针刀治疗老年性非骨性腰椎椎管狭窄症临床观察

Acupotomy in the Treatment of Elderly Non-bone Lumbar Spinal Stenosis

目的观察针刀治疗老年性非骨性腰椎椎管狭窄症的临床疗效。方法运用随机数字表法将2021年9月—2023年4月四川省德阳市旌阳区中医院康复科就诊的137例患者分为对照组和治疗组。对照组69例用传统中医治疗,治疗组68例在对照组基础上加针刀治疗。比较2组患者疼痛程度和腰椎功能。结果治疗后,2组VAS、JOA、ODI评分均显著改善,差异有统计学意义(P<0.05),且治疗组VAS及ODI评分均低于对照组,除治疗后6个月ODI评分外,其余时间点组间差异均有统计学意义(P<0.05);治疗组JOA评分均高于对照组,差异均有统计学意义(P<0.05)。结论针刀治疗老年性非骨性腰椎椎管狭窄症疗效确切,可明显改善患者生活质量。

Objective To observe the clinical efficacy of acupotomy in the treatment of elderly non-bony lumbar spinal stenosis.Methods A total of 137 patients in Jingyang District Hospital of Traditional Chinese Medicine from September 2021 to April 2023 were divided into control group and treatment group by random number table method.The control group of 69 cases was treated with traditional Chinese medicine,and the treatment group of 68 cases was treated with acupotomy on the basis of the control group.The degree of pain and lumbar function after treatment were compared between the two groups.Results VAS,JOA and ODI scores of the 2 groups were significantly improved after treatment,and the difference was statistically significant(P<0.05).After treatment,VAS and ODI scores in the treatment group were lower than those in the control group,except for ODI scores 6 months after treatment,and the differences were statistically significant at other time points(P<0.05).JOA scores in the treatment group were higher than those in the control group after treatment,and the differences were statistically significant(P<0.05).Conclusion The acupotomy in the treatment of elderly non-bony lumbar spinal stenosis has a virtually effect,and can significantly improve the quality of life of patients.