张见飞 邓奕文 黄虎龙 敖婧 陈平

【摘要】 目的：研究基于軟组织外科学理论下，采用定点介入疗法对治疗慢性非特异性腰痛（CNLBP）患者的影响。方法：选取抚州市第一人民医院康复医学科自2021年11月—2023年4月治疗的76例CNLBP患者，采用随机数字表法分为观察组（n=38）与对照组（n=38）。对照组采用常规治疗，观察组在此基础上加用基于软组织外科学理论指导的定点介入疗法，两组均治疗3周。比较两组临床疗效、腰椎功能、视觉模拟评分法（visual analogue scale，VAS）评分和Oswestry功能障碍指数（Oswestry disability index，ODI）及不良反应。结果：治疗后观察组总有效率为81.58%，显著高于对照组的60.53%（P<0.05）。治疗后，两组改良日本骨科协会（JOA）下腰痛评分表腰痛、下肢痛及麻木、步行能力等条目评分均显著高于治疗前，且观察组均显著高于对照组（P<0.05）。治疗后，两组VAS评分、ODI均显著低于于治疗前，且观察组VAS评分、ODI均显著低于对照组（P<0.05）。治疗后观察组出现皮疹、瘙痒等不良反应共3例，均未做特殊处理自行消失。结论：对CNLBP患者采用基于软组织外科学理论的定点介入疗法治疗效果显著，能缓解患者腰部疼痛，且利于腰部功能恢复。

【关键词】 慢性非特异性腰痛 软组织外科学理论 定点介入疗法

A Study on the Efficacy of Fixed-point Interventional Therapy Based on Soft Tissue Surgery Theory in the Treatment of Chronic Non-specific Low Back Pain/ZHANG Jianfei， DENG Yiwen， HUANG Hulong， AO Jing， CHEN Ping. //Medical Innovation of China， 2024， 21（07）： 079-083

[Abstract] Objective： To study the effect of fixed-point interventional therapy based on soft tissue surgery theory in the treatment of patients with chronic non-specific low back pain （CNLBP）. Method： A total of 76 patients with CNLBP admitted to the Rehabilitation Medicine Department， First People's Hospital of Fuzhou from November 2021 to April 2023 were selected， and divided into the observation group （n=38） and the control group （n=38） by random number table method. The control group was given conventional treatment， while the observation group was given fixed-point interventional therapy based on soft tissue surgery theory on this basis， both groups were treated for 3 weeks. The two groups were compared in terms of clinical efficacy， lumbar vertebral function， visual analogue scale （VAS） score， Oswestry disability index （ODI）， and adverse reactions. Result： The total effective rate of treatment in the observation group was 81.58%， which was significantly higher than 60.53% in the control group （P<0.05）. After treatment， the scores of lower back pain， lower limb pain and numbness， walking ability and other items in the modified Japanese Orthopaedic Association （JOA） lower back pain scale of two groups were significantly higher than those before treatment， those in the observation group were higher than those in the control group （P<0.05）. After treatment， the VAS scores and ODI of the two groups decreased significantly compared to those before treatment， those of the observation group were significantly lower than those of the control group （P<0.05）. After treatment， there were 3 cases with adverse reactions such as skin rashes and pruritus， all of which disappeared without special treatment. Conclusion： Fixed-point interventional therapy based on soft tissue surgery theory is effective in the treatment of patients with CNLBP. It can alleviate low back pain， and promote the recovery of lumbar function.

[Key words] Chronic non-specific low back pain Soft tissue surgery theory Fixed-point interventional therapy

First-author's address： Rehabilitation Medicine Department， First People's Hospital of Fuzhou， Fuzhou 344000， China

doi：10.3969/j.issn.1674-4985.2024.07.019

慢性非特异性腰痛（chronic non-specific low back pain，CNLBP）为临床腰部常见疾病之一，其特点是发作频繁、持续时间较长，一般超过12周以上，与其他原发性或继发性腰痛不同，CNLBP患者既没有神经根被压迫的神经系统受累情况，也不存在明显的潛在疾病导致的疼痛[1]。其病因尚不明确，如果患者得不到及时有效的治疗，疼痛持续时间会延长，严重影响患者的身心健康，引起情绪反应，降低对生活的积极性，患者的经济负担变得更加沉重[2]。目前治疗此类患者无特定药物治疗，常采用物理治疗、运动疗法手段进行治疗，但其治疗效果欠佳[3]。定点介入疗法是一种特殊的治疗方法，它以可控制软组织慢性炎症的特效药物配方和穿刺技术为核心，使得药物可以精准地被导入到病变区域中[4]。通常使用的药物包括正清风痛宁注射液等具有抗炎作用的化学物质，对慢性疼痛性疾病有着积极治疗效果。……