正清风痛宁定点注射联合冲击波治疗腰骶部移行椎的回顾性研究  

A Retrospective Study on Treatment of Patients with Lumbosacral Transitional Vertebra by Fixed Point Injection of Zhengqingfengtongning Combined with Extracorporeal Shock Wave Therapy

作　　者：陈文龙[1] 何祥伟 陈欢[1] 邹琼[1] 李秋菊 黄宗菊 CHEN Wen-Long;HE Xiang-Wei;CHEN Huan;ZOU Qiong;LI Qiu-Ju;HUANG Zong-Ju(Chongqing Jiangbei Hospital of Traditional Chinese Medicine,Chongqing 400020;Chongqing Shizhu Tujia Autonomous County People's Hospital,Chongqing 409199)

机构地区：[1]重庆市江北区中医院,重庆400020 [2]重庆市石柱土家族自治县人民医院,重庆409199

出　　处：《按摩与康复医学》2021年第6期33-35,共3页Chinese Manipulation and Rehabilitation Medicine

摘　　要：目的:观察正清风痛宁定点注射联合冲击波治疗腰骶部移行椎的临床疗效。方法:采用回顾性研究方法,收集2014年9月~2017年12月腰骶部移行椎患者的相关临床资料共60例,根据不同的治疗方法分为A、B、C三组,A组(16例)予曲安奈德注射液封闭治疗,B组(24例)予正清风痛宁定点注射治疗,C组(20例)采用正清风痛宁定点注射联合冲击波治疗。比较三组临床疗效,并观察治疗前后疼痛视觉模拟评分法(VAS)评分、下腰痛JOA量表评分。结果:治疗后,两组患者的VAS、JOA评分均较治疗前改善(P<0.01),且C组治疗后的VAS、JOA评分显著改善于A组(P<0.05),A、B组比较差异无统计学意义(P>0.05);C组总有效率明显高于A组(P<0.05),A、B组总有效率比较差异无统计学意义(P>0.05)。结论:正清风痛宁定点注射联合冲击波治疗可有效缓解腰骶部移行椎患者的疼痛症状、改善腰骶部功能。Objective:To investigate the effect of Zhengqingfengtongning injection combined with extracorporeal shock wave therapy in lumbosacral transitional vertebra.Methods:By adopting the method of retrospective study,60 patients with lumbosacral transitional vertebra from September 2014 to December 2017 were divided into three groups,according to different treatments:A,B and C.Group A(16 cases) was treated with triamcinolone injection,group B(24 cases) received fixed point injection of Zhengqingfengtongning,and group C(20 cases) received fixed point injection of Zhengqingfengtongning combined with extracorporeal shock wave therapy.The visual analogue scale(VAS) score for pain and the JOA scale score for low back pain before and after treatment were observed.Results:After treatment,VAS and JOA scores of patients in both groups were improved compared with those before treatment(P<0.01),and VAS and JOA scores of patients in group C were significantly improved compared with those in group A(P<0.05).There was no statistically significant difference between groups A and B(P>0.05).The total effective rate of group C was significantly higher than that of group A(P<0.05),and there was no statistically significant difference between group A and group B(P>0.05).Conclusion:Zhengqingfengtongning injection combined with extracorporeal shock can effectively relieve the pain symptoms and improve the lumbosacral function in patients with lumbosacral transitional vertebra.

关 键 词：正清风痛宁 定点注射 冲击波 腰骶部移行椎 VAS JOA 

分 类 号：R681.5[医药卫生—骨科学]