中医“筋骨并重”理论在腰椎管狭窄症治疗中应用的临床意义

Clinical Significance of the Theory of “Equal Emphasis on Bones and Muscles” in the Treatment of Lumbar Spinal Stenosis

目的观察以筋骨并重理论为指导,针刀结合牵引治疗腰椎管狭窄症的临床意义。方法将96例腰椎管狭窄症患者随机分为A、B、C 3组,每组32例,A组采用牵引治疗,B组采用针刀治疗,C组采用针刀结合牵引治疗,3组均同时配合口服独活寄生汤。对比3组疗法有效率,通过CRMDQ评分法进行功能评分。结果A组的临床有效率达(37.50%,12/32);B组的临床有效率达(34.38%,11/32);C组的临床有效率(78.13%,25/32);治疗后1个月,CRMDQ评分,C组与A组、B组比较,均有非常显著性差异,有统计学意义(P<0.01);治疗后3个月CRMDQ评分,C组与A组、B组比较,均有非常显著性差异,有统计学意义(P<0.01)。结论中医筋骨并重理论在腰椎管狭窄治疗中的应用临床意义重大,疗效确切。

Objective Guided by the theory of equal emphasis on bones and muscles,to observe the clinical significance of acupotomy combined with traction in the treatment of lumbar spinal stenosis.Methods 96 patients with lumbar spinal stenosis were randomly divided into three groups:A,B and C.Each group contained 32 patients.Group A was treated with traction,group B was treated with acupotomology,and group C was treated with acupotomology combined with traction.All three groups were given orally Duhuo Jisheng Decoction.Results The clinical effective rate of group A was 37.50%.The clinical effective rate of group B was 34.38%.The clinical effective rate of group C was 78.13%.One month after treatment,CRMDQ score of group C was significantly different from that of group A and group B(P<0.01).Conclusion The application of the theory of equal emphasis on bones and muscles in the treatment of lumbar spinal stenosis is of great clinical significance and definite curative effect.