X线定位与痛点定位体外冲击波治疗腰脊神经后支综合征的临床观察.pdfVIP

2011 年，第26 卷，第5 期 ·临床研究· X线定位与痛点定位体外冲击波治疗 腰脊神经后支综合征的临床观察* 樊 涛1 1,3 2 1 1 1 1 1 黄国志 李义凯 吴 文 曾 庆 刘 巍 王康玲 赵一瑾 摘要 目的：比较X 线定位与痛点定位体外冲击波治疗腰脊神经后支综合征的临床治疗效果。 方法：选择60 例腰脊神经后支综合征患者进行本临床研究，随机分为X 线定位组30 例和痛点定位组30 例；分别进行 X 线定位体外冲击波治疗与痛点定位体外冲击波治疗，观察其临床治疗效果。 结果：X 线定位组治愈率（73.33% ）明显高于痛点定位组（30.0% ）（P ＜0.05 ）；X 线定位组显效以上率（93.33% ）明显高 于痛点定位组（73.33% ）（P ＜0.01 ）；X 线定位组的治疗后VAS 评分较痛点定位组明显降低（P ＜0.01 ），X 线定位组的 治疗前后VAS 评分差值（缓解幅度）较痛点定位组明显增大（P ＜0.01 ）。 结论：X 线定位体外冲击波治疗腰脊神经后支综合征较痛点定位体外冲击波治疗腰脊神经后支综合征的疗效好。 关键词： 体外冲击波；定位；腰脊神经后支综合征 R454，R681 文献标识码：A 文章编号：1001-1242（2011 ）-05-0429-04 中图分类号： The clinical comparison of the effect of extracorporeal shock wave treatment by X-ray orientation vs pain-point orientation on syndrome of lumbar ramus posterior nervorum spinalium/FAN Tao，HUANG Guozhi，LIYikai，etal.//Chinese Journal of Rehabilitation Medicine, 2011, 26(5): 429—432 Abstract Objective: To compare the clinical treatment effect of extracorporeal shock wave treatment （ESWT ）by the ways of X-ray orientation and pain-point orientation on syndrome of lumbar ramus posterior nervorum spinalium. Method: Sixty patients with syndrome of lumbar ramus posterior nervorum spinalium participated in this study, and were randomly selected into X-ray orientation group and pain-point orientation group (30 subjects in each group). The two groups then received X-ray orientation ESWT or pain-point orientation ESWT respectively. The clinical treatment effects were observed. Result: The cure rate of X-ray orientation group was 73.33% which was significantly higher than tha