穴位注射合腰大肌间沟阻滞治疗腰椎间盘突出症的疗效观察  

Observation on treating lumbar disc herniation by acupoint injection plus psoas compartment block

作　　者：刘兆丰[1] 李军 王怀容 Liu Zhaofeng(不详)

机构地区：[1]泸州市人民医院,四川泸州646000

出　　处：《中医临床研究》2021年第1期104-106,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:观察穴位注射合腰大肌间沟阻滞治疗腰椎间盘突出症的临床疗效。方法:86例确诊为腰椎间盘突出症的患者随机分为对照组和观察组,每组43例。对照组予口服双氯芬酸钠缓释片,调至中频电治疗;观察组予腰大肌间沟阻滞,合穴位注射。比较两组治疗后视觉模拟评分法(Visual Analogue Scale,VAS)评分、日本骨科协会评估治疗分数(Japanese Orthopaedic Association Scores,JOA)评分、中医证候积分和临床疗效。结果:两组治疗后VAS评分均有下降,观察组优于对照组(P<0.05);JOA评分两组均有增加,观察组优于对照组(P<0.05);两组中医证候积分均有降低,观察组优于对照组(P<0.05);观察组总有效率为90.70%(39/43),对照组总有效率80.48%(33/41),差异有显著性意义(P<0.05)。结论:穴位注射合腰大肌间沟阻滞能够显著改善腰椎间盘突出症患者的临床症状,降低VAS评分和中医证候积分,提高JOA评分。Objective:To observe the clinical effect of acupoint injection plus psoas compartment block on lumbar disc herniation.Methods:86 patients were randomly divided into the control group and treatment group,43 cases in each.The control group was given oral diclofenac sodium sustained-release tablets,to modulate intermediate frequency electric therapy,and the observation group was given acupoint injection plus psoas compartment block.Results:The VAS scores in two groups were decreased after treatment,and the observation group was better than the control group(P<0.05),the JOA scores were increased in both groups,and that in the observation group was better than the control group(P<0.05).The TCM syndrome score in groups were decreased,that in observation group was better than the control group(P<0.05).There was a significant difference in total effective rate between groups(P<0.05).Conclusion:Acupoint injection plus psoas compartment block on lumbar disc herniation can significantly improve the clinical symptoms reduce VAS score and TCM syndrome score,and improve JOA score.

关 键 词：腰椎间盘突出症 腰大肌间沟阻滞 穴位注射 临床疗效 

分 类 号：R245.95[医药卫生—针灸推拿学]