小针刀联合椎间孔注射治疗腰椎间盘突出症的临床观察.docxVIP

小针刀联合椎间孔注射治疗腰椎间盘突出症的临床观察 　　[摘要]目的观察小针刀联合椎间孔注射治疗腰椎间盘突出症的临床治疗效果。方法选取2017年9月～2019年4月我院收治的60例符合纳入标准的ldh患者临床资料，随机分成对照组30例和观察组30例，前者予以推拿联合针灸治疗，后者予以小针刀治疗联合药物经椎间孔注射治疗，对比两组的nrs评分、临床治疗优良率及不良反应。结果通过数字评分法（numericratingscale，nrs），两组nrs评分结果较治疗前均有所改善（p0.05）;两组之間进行比较，治疗后观察组优于对照组，差异有统计学意义（p0.05）;观察组的治疗优良率90.00%比对照组的66.67%高（p0.05）;两组在治疗期间均未出现不良反应。结论采用小针刀联合椎间孔注射治疗ldh对比传统的针灸推拿有较好的近期临床疗效，值得推广。 　　[关键词]小针刀;椎间孔注射;腰椎间盘突出症;临床疗效;针灸与推拿 　　[中图分类号]r687.3[文献标识码]b[文章编号]1673-9701（2020）08-0072-03 　　clinicalobservationonthetreatmentoflumbardischerniationwithacupotomologyandforameninjection 　　hubin1tangbenfu2 　　1.hunanuniversityoftraditionalchinesemedicine，changsha410208，china;2.thesecondaffiliatedhospitalofhunanuniversityoftraditionalchinesemedicine，changsha410008，china 　　[abstract]objectivetoobservetheclinicaleffectofthetreatmentoflumbardischerniationwithacupotomologyandforameninjection.methods60patientswithldhtreatedinourhospitalfromseptember2017toapril2019andmettheinclusioncriteriawererandomlydividedintocontrolgroup（n=30）andobservationgroup（n=30）.thecontrolgroupwastreatedwithmassagecombinedwithacupunctureandmassage，whiletheobservationgroupwastreatedwithacupotomologycombinedwithforameninjection.thenrsscore，clinicaltreatmentexcellentrateandadversereactionsofthetwogroupswerecompared.resultsthenrsscoresaftertreatmentofthetwogroupswereimprovedascomparedwiththosebeforetreatment（p0.05），andtheobservationgroupisbetterthanthecontrolgroupaftertreatment，thedifferenceswerestatisticallysignificant（p0.05）.theexcellentandgoodrateoftreatmentintheobservationgroupwas90.00%，whichwashigherthan66.67%inthecontrolgroup（p0.05）.therewerenoadversereactionsinthetwogroups.conclusioncomparedwiththetraditionalacupunctureandmassage，thetreatmentofldhbyacupotomologycombinedwithforameninjectionhasbettershort-termclinicalefficacyandisworthpopularizing. 　　[keywords]acupotomology;forameninjection;lumbardischerniation;clinicaleffect;acupunctureandmassage 　　腰椎间盘突出症（lumberdischerniation，ldh）为临床的一种常见病症，椎