超声引导针刀松解联合腰方颗粒治疗腰椎间盘突出症的临床研究

目的通过观察超声引导下针刀松解联合腰方颗粒治疗腰椎间盘突出症的临床疗效,进而为腰椎间盘突出症患者的治疗提供可行性借鉴。方法随机选取我院疼痛门诊2019年1-12月收治的60例腰椎间盘突出症患者,60例患者治疗后均口服中药腰方颗粒,其中超声引导下针刀治疗的30例患者为观察组,传统解剖定位下治疗的30例患者为对照组,对比两组的治疗效果、并发症发生率,对所有患者治疗前、治疗后进行疼痛评估(VAS)及腰椎Oswestry功能障碍指数(ODI)评估。结果60例患者均获得随访,观察组的治疗总有效率为96.67%(29/30),明显高于对照组80.00%(24/30),两组比较差异具有统计学意义(P<0.05)。随访患者VAS评分、JOA及ODI评分,在各时间点,观察组评分均显著低于对照组(P<0.05)。结论与传统解剖定位相比,超声引导下针刀松解联合腰方颗粒治疗腰椎间盘突出症可以明显提高有效率,降低并发症的发生率,效果确切,安全性高。

Clinical study on ultrasound-guided needle-knife loosening combined with Yaofang granules in the treatment of lumbar intervertebral disc protrusion

Objective To observe the clinical effect of ultrasound-guided needle knife loosening combined with Yaofang granules in the treatment of lumbar intervertebral disc protrusion,and to provide a feasible reference for the treatment of patients with lumbar disc herniation.Thereby improving the quality of life of patients.Methods Sixty patients who visited hospital from January to December 2019 at pain outpatient for lumbar intervertebral disc protrusion were randomly selected.After treatment,60 patients were treated with traditional Chinese medicine Yaofang granules.Among them,30 patients treated with needle-knife under ultrasound guidance were included as the observation group,and 30 patients treated under traditional anatomical positioning were included as the control group.The treatment effect,complication rate,pain assessment(VAS)and lumbar Oswestry dysfunction index(ODI)assessment of all patients before and after treatment were compared between the two groups.Results All the 60 patients were followed up.The total effective rate in the observation group was 96.67%(29/30),which was significantly higher than 80.00%(24/30)in the control group,and there was a significant difference between the two groups(P<0.05).The VAS score,JOA and ODI scores of the patients were followed up.The scores of the observation group at each time point were significantly lower than those of the control group(P<0.05).Conclusion Compared with traditional anatomical positioning,ultrasound-guided needle-knife loosening combined with Yaofang granules in the treatment of lumbar intervertebral disc protrusion can significantly increase the effective rate,reduce the incidence of complications,and have accurate results and high safety.