Clinical Observation Of Needle Knife Combined With Manipulation In Treating Degenerative Lumbar Spondylolisthesis

1 Research backgroundWith the intensification of my country’s aging process,the incidence of degenerative diseases is on the rise.Degenerative lumbar spondylolisthesis,as the most common type of lumbar spondylolisthesis,has become one of the most common orthopedic diseases in the clinic that cause chronic lumbar and leg pain in the middle and old age.Studies have shown[1]that the overall incidence of lumbar spondylolisthesis in the elderly in my country is 11.20%,which seriously affects the quality of life of the elderly.At present,there is no better treatment for degenerative lumbar spondylolisthesis except Western medicine.Traditional Chinese medicine has achieved many results in the treatment of this disease.The early-stage research group completed the special research on traditional Chinese medicine industry research on the treatment plan and popularization of traditional Chinese medicine for degenerative lumbar spondylolisthesis.The treatment of degenerative lumbar spondylolisthesis with the rotational reduction of sitting lumbar vertebrae has been clinically proven to be positive.However,it also found that the efficiency was low(72.14%)and the treatment period was longer(continuous treatment for 3 weeks).2 Research purposesIn order to further improve the clinical efficacy,shorten the treatment cycle,and alleviate the suffering of the patients,needle knife therapy was added to the previous conservative treatment plan to form a new treatment plan.Through the study of the clinical efficacy of this plan,it provides conservative treatment for degenerative lumbar spondylolisthesis More experience and methods.3 Research content and methodsRandomly controlled clinical research methods were used to select patients who were treated in the second spine outpatient department and hospitalization of our hospital.According to the inclusion and exclusion criteria of this subject,a total of 60 cases of degenerative lumbar spondylolisthesis were selected.They were divided into observation group and control group by random number method.30 cases in each group.The treatment method of the control group was:lumbar traction in the supine position+waist circumference braking.The treatment method in the observation group was:lumbar needle knife closing and releasing operation+sitting position lumbar spine rotation reduction method+ lumbar rehabilitation exercise.Continuous treatment for 2 weeks is a course of treatment.Before treatment,after treatment,and 3 months after treatment,the pain visual analog scale(VAS)score,the JOA low back pain disorder evaluation standard,and Oswestry dysfunction index(ODI)were evaluated by the statistics of the above observation indicators.Analyze and summarize the efficacy and safety of this treatment plan for degenerative spondylolisthesis.4 Research results4.1 Statistical descriptiona total of 60 patients with degenerative lumbar spondylolisthesis were included,including 30 cases in the observation group,10 men and 20 women,with an average age of 63.60 to 9.46 years and an average course of 93.23 to 91.90 months;30 patients in the control group and men There were 6 cases and 24 women with an average age of 63.53±8.99 years and an average course of disease of 81.83±88.44 months.Statistical analysis was performed on the gender,age,course of disease,VAS score,JOA score,and ODI score of the two groups of patients before treatment.The two groups of data were not statistically significant(P>0.05),that is,there was no significant difference in baseline levels.Comparable.4.2 Comparison of the scores of the two groups before and after treatmentThe comparison of VAS scores between the two groups showed that the VAS scores of the observation group and the control group after treatment were significantly lower than before treatment(P<0.05),and the observation group had more advantages(P<0.05).The difference in JOA score between the observation group and the control group before and after treatment was statistically significant(P<0.05),indicating that the treatment methods of the two groups can increase the patient’s JOA score;the observation group has obvious advantages in reducing patient pain,improving patients’ conscious symptoms and the daily life status was better than the control group(P<0.05).The ODI scores of patients in the observation group and the control group before and after treatment were tested by t test,and P=0.000 and 0.002,both of which were less than 0.05.There was a significant statistical difference,indicating that the treatment methods of the observation group and the control group can significantly reduce ODI Score;compared between the two groups,the observation group was better than the control group(P<0.05).Five patients underwent surgery during the follow-up.After deleting the missing data,statistical analysis was performed on the two groups of data.In the VAS score item,P=0.093>0.05,which was not statistically different,that is,there was no significant difference in the VAS scores of the two groups during the follow-up period.In the JOA score item,P=0.020<0.05,which is statistically different,indicating that the JOA score in the observation group was significantly higher than that in the control group at the follow-up;in the ODI score item,P=0.002<0.05,which was statistically different,which indicates that the observation group’s ODI was The score was significantly lower than the control group.There was no significant difference in pain between the two groups,but the improvement in lumbar spine function was better in the observation group than in the control group.According to the JOA improvement rate calculation standard,the efficacy of the two groups was calculated.The total effective rate in the observation group was 96.3%,and the total effective rate in the control group was 67.9%.The efficacy of the observation group was better.5 Conclusions5.1 Needle knife combined with manipulative therapy for degenerative lumbar spondylolisthesis has obvious clinical effect and high safety.5.2 The clinical effect of needle knife combined with manipulation on degenerative lumbar spondylolisthesis is significantly better than traction combined with lumbar brake5.3 The progress of degenerative lumbar spondylolisthesis progresses slowly;the efficacy of conservative treatment is positive and the state during the follow-up period is relatively stable.