[1]鄂梦迪,浦飞飞△.汉派骨伤正骨术联合肌骨超声引导内热针治疗关节突关节源性腰痛[J].中国中医骨伤科杂志,2025,33(05):22-26.[doi:10.20085/j.cnki.issn1005-0205.250505]
　E Mengdi,PU Feifei.Han-School Bone Injury and Bone Setting Combined with Muscle-Bone Ultrasound-Guided Internal Heat Needle for the Treatment of Facet Chronic Low Back Pain[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(05):22-26.[doi:10.20085/j.cnki.issn1005-0205.250505]
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汉派骨伤正骨术联合肌骨超声引导内热针治疗关节突关节源性腰痛()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年05期
页码:
22-26
栏目:
临床研究
出版日期:
2025-05-05

文章信息/Info

Title:
Han-School Bone Injury and Bone Setting Combined with Muscle-Bone Ultrasound-Guided Internal Heat Needle for the Treatment of Facet Chronic Low Back Pain
文章编号:
1005-0205(2025)05-0022-05
作者:
鄂梦迪1; 浦飞飞1△
1武汉市中西医结合医院(武汉市第一医院)(武汉,430022)
Author(s):
E Mengdi1; PU Feifei1△
1Wuhan Hospital of Traditional Chinese and Western Medicine(Wuhan No.1 Hospital),Wuhan 430022,China.
关键词:
关节突关节源性腰痛;  汉派骨伤正骨术;  肌骨超声;  内热针
Keywords:
low back pain of facet joint origin;  Han-school bone injury and bone setting;  musculoskeletal ultrasound;  internal heat needle
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.250505
文献标志码:
A
摘要:
目的:研究汉派骨伤正骨术联合肌骨超声引导下内热针治疗关节突关节源性腰痛(FCLBP)的临床疗效。方法:选取关节突关节源性腰痛患者64例,按随机数字表法,根据不同治疗方法分为观察组和对照组(各32例)。观察组采用汉派骨伤正骨术联合肌骨超声引导下内热针治疗,对照组采用单纯汉派骨伤正骨术。治疗后1周、4周、12周采用中医症状体征评分、视觉模拟量表(VAS)评分、日本骨科协会(JOA)评分、生活质量评估量表(SF-36)评分和总有效率评定临床疗效。结果:治疗后1周、4周、12周,两组患者中医症状体征评分及VAS评分较治疗前均明显下降,差异有统计学意义(P<0.05),且观察组显著低于对照组,差异有统计学意义(P<0.05); 两组患者JOA评分和SF-36评分较治疗前均明显提高,差异有统计学意义(P<0.05),且观察组显著高于对照组,差异有统计学意义(P<0.05); 治疗后12周,与对照组相比,观察组总有效率显著高于对照组,差异有统计学意义(P<0.05)。结论:汉派骨伤正骨术可精确调整腰椎小关节位置,恢复其正常生理功能。在肌骨超声引导下,内热针能够更精准到达病灶部位,松解软组织、消除炎症、缓解疼痛,实现精准定位和靶向治疗。
Abstract:
Objective:To study the clinical efficacy of Han-school bone injury and bone setting combined with internal heat needle guided by musculoskeletal ultrasound in the treatment of facet chronic low back pain(FCLBP).Methods:64 patients with FCLBP were selected and divided into two groups according to the random number table method,with 32 cases in each group.The observation group was treated with Han-school bone injury and bone setting combined with muscle-bone ultrasound-guided internal heat needle treatment,and the control group was treated with Han-school bone injury and bone setting.The clinical efficacy was evaluated by traditional Chinese medicine(TCM)symptom and signs score,visual analogue scale(VAS)score,Japanese orthopaedic association(JOA)score,short form 36 questionnaire(SF-36)score and total effective rate after 1,4 and 12 weeks of treatment.Results:After 1,4 and 12 weeks of treatment,the scores of TCM symptoms and signs and VAS scores in the two groups were significantly lower than those before treatment(P<0.05),and those in the observation group were significantly lower than those in the control group(P<0.05).The JOA score and SF-36 score of the two groups were significantly higher than those before treatment(P<0.05),and those in the observation group were significantly higher than those in the control group(P<0.05).After 12 weeks of treatment,the total effective rate of the observation group was significantly higher than that of the control group(P<0.05).Conclusion:The position of lumbar facet joints can be accurately adjusted by the Han-school osteosynthesis technique,and the normal physiological function can be restored.Under the guidance of musculoskeletal ultrasound,the internal heat needle can reach the lesion more accurately,release soft tissue,eliminate inflammation,relieve pain,and achieve precise positioning and targeted therapy.

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备注/Memo

备注/Memo:
基金项目:国家中医药管理局中医药古籍文献和特色技术传承专项(GZY-KJS-2022-027)
△通信作者 E-mail:pufeifei@hust.edu.cn
更新日期/Last Update: 2025-05-15