经筋刀治疗退行性腰椎滑脱症的临床研究  

Clinical Effect of Tendons Knife for Treating Patients with Degenerative Lumbar Spondylolisthesis

作　　者：王海军[1] 于杰[1] 高景华[1] 朱立国[1] 顾树明[2] 司江涛[1] 高春雨[1] 银河[1] 

机构地区：[1]中国中医科学院望京医院,北京100102 [2]中国中医科学院西苑医院

出　　处：《中国中医骨伤科杂志》2017年第10期19-22,27,共5页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：国家公益性行业科研专项(201107004)

摘　　要：目的:客观评价经筋刀治疗退行性腰椎滑脱症的临床疗效。方法:自2014年3月至2016年7月,选取本院门诊86例退行性腰椎滑脱症患者,依据随机数字表随机分组分为观察组和对照组,两组各43例。观察组接受腰背部经筋刀松解治疗,每周治疗1次,2次为1个疗程,对照组接受腰椎牵引+佩戴腰围治疗。随访3个月,采用VAS评分及JOA积分进行评价。结果:治疗结束后两组VAS评分、JOA积分、有效率比较(观察组有效率为74.42%,对照组有效率为65.12%),观察组均优于对照组,两组差异有统计学意义(P<0.05)。随访期两组JOA积分、有效率比较(观察组为69.77%,对照组为53.49%),观察组均优于对照组,两组差异有统计学意义(P<0.05)。结论:退行性腰椎滑脱症经筋刀治疗与牵引+佩戴腰围治疗比较短期疗效肯定,随访期疗效稳定。Objective：To evaluate the clinical effect of tendons knife for treating patients with degenerative lumbar spon- dylolisthesis（DLS）. Methods：All 86 patients with DLS were randomly divided into two groups by number table method. The patients of test group were treated by tendons knife,while,the patients of control group were treated by supine lumbar traction and waistline brake method for three months. All patients were recorded by JOA score and VAS score at 2nd weeks and 4th weeks after treatment. Results：The efficiency rate were 74. 42% and 65.12% in the test group and control group respectively（P〈0.05）after treatment. The JOA score and VAS score of test group were superior to the control group（P〈0.05）after treatment. In the follow-up period,the efficiency rate was 69.77% and 53.49% in the test group and control group respectively（P〈0.05）. The JOA score and VAS score of test group were superior to the control group （P〈0. 05）. Conclusion： The tendons knife is more effective than that of traction and waist circumference treatment for DLS,and which is stable in the follow-up period.

关 键 词：退行性腰椎滑脱症 针刀松解 经筋刀 

分 类 号：R681.5[医药卫生—骨科学]