骶丛药物灌注方法治疗脊柱源性腰腿痛的机理和临床价值

Mechanism and clinical value of sacral plexus perfusion in rachi lumbocrural pain

目的探讨骶丛药物灌注方法治疗脊柱源性腰腿痛的机理和临床价值。方法选取绍兴第二医院2014年5月～2016年5月收治的脊柱源性腰腿痛患者80例,随机将这些患者分为骶丛药物灌注方法治疗组（研究组）和红外线短中长频治疗仪联合针灸按摩治疗仪治疗组（对照组）2组,每组各40例。对2组患者的主要临床症状评分、主要临床体征评分、胸腰段脊柱屈曲度、VAS评分、临床疗效进行统计分析。结果研究组患者的腰部疼痛、患肢发凉、下肢麻木、下肢放射痛评分均显著低于对照组,差异有统计学意义（P〈0.05）,两侧L3横突尖部压痛评分、视觉模拟法（VAS）评分均显著低于对照组,差异有统计学意义（P〈0.05）,胸腰段脊柱屈曲度显著高于对照组,差异有统计学意义（P〈0.05）,总有效率92.5%（37/40）显著高于对照组67.5%（27/40）,差异有统计学意义（P〈0.05）。结论骶丛药物灌注方法治疗脊柱源性腰腿痛的临床价值较红外线短中长频治疗仪联合针灸按摩治疗仪治疗高,其更能有效改善患者的临床症状和体征,减轻患者疼痛,提升患者的胸腰段脊柱屈曲度及治疗的总有效率。

Objective To investigate the mechanism and clinical value of sacral plexus perfusion method in the treatment of rachi lumbocrural pain.Methods 80 cases of patients with rachi lumbocrural pain in our hospital from May 2014 to May 2016 were selected,they were randomly divided into sacral plexus perfusion method treatment group（study group） and infrared short medium long frequency therapeutic instrument combined with acupuncture and massage therapy group（control group） two groups,40 cases in each group.The main clinical symptoms scores,main clinical signs scores,thoracolumbar spine flexion,VAS scores,clinical efficacy of the two groups were statistically analyzed.Results The low back pain,cold limbs,numbness,leg redicular pain scores of the study group were significantly lower,the difference was statistically significant（P〈0.05）,the both sides L3 transverse tip tenderness scores,VAS score were significantly lower,the difference was statistically significant（P〈0.05）,the thoracolumbar flexion was significantly higher,the difference was statistically significant（P〈0.05）,the total treatment efficiency 92.5%（37/40） was significantly higher than the control group 67.5%（27/40）,the difference was statistically significant（P〈0.05）.Conclusion The clinical value of sacral plexus perfusion method in the treatment of rachi lumbocrural pain is higher than infrared short medium long frequency therapeutic instrument combined with acupuncture and massage therapy,it can more effectively improve the clinical symptoms and signs,relieve the pain,enhance the thoracolumbar flexion and total treatment efficiency of patients.