针刀神经触激术治疗腰椎间盘突出症80例临床观察

Clinical Observation of 80 Cases of Lumbar Intervertebral Disc Protusion Treated with Acupotomy Nerve Stimulation

目的观察针刀神经触激术治疗腰椎间盘突出症的临床疗效并探讨其机制。方法将120例住院患者按照就诊顺序进行编号,并通过DPS数据处理系统按照2∶1比例进行完全随机分组,针刀治疗组80例,针灸治疗组40例。治疗组(针刀治疗组)进行脊神经根及神经干针刀触激术,对照组(针灸治疗组)进行常规针刺治疗,观察患者治疗后临床症状缓解等情况,判定疗效,并随访半年,观察复发率。结果疗程结束后,治疗组痊愈率为75.00%,对照组为45.00%,两组比较差异具有统计学意义(P<0.01)。半年后,治疗组患者的复发率为11.67%,对照组患者的复发率为27.78%,两组比较差异具有统计学意义(P<0.01)。结论针刀通过直接触激腰脊神经根及神经干,使机体产生逃避及应激反应,调节机体自身机能而产生治疗效应,其治疗效果明显优于针刺治疗。

Objective To observe the clinical efficacy of acupotomy nerve stimulation on lumbar in tervertebral disc protusion（LIDP） and explore its mechanism. Methods One hundred and twenty inpatients were coded according to the admission sequence and randomized into an aeupotomy treatment group （treat ment group ,80 cases）and an acupuncture treatment group （control group, 40 cases ）via DPS database pro cessing system at the ratio of 2： 1. In the treatment group, the acupotomy stimulation at spinal nerve root and nerve trunk was applied. In the control group, the conventional acupuncture was used. The relief of clinical symptoms after treatment was observed and the efficacy was determined. The recurrence rate was observed in follow - up visit for half a year. Results At the end of treatment session, the curative rate was 75.00% in the treatment group and was 45.00% in the control group, indicating the statistically significant difference in comparison （P 〈 0.01 ）. In half a year after treatment, the recurrence rate was 11.67 % in the treatment group and was 27.78% in the control group,indicating the statistically significant difference in comparison （P 〈 0. 01 ）. Conclusion Acupotomy stimulates directly the spinal nerve and trunk in the lumbar region, which in duces body escape response and stress reaction and regulates the automatic function of the body so that the therapeutic effects can be achieved. The efficacy of it is apparently suoerior to acupuncture.