摘要
目的:观察圆利针合谷刺配合挑拨拉伸病变腰椎侧隐窝处的黄韧带治疗腰椎椎管狭窄症的临床疗效.方法:将60例腰椎椎管狭窄症患者按随机数字表法分为治疗组30例和对照组30例.治疗组采用圆利针松解治疗,对照组采用常规针刺治疗.观察两组治疗前后的VAS评分、Oswestry功能障碍指数(ODI)与MacNab标准评估疗效.结果:治疗前两组VAS评分及Oswestry功能障碍指数(ODI)评分比较,差异无统计学意义(P＞0.05);与治疗前比较,两组VAS评分及Oswestry功能障碍指数(ODI)评分均较治疗前降低(P＜0.01),且治疗组优于对照组,差异具有统计学意义(P＜0.01).两组治疗后疗效比较,治疗组总有效率80.00％(24/30),对照组总有效率43.33％(13/30),治疗组明显优于对照组,差异具有统计学意义(P＜0.01).治疗前两组JOA评分比较,差异无统计学意义(P＞0.05);与治疗前比较,两组JOA评分均较治疗前增高,差异具有统计学意义(P＜0.01),且治疗组优于对照组,差异具有统计学意义(P＜0.01).结论:圆利针复合刺法治疗腰椎椎管狭窄症疗效显著.
Abstract
Objective:To observe the clinical efficacy of round-sharp needling Hegu(LI4)combined with pricking and stretching ligmentum flavum in lateral recess of lumbar vertebrae in treatment of single-stage lumbar spinal stenosis(LSS).Methods:60 patients with single-stage LSS were randomly divided into the treatment group(n=30)and the control group(n=30).The treatment group was given myofascial release therapy with round-sharp needles,whereas the control group was given conventional acupuncture.The scores of VAS and ODI were observed between before and after the treatment in the two groups,and MacNab standard was used to evaluate the efficacy of the two groups.Results:The scores of VAS and ODI were significantly improved after the treatment compared to those before the treatment in the two groups(P＜0.05),and the improvements were more significant in the treatment group than those in the control group(P＜0.01),with statistically significant differences.The total effective rate of the treatment group was 80.00％(24/30),which was significant higher than 43.33％(13/30)of the control group(P＜0.01).Conclusion:The efficacy of composite needling with round-sharp needles is significant in treatment of single-stage LSS.
维普
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