微针刀浅筋膜层松解术治疗腰椎间盘突出症疗效分析.docVIP

微针刀浅筋膜层松解术治疗腰椎间盘突出症疗效分析 　　[摘要] 目的 探讨应用微针刀浅筋膜层松解术治疗腰椎间盘突出症的临床疗效。方法 收集2015年9月～2016年9月入院的80例腰椎间盘突出症患者随机分为两组，对照组患者予常规针灸治疗，实验组患者采取微针刀浅筋膜层松解术治疗，比较两组患者治疗前后的疼痛程度改变情况、总体治疗效果、复发率、腰部功能改变与安全分级。结果 实验组治疗后的VAS评分（1.96±0.43）与ODI评分（14.05±2.78）显著低于对照组（3.10±1.09，18.53±3.14），实验组治疗后的JOA评分（25.20±4.85）显著高于对照组（21.34±4.57），差异有高度统计学意义（P0.05）。结论 微针刀浅筋膜层松解术治疗腰椎间盘突出症临床疗效显著，安全性较高，具有临床意义。 　　[关键词] 微针刀浅筋膜层松解术；腰椎间盘突出症；针灸；复发率；安全性 　　[中图分类号] R681.53 [文献标识码] B [文章编号] 1673-9701（2017）07-0059-03 　　[Abstract] Objective To explore the clinical effect of micro-needle knife superficial fascia release in treatment of lumbar disc herniation. Methods 80 patients with primary trigeminal neuralgia admitted from September 2015 to September 2016 were randomly divided into two groups. The patients in the control group were treated with routine acupuncture and moxibustion. The patients in the experimental group were treated with micro-needle knife superficial fascia release，the degree of pain changes， the overall treatment effect， recurrence rate， waist function changes and safety classification were compared between two groups of patients before and after treatment. Results The VAS score （1.96±0.43） and the ODI score （14.05±2.78） in the experimental group were significantly lower than those in the control group （3.10±1.09，18.53±3.14），the JOA score in the experimental group （25.20±4.85） were significantly higher than those in the control group（21.34±4.57）， there was significant difference between two groups （P0.05）.Conclusion The treatment of lumbar intervertebral disc herniation with micro-needle-knife superficial fascia lysis is effective and safe， and it can be used for clinical. 　　[Key words] Micro-needle knife superficial fascia release； Lumbar disc herniation； Acupuncture； Recurrence rate； safety 　　腰椎间盘突出症是指椎间盘退化或腰部软组织损伤导致纤维环破裂、髓核外膨压迫脊神经根或马尾神经而引起腰部的疼痛，若不及时进行治疗，严重影响患者的日常生活，甚至引起下肢肌肉萎缩[1]。中医是治疗该病的有效方案之一，其中以针灸与针刀最常见。本研究旨在探讨微针刀浅筋膜层松解术治疗腰椎间盘突出症的临床疗效，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选择2015年9月～2016年9月入院治疗的80例腰椎间盘突出