体外冲击波与传统方法治疗腰椎间盘突出症疗效比较

The Efficacy and Life Quality Assessment on the Radial Extracorporeal Shock Wave Therapy of Lumbar Disc Herniation

比较放散式体外冲击波与传统保守治疗腰椎间盘突出症的临床疗效及生命质量评价。对2010年6月至fi013年6月收治且获得随访的257例腰椎间盘突出症患者进行分析，其中男139例，女118例。根据治疗方式不同随机分为两组，并在治疗前后应用日本骨科学会（JOA）下腰痛评分法及视觉模拟评分（VAS）进行疗效评价，应用健康调查评分量表SF-36进行生活质量评价。对患者进行随访1周～12周，平均（10．0±3．4）周，治疗组治疗后2周和4周VAS评分低于对照组，治疗后1周、2周及4周JOA评分高于对照组，治疗后4周、8周和12周的生理机能、生理职能、总体健康、情感职能和躯体疼痛得分高于对照组，差异有统计学意义（P〈0．05）。放散式体外冲击波治疗腰椎间盘突出症疗效较好，并能够较好地提高患者的生活质量。

This article compares the clinical efficacy and life quality assessment on the radial extracorporeal shock wave therapy and the traditional conservative solution of lumbar disc herniation. From June 2010 to June 2013, 257 cases （males 139, females 118） with lumbar disc herniation which were followed and treated were retrospectively analyzed. According to the different treatments, they were randomly divided into two groups. We marked with the Japanese orthopaedic association low back score （JOA） and visual analogue scale （VAS）, then assessed life quality using the MOS item short from health survey （SF-36）. The patients were followed up for 1 week to 12 week, averaged （10.0±3.4） weeks. The VAS score of treatment group was less than that of control group in the time of 2 weeks and 4 weeks, the JOA score of treatment group was higher in the time of 1 week, 2 weeks and 4 weeks, the SF-36 score （physiological function, physiological role, general health, role emotional and physical pain score） of the treatment group was higher in the time of 4 weeks, 8 weeks and 12 weeks, and the difference was statistically significant （P〈0.05）. Radial extracorporeal shock wave therapy has better efficacy and can improve the quality of life.