目的 观察小针刀配合局部封闭结合核心肌训练治疗第三腰椎横突综合征的临床疗效.方法 选取2021年1月—2023年1月本院收治的180例第三腰椎横突综合征患者为研究对象,并按照随机分组法分成对照组(小针刀配合局部封闭)和观察组(在对照组基础上结合核心肌训练),每组90例.两组患者在接受为期4周的治疗后,均进行了临床疗效的评估.采用视觉模拟量表(V A S)于不同时间点对腰痛程度进行了量化评分.同时,完成中文版Oswestry功能障碍指数(ODI)及JOA评分的评估工作,以明确患者疼痛介质表达水平的变化情况.结果 观察组总有效率高于对照组(P<0.05).治疗前,两组VAS、JOA和ODI评分对比,差异无统计学意义(P>0.05);治疗后,两组VAS、JOA和ODI评分均优于治疗前,相较于对照组,观察组VAS、ODI评分更低,而JOA评分则更高(P<0.05).治疗前,两组β-EP、6-keto-PGE1α、SP表达水平对比,差异无统计学意义(P>0.05);治疗后,两组疼痛介质表达水平均明显改善(P<0.05).观察组β-EP水平明显高于对照组,6-keto-PGE1α、SP水平则明显低于对照组(P<0.05).治疗期间两组均未见剧烈疼痛、大量出血、肌无力或手术点肿胀等不良反应.结论 小针刀配合局部封闭结合核心肌训练治疗第三腰椎横突综合征效果更为理想,能够明显减轻痛感,增强腰椎功能,值得临床推广应用.
The Efficacy of Small Needle Knife with Local Closure Combined with Core Muscle Training in the Treatment of Lumbar 3 Transverse Syndrome
Objective To observe the clinical efficacy of small needle knife combined with local closure and core muscle training in the treatment of the third lumbar transverse syndrome. Methods 180 patients with third lumbar transverse syndrome admitted to our hospital from January 2021 to January 2023 were selected as the research subjects,and randomly divided into control group (small needle knife with local closure) and observation group (combined with core muscle training on the basis of the control group),each group was divided into 90 cases. Both groups of patients were evaluated for clinical efficacy after 4 weeks of treatment. In this study,the Visual Analogue Scale (VAS) was used as an evaluation tool to quantitatively score the degree of low back pain at different points in time. At the same time,the evaluation of the Chinese version of Oswestry Dysfunction Index (ODI) and JOA score is completed to clarify the changes in the expression level of pain media in patients. Results The total efficiency of the observation group is higher than that of the control group,and the differences between groups are statistically significant (P<0.05). Before treatment,the scores of VAS,JOA and ODI in the two groups were compared,and the difference was statistically significant (P>0.05);after treatment,the scores of VAS,JOA and ODI in the two groups were better than before treatment,and the horizontal comparison analysis between the groups showed that the VAS and ODI scores of the observation group was lower than that of the control group,while J The OA score is higher,and the differences between groups are statistically significant (P<0.05). Before treatment,the expression levels of β-EP,6-keto-PGE1α and SP in the two groups were compared,and the difference was not statistically significant (P>0.05);After treatment,the average expression water of pain media in the two groups was significantly improved,and the difference in the group was statistically significant (P<0.05);the level of β-EP in the observation group was clear. It is significantly higher than that of the control group,and the 6-keto-PGE1α and SP levels are significantly lower than that of the control group. The difference between groups is statistically significant (P<0.05). During the treatment,the two groups did not see any adverse reactions such as severe pain,massive bleeding,muscle weakness or swelling at the surgical site. Conclusion The small needle knife combined with local closure combined with core muscle training is more ideal for the treatment of the third lumbar transverse syndrome,which can significantly reduce pain and enhance the function of the lumbar spine,which is worthy of clinical promotion and application.
Small needle knifeLocal closureCore muscle trainingThird lumbar transverse syndrome
万方数据
维普
