小针刀联合腰椎整脊手法治疗腰椎间盘突出症的临床分析.docxVIP

小针刀联合腰椎整脊手法治疗腰椎间盘突出症的临床分析 　　【摘要】目的：分析小针刀联合腰椎整脊手法治疗腰椎间盘突出症的临床效果。方法：选取2016年1月-2017年12月笔者所在医院收治的82例腰椎间盘突出症患者，根据不同治疗方案将其分成两组，各41例。对照组采用腰椎整脊手法治疗，观察组采用小针刀联合腰椎整脊手法治疗。比较两组患者治疗效果、治疗前后疼痛情况和腰椎功能活动障碍情况，随访1年统计复发情况。结果：观察组治疗优良率明显高于对照组，差异有统计学意义（p0.05）;治疗后观察组vas评分和odi评分均低于对照组，差异均有统计学意义（p0.05）;观察组复发率低于对照组，差异有统计学意义（p0.05）。结论：小针刀联合腰椎整脊手法治疗腰椎间盘突出症能够有效改善患者腰椎活动功能，缓解腰椎疼痛感，提升临床疗效，值得推广。 　　【关键词】腰椎间盘突出症小针刀腰椎整脊疼痛 　　doi：10.14033/j.cnki.cfmr.2019.28.058文献标识码b文章编号1674-6805（2019）28-0-03 　　clinicalanalysisofsmallneedleknifecombinedlumbarspinemanipulationforlumbardischerniation/wanjuanyun，yangxiang.//chineseandforeignmedicalresearch，2019，17（28）：-140 　　[abstract]objective：toanalyzetheclinicaleffectofsmallneedleknifecombinedlumbarspinemanipulationforlumbardischerniation.method：eighty-twopatientswithlumbardischerniationadmittedtoourhospitalfromjanuary2016todecember2017wereenrolledinthisstudy.theyweredividedintotwogroupsaccordingtodifferenttreatmentoptions.thecontrolgroupwastreatedwithlumbarspinemanipulation，whiletheobservationgroupwastreatedwithsmallneedleknifecombinedlumbarspinemanipulation.thetreatmenteffect，painandlumbardysfunctionbeforeandaftertreatmentwerecomparedbetweenthetwogroups，andtherecurrenceratewascountedafter1yearfollow-up.result：theexcellentrateoftreatmentintheobservationgroupwassignificantlyhigherthanthatinthecontrolgroup（p0.05）.thevasscoreandodiscoreoftheobservationgroupweresignificantlylowerthanthoseofthecontrolgroup（p0.05）.therecurrencerateoftheobservationgroupwassignificantlylowerthanthatofthecontrolgroup（p0.05）.conclusion：smallneedleknifecombinedlumbarvertebraechiropractictreatmentoflumbardischerniationcaneffectivelyimprovelumbarmotionfunction，relievelumbarpainandimproveclinicalefficacy，anditisworthpromoting. 　　[keywords]lumbardischerniationsmallneedleknifelumbarvertebraepain 　　first-author’saddress：xianfengcountypeople’shospital，xianfeng445600，china 　　腰椎間盘突出症主要由椎间盘变性、纤维环破裂，导致髓核突出刺激压迫神经根，引发腰椎功能活动障碍所致，患者临床主要表现为腰痛、下肢放射痛、肢体麻木等症状，部分重症患者甚至会出现瘫痪、行走无力情况，具有发病