改良针刺法结合腰椎旁神经阻滞治疗腰腿痛的疗效观察

目的 观察改良针刺法结合腰椎旁神经阻滞治疗腰腿痛的疗效。方法 腰腿痛患者80例，采用改良针刺法结合腰椎旁神经阻滞进行治疗。于治疗前、治疗后3个月、6个月及12个月时采用VAS进行疼痛评分；于治疗后12个月时进行疗效评定。结果 痊愈、显效、好转、无效率依次为68．8%（55／80例）、20．0％（16／80例）、7．5％（6／80例）、3．8％（3／80例）；与治疗前相比，治疗后VAS评分下降（P〈O.05）；治疗后各时点间VAS评分差异无统计学意义（P〉0.05）。结论改良针刺法结合腰椎旁神经阻滞是治疗腰腿痛的有效方法。

Modified acupuncture combined with lumbar paravertebral nerve block for the treatment of patients with lumbocrural pain

Objective To observe the effect of modified acupuncture combined with lumbar pa- ravertebral nerve block on patients with lumbocrural pain. Methods Eighty patients with lumbocru- ral pain were received modified acupuncture combined with lumbar paravertebral nerve block. VAS was evaluated before and 3, 6, 12 months after the treatment. The effects were evaluated in 12 months after the treatment. Results The cure, effective, improved and ineffective rates were 68.8% （55/80 cases）, 20.0% （16/80 cases）, 7. 5 %（6/80 cases） and 3.80% （3/80 cases） respectively. Compared with the pretreatment, VAS was decreased after the treatment （P〈0.05）. There was no significant difference in VAS at each time after the treatment （P〉0.05）. Conclusion Modified acu- puncture combined with lumbar paravertebral nerve block is an effective method for the treatment of lumbocrural pain.