CAJ | 학술논문

目的观察针刀"有限"减压法治疗腰骶部慢性骨筋膜间隔综合征(chronic compartment syndrome,CCS)的临床疗效.方法按病例尾号将59 例患者随机分为两组,对照组29例采用针刀常规松解法治疗,治疗组30 例采用针刀"有限"减压法治疗,在第1 次、第2 次治疗前和治疗3 个月后,分别进行疼痛视觉模拟标尺法(VAS)、功能障碍指数(CODI)等评分以评价疗效.结果治疗结束后3 个月随访,对照组有效率为96.56%,治疗组有效率为100%,两组有效率比较,差异无统计学意义(χ2＝0.19,P＞0.05).两组各阶段治疗前后的疼痛VAS 、JOA、CODI 评分组内比较,差异均有统计学意义(对照组F 值分别为165.70 、99.90、106.60,治疗组F 值分别为279.76 、154.34 、67.36,P 均＜0.01).组间比较,差异无统计学意义(P＞0.05).结论针刀"有限"减压法治疗腰骶部CCS 安全、有效.
목적 관찰침도"유한"감압법치료요저부만성골근막간격종합정(chronic compartment syndrome,CCS)적림상료효.방법 안병례미호장59 례환자수궤분위량조,대조조29례채용침도상규송해법치료,치료조30 례채용침도"유한"감압법치료,재제1 차、제2 차치료전화치료3 개월후,분별진행동통시각모의표척법(VAS)、공능장애지수(CODI)등평분이평개료효.결과 치료결속후3 개월수방,대조조유효솔위96.56%,치료조유효솔위100%,량조유효솔비교,차이무통계학의의(χ2＝0.19,P＞0.05).량조각계단치료전후적동통VAS 、JOA、CODI 평분조내비교,차이균유통계학의의(대조조F 치분별위165.70 、99.90、106.60,치료조F 치분별위279.76 、154.34 、67.36,P 균＜0.01).조간비교,차이무통계학의의(P＞0.05).결론 침도"유한"감압법치료요저부CCS 안전、유효.
Objective To study the curative effect of limited-acupotomy therapy on chronic lumbosacral osteo-fascial compartment syndrome. Methods 59 patients were randomly recruited into a control group (with 29 patients) and a treatment group (with 30 patients). The control group was treated with general-acupotomy therapy, and treatment group was treated with limited-acupotomy therapy. Evaluate the curative effects before the first and the second therapy, and 3 months after the therapy respectively, as well as VAS pain, JOA and CODI scores. Results The curative effect was 96.56% and 100% respectively in the control group and the treatment group 3 months after the treatment. The difference between the two groups was not statistically significant(χ2＝0.19,P＞ 0.05). As to VAS pain scores, JOA and CODI scores, the difference among the three stages of the treatment were significant (in control group F＝165.70, 99.90, 106.60 respectively, in treatment group F＝279.76, 154.34, 67.36 respectively, P＜0.01)in both groups respectively, but the difference between the two groups were not significant(P＞0.05) in each stage. Conclusion Limited-acupotomy therapy was safe and effective in treating chronic lumbosacral osteo-fascial compartment syndrome.