经筋刀治疗退行性腰椎管狭窄症下腰痛的临床观察

The clinical research by tendons knife of treatment to low-back pain of degenerative lumbar spinal stenosis

目的观察经筋刀疗法对退行性腰椎管狭窄症下腰痛症状的临床疗效。方法选取2014年8月至2015年6月中国中医科学院望京医院脊柱二科收治诊断为退行性腰椎管狭窄症的以下腰痛为第一主诉的中老年患者94例,随机分为观察组和对照组各47例,观察组接受腰背部经筋刀松解治疗,对照组接受腰椎牵引、中频理疗等治疗,观察组每周治疗1次,14天为1个疗程,对照组每周治疗3次,14天为1个疗程,随访6个月。采用视觉模拟(visual analogue scale,VAS)评分法和日本骨科协会腰痛疾患疗效评定标准(JOA积分)对治疗效果进行评价。结果两组VAS评分、JOA积分治疗前比较差异无显著性(P>0.05),治疗后均优于治疗前,且观察组优于对照组,差异有显著性(P<0.05)。治疗后观察组有效率为84.09%,对照组有效率为65.12%,观察组优于对照组,两组差异有显著性(P<0.05)。随访期间,观察组总显效率及总有效率均高于对照组,差异有显著性(P<0.05)。结论退行性腰椎管狭窄症患者经筋刀松解治疗下腰痛疗效肯定,随访期内疗效优于对照组。

Objective To evaluate the clinical research of treatment to low-back pain of lumbar spinal stenosis.Method 94 patients with degenerative lumbar spinal stenosis（DLSS） were divided randomly into two groups.The test group is treated by tendons knife treatment.while the control group is treated by supine lumbar traction and mid frequency physical therapy method.All of patients were recorded by JOA score and VAS score with treatment for 2 weeks and follow-up for 6 months.Result The efficiency rate of test group is 84.09% after treatment for 2 weeks,while the control group is 65.12%.Following up in 6th months of post-treatment,there are significant difference in statistics as well（P0.05）.Conclusion There is significant effect in the clinical research of tendon loosening treatment by tendons knife to DLSS,and which is stable in the follow-up.