腰大肌结合腰臀部阳性筋结点针刀松解治疗腰椎间盘突出症临床观察

Clinical Observation on Acupotomy Lysis on Psoas Major Combined with Positive Clustered Nodules Points of Waist and Hip for Lumbar Disc Herniation

目的:观察腰大肌结合腰臀部阳性筋结点针刀松解治疗腰椎间盘突出症临床疗效。方法:将60例腰椎间盘突出症患者随机分为2组各30例,治疗组采用腰大肌结合腰臀部阳性筋结点针刀松解治疗,对照组采用腰臀部阳性筋结点针刀松解治疗,分别记录治疗前及治疗12天后患者的JOA评分,并进行统计分析。结果:与治疗前比较,2组治疗后日本骨科协会(JOA)下腰痛评定量表评分均升高,差异均有统计学意义(P<0.05);治疗后,治疗组JOA评分高于对照组,差异有统计学意义(P<0.05)。临床疗效愈显率治疗组83.3%,对照组70.0%,2组比较,差异有统计学意义(P<0.05)。结论:腰大肌结合腰臀部阳性筋结点针刀松解治疗腰椎间盘突出症临床疗效优于单纯腰臀部阳性筋结点针刀松解治疗。

Objective：To observe the clinical effect of acupotomy lysis on psoas major combined with positive clustered nodules points of waist and hip for lumbar disc herniation. Methods：Divided 60 cases of patients with lumbar disc herniation into two groups randomly, 30 cases in each group. The treatment group received acupotomy lysis on psoas major combined with positive clustered nodules points of waist and hip for treatment,while the control group received acupotomy lysis on positive clustered nodules points of waist and hip. Recorded JOA scores of patients respectively before treatment and after treatment of 12 days and conducted statistical analysis. Results：Compared with those before treatment,scores of Japanese Orthopedic Association（JOA） low back pain rating scale in the two groups were increased after treatment,differences being significant（P〈0.05）. After treatment,JOA score in the treatment group was higher than that in the control group, the difference being significant（P〈0.05）. The cured and markedly effective rate of clinical effect was 83.3% in the treatment group and was 70.0% in the control group, the difference being significant（P〈0.05）.Conclusion： The clinical effect of the therapy of acupotomy lysis on psoas major combined with positive clustered nodules points of waist and hip for lumbar disc herniation is superior to that of the simple therapy of acupotomy lysis on positive clustered nodules points of waist and hip.