小针刀治疗腰椎管狭窄症临床研究.docVIP

小针刀治疗腰椎管狭窄症临床研究 　　[摘要] 目的:观察小针刀治疗腰椎管狭窄症的临床疗效。方法:将腰椎管狭窄症患者60例随机分为小针刀组(治疗组)30例和骶管封闭组(对照组)30例,观察并比较两组疗效。结果:治疗组治愈率为60.0%,有效率为96.7%;对照组治愈率为36.7%,有效率为80.0%,两组比较,差异有统计学意义(P0.05)。结论:小针刀具有手术刀及针刺的作用,其疗效优于骶管封闭,值得临床研究和推广。 　　[关键词] 小针刀;骶管封闭;腰椎管狭窄 　　[中图分类号] R681.5[文献标识码]A [文章编号]1673-7210(2010)02(c)-058-02 　　 　　Clinical study of xiaozhendao for treatment of lumbar spinal stenosis 　　LIU Haifan1, LIU Xiaowei2 　　(1.Hengyang Hospital of TCM Bone-Setting, Hengyang 421001, China; 2.The School of Acupuncture Moxibustion and Massage of Hunan University of Traditional Chinese Medicine, Changsha 410208, China) 　　[Abstract] Objective: To investigate the clinical effects of xiaozhendao on spinal degeneration stenosis. Methods: 60 cases of patients with lumbar spinal stenosis were randomly divided into the treatment group (in which 30 cases were treated by xiaozhendao) and the control group (in which 30 cases were treated by canales sacralis injection). The effects of two treatment groups were compared through observation. Results: The curative rate of treatment group was 60.0% with the total effective rate of 96.7%, the curative rate of control group was 36.7% with the total effective rate of 80.0%, There was a significant difference between two groups (P0.05). Conclusion: The xiaozhendao has both the function of scalpel and acupuncture, and it is better than canales sacralis injection. It is worth to investigate and generalize in clinical treatment. 　　[Key words] Xiaozhendao; Canales sacralis injection; Lumbar spinal stenosis 　　 　　腰椎管狭窄症是指由于各种原因引起的腰椎管、神经根管、椎间孔等任何形式的异常狭窄而导致的神经或马尾的压迫综合征,以腰腿痛,间歇性跛行,症状重、体征轻为临床特征,是骨伤科临床上腰腿疼痛的常见病因之一,有资料显示其在腰腿痛的发病中仅次于腰椎间盘突出而居第二位[1]。常见于中青年,用局部封闭、针灸、按摩、理疗等疗法虽可缓解症状,但易复发。对保守治疗效果不佳的顽固性疼痛,西医主张采用手术切除椎板减压,但此法痛苦、创伤大,且有术后并发症可能。为寻求创伤小、效果佳的治疗方法,笔者于2007年5月～2009年8月采用小针刀疗法治疗腰椎管狭窄患者30例,效果显著,现报道如下: 　　1 资料与方法 　　1.1 一般资料 　　本项研究对象均来源于衡阳市中医正骨医院住院及门诊患者,按实验设计纳入60例,按照随机原则分为两组,小针刀组(治疗组)30例和骶管封闭组(对照组)30例。治疗组30例,其中,男19例,女11例;年龄(40.5±12.5)岁;病程(10.9±5.6)年。对照组30例,其中,男17例,女13例;年龄(3