局部封闭联合超短波治疗腰椎小关节综合征的前瞻性随机对照研究

目的观察局部封闭联合超短波治疗腰椎小关节综合征的临床疗效。方法为前瞻性随机对照观察，将110例腰椎小关节综合征患者随机分为观察组和对照组（各55例），观察组采用局部封闭联合超短波治疗，对照组采用口服美洛昔康片治疗，半年后比较两组的临床疗效。结果所有患者均随访半年以上，共有84例患者完成了研究，其中观察组44例，对照组40例。观察组缓解率显著高于对照组，其总有效率也高于对照组，两组间的差异有统计学意义（P〈0．05）。但两组患者的Barthel指数和sF一36评分之间无统计学差异（P〉0．05）。结论局部封闭联合超短波治疗腰椎小关节综合征，临床疗效满意，方法简便、安全、费用低。

A prospective randomized controlled trial of local closure combined with ultra short wave therapy in treatment of lumbar facet syndrome

Objective To observe the clinical efficacy of local closure combined with ultra short wave therapy on lumbar facet syn- drome. Methods In the prospective, randomized and controlled clinical study, 110 patients with lumbar facet syndrome were di- vided into trial group and control group （ n = 55/group）. The trial group was treated with local closure combined with ultra short wave therapy, while the control group was treated with oral meloxicam tablets. Their clinical effects were compared after six months. Results All the patients were followed up more than six months, and the study was completed in 84 cases （44 in the trial group, 40 in the control group）. The recovery rate of the trial group was much higher than that of the control group, and the total effective rate was also significantly higher in the trial group than in the control group after six months （ P 〈 0.05 ）. But the changes in daily activity function （ Barthel index and SF-36） after treatment were of no significant difference between the two groups （ P 〉 0.05 ）. Conclusion The clinical effect of local closure combined with ultra short wave therapy is satisfactory in the treatment of lumbar facet syndrome. With low cost, the method is simple and safe.