三屈位牵引联合针刀松解术对腰椎间盘突出症患者的临床疗效观察

Clinical Efficacy of Triple Flexion Traction Combined with Needle-Knife Release in Patients with Lumbar Disc Herniation

摘要: 目的：探讨三屈位牵引联合针刀松解术疗法治疗腰椎间盘突出症患者的疗效。方法：选取120例腰椎间盘突出症患者，病例均来源为2021年4月至2022年4月本院骨伤科三科收治的患者，病例通过随机数字表法分为对照组60例，试验组60例。对照组采用腰椎牵引联合针刀松解术疗法，试验组采用三屈位牵引联合针刀松解术疗法，观察指标为治疗后两组疗效、日本骨科协会评估治疗分数(Japanese Orthopaedic Association, JOA)评分、腰椎Oswestry功能障碍指数(Oswestry Disability In-dex, ODI)评分、视觉模拟量表(Visual Analogue Scale, VAS)评分、腰椎前凸角(Lumbar Lordosis, LL)等指标的差异。结果：总有效率三屈位牵引联合针刀松解术组 > 腰椎牵引联合针刀松解术组，且两组疗效差异具有统计学意义(P < 0.05)。治疗前，两组间各指标差异无统计学意义(P > 0.05)；治疗后，两组在疗效、ODI、JOA、VAS、LL等指标差异具有统计学意义(P < 0.05)。结论：在治疗腰椎间盘突出症方面，两种疗法均能缓解患者疼痛，改善患者腰椎功能活动，能恢复患者腰椎生理曲度，且三屈位牵引联合针刀松解术疗法疗效更优。

Abstract: Objective: To investigate the efficacy of triple flexion traction combined with needle knife release therapy in the treatment of patients with lumbar disc herniation. Methods: 120 cases of lumbar in-tervertebral disc herniation were selected from patients admitted to the Department of Orthopae-dics and Traumatology III from April 2021 to April 2022, and the cases were divided into 60 cases of the control group and 60 cases of the experimental group by the method of randomized numeri-cal table. The control group was treated with lumbar traction combined with needle-knife release therapy, and the experimental group was treated with triple-flexion traction combined with nee-dle-knife release therapy. Observation indexes were the therapeutic effects of each group, the Jap-anese Orthopaedic Association (JOA) scores, the lumbar Oswestry disability index (ODI), visual ana-logue scale (VAS) score, and lumbar lordosis (LL). Results: The total effective rate of triple flexion traction combined with needle knife release group > lumbar traction combined with needle knife release group, and the difference between the two groups was statistically significant (P < 0.05). Before the treatment, the difference of the indexes between the two groups was not statistically sig-nificant (P > 0.05); after the treatment, the difference of the two groups in the indexes of therapeu-tic efficacy, ODI, JOA, VAS and LL was statistically significant (P < 0.05). Conclusion: In the treatment of lumbar intervertebral disc herniation, both therapies can relieve patients’ pain, improve patients’ lumbar spine functional activities, and restore patients’ lumbar spine physiological curvature, and the efficacy of triple-flexion traction combined with needle-knife loosening therapy is better.