舒针联合低浓度三氧注射治疗腰椎间盘突出症

目的:验证舒针联合低浓度三氧注射治疗腰椎间盘突出症的疗效.方法:130例腰椎间盘突出症患者随机分为舒针组和针刀组,每组65例.舒针组采用舒针疗法并联合低浓度三氧注射治疗,针刀组采用传统小针刀疗法并联合低浓度三氧注射治疗,10天治疗1次,3次为一疗程,1个疗程后观察两组临床疗效,统计治疗前后疼痛视觉模拟表(VAS)及Oswestry功能障碍指数评分,随访半年观察远期疗效.结果:舒针组临床治愈率69.2％(45/65),总有效率96.9％(63/65),针刀组分别为43.1％(28/65)、84,6％(55/65),舒针组优于针刀组(P＜0.01,P＜0.05).两组治疗后VAS及Oswestry功能障碍指数评分较治疗前均明显下降(均P＜0.05),且舒针组改善程度优于针刀组(均P＜0.05).半年后随访舒针组复发率为17.8％ (8/45),低于针刀组的46.4％(13/28)(P＜0.05).结论:舒针联合低浓度三氧注射治疗腰椎间盘突出症疗效显著,且优于常规针刀联合低浓度三氧注射治疗.

Lumbar disc herniation treated with Shu-needle therapy and ozone injection of low concentration

Objective To verify the efficacy on lumbar disc herniation treated with Shu-needle therapy in combination with ozone injection of low concentration.Methods One hundred and thirty cases of lumbar disc herniation were randomized into a Shu-needle therapy group and an acupotomy group,65 cases in each one.In the Shu-needle therapy group,Shu-needle therapy was used in combination with ozone injection of low concentration.In the acupotomy group,the conventional acupotomy therapy was applied in combination with ozone injection of low concentration.The treatment was given once every 10 days,3 treatments made one session.After one session treatment,the clinical efficacy of two groups was observed,scores of visual analogue scale(VAS) and Oswestry disability index(ODI) were counted before and after treatment.The long-term efficacy was followed up in half a year.Results The clinical curative rate was 69.2%(45/65) and the total effective rate was 96.9%(63/65) in the Shu-needle therapy group.The curative rate was 43.1%(28/65) and the total effective rate was 84.6%(55/65) in the acupotomy group.In comparison,the efficacy of the Shu-needle therapy group was superior to that of the acupotomy group(P<0.01,P<0.05).The scores of VAS and ODI were reduced obviously after treatment as compared with those before treatment in two groups(all P<0.05).The improvements in the Shu-needle therapy group were superior to those in the acupotomy group(both P<0.05).In the follow-up observation,the recurrence rate in the Shu-needle therapy group was lower than that in the acupotomy group 17.8%(8/45)vs 46.4%(13/28),P<0.05].Conclusion Shu-needle therapy in combination with ozone injection of low concentration achieves the superior efficacy on lumbar disc herniation as compared with the acupotomy group.