[1]马晟 曾蕊 赵学千 贾育松△.钹针治疗腰椎术后综合征40例临床报道[J].中国中医骨伤科杂志,2021,29(12):57-60.
　MA Sheng ZENG Rui ZHAO Xueqian JIA Yusong.40 Cases Observation on the Clinical Curative Effect of Acupuncture in the Treatment of Postoperative Lumbar Syndrome[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(12):57-60.
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钹针治疗腰椎术后综合征40例临床报道()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年12期
页码:
57-60
栏目:
临床报道
出版日期:
2021-12-15

文章信息/Info

Title:
40 Cases Observation on the Clinical Curative Effect of Acupuncture in the Treatment of Postoperative Lumbar Syndrome
文章编号:
1005-0205(2021)12-0057-04
作者:
马晟1 曾蕊2 赵学千3 贾育松3△
Author(s):
MA Sheng1 ZENG Rui2 ZHAO Xueqian3 JIA Yusong3△
1The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China; 2Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing 100102,China; 3Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China.
关键词:
腰椎术后综合征;  腰椎手术失败综合征;  钹针;  术后疼痛;  疗效观察
Keywords:
postoperative syndrome of lumbar spine;  failed back surgery syndrome;  needle dialing;  postoperative pain;  observation of curative effect
分类号:
R681.5
文献标志码:
B
摘要:
目的:观察钹针治疗是否为腰椎术后综合征的有效治疗方法。方法:回顾性分析2017年10月至2020年10月期间门诊收治的40例腰椎术后综合征患者,这些患者都曾进行腰椎开放手术且术后存在不同程度的腰痛症状,年龄56～78岁,平均65.5岁。入组后的患者都接受Z型钹针治疗,根据疼痛减轻、生活质量改善程度来评价临床疗效。结果:完成治疗后及末次随访时,患者VAS评分、Oswestry腰痛失能指数均较治疗前明显下降,且差异均有统计学意义(P<0.05); 末次随访时,改良MacNab评分标准优良率85.00%。结论:钹针治疗对多数腰椎开放手术后仍存在持续下腰痛的患者有效,但临床上需要严格区分腰椎术后综合征与腰椎手术失败综合征,只有严格控制适应证才能取得满意的治疗效果。
Abstract:
Objective:The objective of the study was to see if Z-type needle dialing might be an effective treatment for post lumbar surgery syndrome.Methods:A retrospective analysis was made on 40 outpatients with post lumbar surgery syndrome from October 2017 to October 2020.All of these patients had undergone open lumbar surgery and had different degrees of low back pain symptoms after surgery,with an average age of 65.5 years old(56 to 78 years old).All patients received Z-type needle dialing treatment,and the clinical efficacy was evaluated according to the degree of pain relief and improvement of quality of life.Results:After treatment and at the last follow-up,VAS score,Oswestry low back pain disability index and quality of life were significantly decreased compared with those before treatment,and the differences were statistically significant(P<0.05).At the last follow-up,the excellent and good rate of modified MacNab score was 85.00%.Conclusion:Needle dialing treatment is effective for most patients with persistent low back pain after open lumbar surgery,but it is necessary to strictly distinguish the post lumbar surgery syndrome from the failed back surgery syndrome,and only strict indications can achieve satisfactory therapeutic effect.

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备注/Memo

备注/Memo:
基金项目:北京中医药大学新教师启动基金项目(2019-JYB-XJSJJ033)1北京中医药大学第三附属医院(北京,100029)2中国中医科学院望京医院3北京中医药大学东直门医院△通信作者 E-mail:jiays416@163.com
更新日期/Last Update: 1900-01-01