网眼理论指导下针刀整体松解法治疗腰椎间盘突出症的疗效观察

Effect observation of lumbar disc herniation treated by holistic loosening of acupotomy under the guidance of mesh theory

目的:探讨网眼理论指导下针刀整体松解法对治疗腰椎间盘突出症的疗效观察。方法:将腰椎间盘突出症患者72例随机平均分成两组,针刀组(针刀整体松解配合针刺治疗),对照组(推拿手法配合针刺治疗),对两组患者治疗前后以及出院1月后进行JOA评分以及VAS视觉疼痛评分,并做统计学分析处理。结果:针刀组中治愈14例,好转21例,无效1例,总有效率97%,对照组中治愈3例,好转24例,无效9例,总有效率75%,统计有显著差异(P <0.05),在VAS评分上针刀组在治疗后及出院1月后均优于对照组,疗效差异有显著统计学意义(P <0.05),在JOA评分上针刀组在治疗后优于对照组,疗效差异有统计学意义(P <0.05),而出院1个月后针刀组与对照组比较无明显差异(P> 0.05)。结论:推拿手法治疗腰椎间盘突出症疗效好,网眼理论指导下针刀整体松解法治疗效果更好。

Objective To explore the treatment efect of lumbar disc herniation treated by holistic loosening of acupotomy under the guidance of mesh theory. Method： 72 cases of lumbar disc herniation were randomly divided into two groups, the acupotomy group （Holistic loosening of acupotomy combined with acupuncture treatment） and the control group （massage manipulation combined with acupuncture）. JOA scores and VAS visual pain scores of two groups of patients were evaluated before and 1 month after treatment. Result： In the acu-potomy group, 15 cases were cured, 21 cases were improved, 1 case was invalid, the total efective rate was 97%. In the control group, 3 cases were cured, 24 cases were improved, 9 cases were invalid, the total efective rate was 75%, the statistical diference was signifcant （P〈 0.05）. As for the VAS score, the acupotomy group was better than the control group after 1 month of treatment and after discharge, the diference of curative efect was statistically signifcant （P 〈 0.05）. As for the JOA score, the acupotomy group was better than the control group after the treatment （P 〈 0.05）, but there was no signifcant diference between the acupotomy group and the control group after 1 month of discharge （P 〉 0.05）. Conclusion： Massage manipulation was efective in the treatment of lumbar disc herniation. The treatment of holistic loosening of acupotomy under the guidance of mesh theory was more signifcant.