针刀为主治疗腰椎间盘突出症疗效观察.pdfVIP

上海针灸杂志2008年2月第27卷筮 塑 · 17· 文章编号：1005-0957(2008)02-0017-03 · 临床研究· 针刀为主 治疗 腰椎间盘突出症疗效观察 杨 城， 王 琴 (南京市六合区中医院，江苏21 1500) 【摘要】 目的 观察以针刀松解术，配合手法复位治疗腰椎间盘突出症的疗效。方法 将144例患者随机分成针刀组(78 例)与针剌~N(66例)，针刀组采用针刀松解术配合手法整复，针刺组采用循经和局部取穴，配合手法整复，治疗4星期后统计 疗效。结果 针刀组治愈率83．33％，总有效率100．00％；针刺组治愈率46．97％，总有效率83．33％，两组相比差异均有统计 学意义(P0．01)。结论 针刀为主治疗腰椎间盘突出症治愈率高，疼痛缓解时间短。 【关键词】 小刀针；腰椎间盘突出症；椎间盘移位；针刺 【中图分类号】 R246．2 【文献标识码】A Observations on the Efficacy of Needle Knife as a Main Treatment for Lumbar Intervertebral Disc Protrusion YANG Cheng， WANG Qin． Nanfing Liuhe District Hospital of Traditional Chinese Medicine，Jiangsu 211500，China 【Abstract】 Objective To investigate the efficacy of needle knife lysis plus manual reduction in treating lumbar intervertebral disc protrusion．Methods One hundred and forty—four patients were randomly allocated to a needle knife group(78 cases)and an acu- puncture group(66 cases)．The needle knife group was treated by needle knife lysis plus manual reduction and the acupuncture group， bv local and along—meridian selection of points plus manual reduction The therapeutic effects were statistically analyzed after 4 month’S treatment．Results Of the needle knife group of 78 cases，cure occurred in 65 cases(88．33％)，with a total efficacy rate of 100．00％．Ofthe acupuncture group of66 cases，Cure occurred in 31 cases(46．97％)，with a total efficacy rate of83．33％．There was a statistically significant difference between the two groups(P0．01)．Conclusion The needle knife used as a main treatment for lumbar intervertebral disc protrusion produces a high Cure rate and shortens the time for pain relief． 【Key words】 Knife needle therapy；Lumbar intervertebral disc protrusion；Intervertebral disc displacement 腰椎间盘突出症(LIDH)是临床上常见病、多发病、疑难 1．3．3 经CT或MRI确诊为腰椎间盘突出症患者。 病，而且复发率高。笔者自2005年1月至2007年1月，共 1．3．4 签署针刀闭合手术知情同意书，且能按医生要求完 收