吴飞

【摘要】目的：观察超微针刀经筋解结和毫针经筋解结治疗腰椎间盘突出症的临床疗效。方法：将60例腰椎间盘突出症患者按就诊顺序分为治疗组和对照组，每组30例。治疗组采用超微针刀在腰、臀、腿部位的筋结点进行治疗，对照组予毫针在同样部位进行治疗。采用JOA下腰痛评分量表，进行治疗前后评分，计算改善率，评估两组患者治疗效果。结果：两组治疗后JOA评分与治疗前比较均有上升，差异有统计学意义（P<0.05）；治疗组较对照组评分上升更加明显（P<0.05）；治疗组总有效率为93.3%，优于对照组的73.3%（P<0.05）。结论：超微针刀和毫针治疗都能有效缓解腰椎间盘突出症患者的腰腿疼痛症状，改善腰椎功能，两者比较，超微针刀治疗效果优于毫针治疗效果。

【关键词】腰椎间盘突出症；超微针刀；经筋；临床观察

【中图分类号】R681.5+3 【文献标志码】 A 【文章编号】1007-8517（2016）08-0045-02

Abstract：Objective To compare the clinical effect of super-micro needle knife and filiform needle used to eliminate the tendons knot in the treatment of lumbar disc herniation. Methods 60 cases of lumbar disc herniation patients were randomly divided into treatment group and control group， 30 cases in each group. The treatment group were treated with super-micro needle knife in tendons knot in waist， hip and leg， and the control group were treated with filiform needle in the same locations. JOA score（lumbago diseases）was used to evaluate the treatment effect of 2 groups of patients before and after treatment. Results after treatment， the JOA score of the two groups was both increased， and the difference was statistically significant （P<0.05）. The increase of the treatment group was significantly higher than that of the control group （P<0.05）. The total effective rate of the treatment group was 93.3%， which was better than the control group（73.3%） （P<0.05）. Conclusion Super-micro needle knife and filiform needle therapy can both effectively relieve the lumbar disc herniation patients of lumbar and leg pain， improve the lumbar vertebral function， in comparison， the treatment effect of super-micro needle knife is better than that of filiform needle therapy.

Keywords：Lumbar Disc Herniation；Super-micro Needle Knife；Tendons；Efficacy Observation

腰椎间盘突出症是腰腿痛最常见的原因之一。壮医经筋理论认为该病是由于肌筋劳损，加之外力损伤或风寒湿毒侵袭，导致筋结形成，横络盛加，龙路火路不通所致，属于典型的经筋病。治疗的核心是如何准确找到筋结点并解结治疗。壮医常用毫针固结行针法解结。超微针刀是胡超伟[1]提出的一种经验治疗方法，其操作手法与壮医经筋的固结行针法类似，笔者认为用超微针刀解结比毫针解结更具有优势，因为超微针刀是带刃针，有切割功能。笔者从2014年开始根据壮医经筋摸结、解结的理论，采用超微针刀解结治疗腰椎间盘突出症30例，并与毫针解结治疗30例对照，其效果较好，安全可靠，现报告如下。

1资料与方法

1.1一般资料选取2014年1月至2015年6月期间我科门诊或住院的腰椎间盘突出症患者60例，按其就诊先后顺序分为治疗组和对照组，每组各30例。两组性别、年龄、病程等一般资料比较，差异无统计学意义（P>0.05），具有可比性。……