首页|可视化针刀联合医用臭氧治疗急性腰椎小关节紊乱的临床观察

可视化针刀联合医用臭氧治疗急性腰椎小关节紊乱的临床观察

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目的:观察对急性腰椎小关节紊乱患者采用可视化针刀联合医用臭氧(Ozone,O3)治疗的临床疗效。方法:抽取68名腰椎小关节紊乱患者,随机分成观察组和对照组(各34例)。观察组患者采用超声下小针刀与O3联合治疗,对照组患者采用小针刀联合O3治疗。两组患者1周治疗1次,连续2次为1个疗程。然后对两组患者治疗前、首次治疗后和疗程结束后的疼痛视觉模拟量表(VAS)评分、日本骨科协会(JOA)腰痛治疗评分、改良版的腰椎Oswestry功能障碍指数(ODI)评分以及治疗前后超声影像下腰椎小关节间隙进行比较。结果:治疗后两组患者VAS评分及ODI评分均下降(P<0。05),且观察组评分低于对照组(P<0。05)。JOA腰痛评分均升高(P<0。05),且观察组评分高于对照组(P<0。05);观察组中关节间隙恢复优于对照组(P<0。05),以上差异均有统计学意义。观察组患者治疗有效率为94。12%,对照组患者治疗有效率为76。47%。结论:可视化针刀联合O3治疗急性腰椎小关节紊乱的疗效好,精准且安全,值得临床推广应用。
Clinical Observation of Visualization Needle-Knife Combined with Medical Ozone on the Treatment of Acute Lumbar Facet Joint Disorder
Objective:To observe the clinical efficacy of visualization needle-knife combined with medical ozone(O3)on the treatment of acute lumbar facet joint disorder.Methods:A total of 68 lumbar facet joint disorder patients were randomly divided into observation group and control group,34 cases in each group.The observation group was treated with visual-ization needle-knife combined with O3 under ultrasound,and the control group was treated with small needle-knife com-bined with O3.The two groups of patients were treated once a week,and two consecutive sessions were taken as a course.The visual analogue scale(VAS)score,Japanese Orthopaedic Association(JOA)score,modified lumbar Oswestry disabil-ity index(ODI)score and lumbar facet joint space under ultrasound images were compared between the two groups before treatment,after the first treatment and after the treatment.Results:After treatment,VAS and ODI scores of the two groups decreased(P<0.05),and those of the observation group were lower than those of the control group(P<0.05).The JOA low back pain score was increased(P<0.05),and the observation group was higher than the control group(P<0.05).The joint space recovery in the observation group was better than that in the control group(P<0.05),and the above differences were statistically significant.The effective rate of the observation group was 94.12%.The effective rate of the control group was 76.47%.Conclusion:Visualization needle-knife combined with O3 is effective,accurate and safe on the treatment of acute lumbar facet joint disorder,which is worthy of clinical promotion.

musculoskeletal ultrasoundsmall needle-knifemedical ozonelumbar facet joint disorder

颜樊、任树军、赵丽娜、苏克

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黑龙江中医药大学研究生院(哈尔滨,150040)

黑龙江中医药大学附属第一医院

肌骨超声 小针刀 医用臭氧 腰椎小关节紊乱

2024

中国中医骨伤科杂志
中华中医药学会,湖北省中医药研究院

中国中医骨伤科杂志

CSTPCD
影响因子:0.732
ISSN:1005-0205
年,卷(期):2024.32(12)