老年性腰椎管狭窄保守治疗与手术治疗的疗效对比观察

Comparison of Conservative Treatment and Surgical Treatment of Senile Lumbar Spinal Canal Stenosis

目的比较保守治疗与手术治疗老年性腰椎管狭窄的不同疗效。方法选取2014年12月至2016年12月在该院住院治疗的100例患有老年性腰椎管狭窄的患者,随机分为观察组和对照组各50例。观察组给予保守治疗,对照组给予手术治疗。分析患者不同治疗手段后临床疗效。结果观察组患者疼痛评分与对照组相比较低,差异有统计学意义(P<0.05),观察组生活质量评分高于对照组,差异有统计学意义(P<0.05);观察组总有效率为92.0%,对照组总有效率为90.0%,两组比较差异不具有统计学意义(P>0.05)。结论保守治疗与手术治疗老年性腰椎管狭窄的临床疗效差异不明显,且保守治疗患者疼痛感较低,生活质量较高,值得临床应用。

Objective To compare the curative effect of conservative treatment and surgical treatment of senile lumbar spinal stenosis. Methods From December 2014 to December 2016, 100 patients with senile lumbar spinal stenosis were randomly divided into observation group and control group(n=50). The observation group was given conservative treatment, the control group given surgery. Analysis of different clinical efficacy of patients after treatment. Results The scores of the pain in the observation group were lower than those in the control group(P<0.05). The quality of life of the observation group was higher than that of the control group(P<0.05). The total effective rate Was 92.0%, the total effective rate of the control group was 90.0%, the difference between the two groups was not statistically significant(P>0.05). Conclusion The clinical efficacy of conservative treatment and surgical treatment of senile lumbar spinal stenosis is not obvious, and the conservative treatment of patients with low pain, high quality of life and is worthy of clinical application.