （42.5%） with good effect, 10 （25.0%） with effect and 2 （5.0%） with poor effect, and the total good rate was 70.0%. The result of rank sum test showed that Z = -4.923, P〈0.05 in the comparison in curative effect between two groups. JOA scores increased in two groups after treatment （P〈0.05）, which was more significant in treatment group （P〈0.05）. Conclusion The needle knife therapy has a curative effect on protrusion of lumber intervertebral disc.

关 键 词：腰椎间盘突出症 针刀 针刺 

分 类 号：R274.34[医药卫生—中医骨伤科学]