万娟云 　杨相

【摘要】 目的：分析小针刀联合腰椎整脊手法治疗腰椎间盘突出症的临床效果。方法：选取2016年1月-2017年12月笔者所在医院收治的82例腰椎间盘突出症患者，根据不同治疗方案将其分成两组，各41例。对照组采用腰椎整脊手法治疗，观察组采用小针刀联合腰椎整脊手法治疗。比较两组患者治疗效果、治疗前后疼痛情况和腰椎功能活动障碍情况，随访1年统计复发情况。结果：观察组治疗优良率明显高于对照组，差异有统计学意义（P<0.05）;治疗后观察组VAS评分和ODI评分均低于对照组，差异均有统计学意义（P<0.05）;观察组复发率低于对照组，差异有统计学意义（P<0.05）。结论：小针刀联合腰椎整脊手法治疗腰椎间盘突出症能够有效改善患者腰椎活动功能，缓解腰椎疼痛感，提升临床疗效，值得推广。

【关键词】 腰椎间盘突出症 小针刀 腰椎整脊 疼痛

doi：10.14033/j.cnki.cfmr.2019.28.058 文献标识码 B 文章编号 1674-6805（2019）28-0-03

Clinical Analysis of Small Needle Knife Combined Lumbar Spine Manipulation for Lumbar Disc Herniation/WAN Juanyun， YANG Xiang. //Chinese and Foreign Medical Research， 2019， 17（28）： -140

[Abstract] Objective： To analyze the clinical effect of small needle knife combined lumbar spine manipulation for lumbar disc herniation. Method： Eighty-two patients with lumbar disc herniation admitted to our hospital from January 2016 to December 2017 were enrolled in this study. They were divided into two groups according to different treatment options. The control group was treated with lumbar spine manipulation， while the observation group was treated with small needle knife combined lumbar spine manipulation. The treatment effect， pain and lumbar dysfunction before and after treatment were compared between the two groups， and the recurrence rate was counted after 1 year follow-up. Result： The excellent rate of treatment in the observation group was significantly higher than that in the control group （P<0.05）. The VAS score and ODI score of the observation group were significantly lower than those of the control group （P<0.05）. The recurrence rate of the observation group was significantly lower than that of the control group （P<0.05）. Conclusion： Small needle knife combined lumbar vertebrae chiropractic treatment of lumbar disc herniation can effectively improve lumbar motion function， relieve lumbar pain and improve clinical efficacy， and it is worth promoting.

[Key words] Lumbar disc herniation Small needle knife Lumbar Vertebrae Pain

First-authors address： Xianfeng County Peoples Hospital， Xianfeng 445600， China

腰椎間盘突出症主要由椎间盘变性、纤维环破裂，导致髓核突出刺激压迫神经根，引发腰椎功能活动障碍所致，患者临床主要表现为腰痛、下肢放射痛、肢体麻木等症状，部分重症患者甚至会出现瘫痪、行走无力情况，具有发病率高、病情迁延、复发率高的特点[1-2]。目前多采用针灸、牵引等疗法治疗患者，但患者治疗后容易出现复发情况，治疗效果具有明显的局限性[3-4]。为了探讨更加高效的治疗方案，本文以笔者所在医院2016年1月-2017年12月收治的腰椎间盘突出症患者82例为研究对象，分组后就不同治疗方案的临床效果展开了下述研究。

1 资料与方法

1.1 一般资料

选取笔者所在医院2016年1月-2017年12月收治的腰椎间盘突出症患者82例。纳入标准：经CT检查确诊为腰椎间盘突症;同意配合研究;治疗前3个月内未接受其他治疗。排除标准：合并椎管狭窄;腰椎结核;腰椎骨折;恶性肿瘤;妊娠及哺乳期女性;脊柱炎;器质性功能障碍;大块髓核突出压迫马尾神经或硬膜囊引发严重神经功能障碍病例。……