Water Needle Knife In The Treatment Of Lumbar Di Ministry Of Bone Fascia Room Syndrome Clinical Curative Effect Observation

Objective:By the early anatomical experiments on the basis of observations designed anatomical approach for the treatment of water knife lumbosacral compartment syndro me patients before and after surgery pain visual analogue scale (VAS), Oswestry Disab ility Index and the overall effect of changes in clinical demonstration the clinical appr oach is reasonable and effective.Methods:(1) In October 2014 to 2015 August during rehabilitation hospital affiliated to Fujian University of traditional Chinese medicine and Guo Yi Tang hospital patients met the inclusion criteria lumbosacral portion of osteofascial compartment syndrome 6 0 cases of patients. Using statistical software to generate random grouping were rando mly divided into Acupotomy group and acupuncture group,30 cases in each group, ea ch included patients signed informed consent.(2) Using 3 water knife Han-zhang, the patient prone, first mark the anatomical p osition. After the sacral nerve point after expenses fascia angle on the same side of t he sacral iliac spine connection, respectively, from the top of the sacral angle 75mm, 50mm,30mm and 16mm at positioning. Lumbar nerve expenses erector spinae fascia point in the outer edge of a little over about 8.4mm,60mm respectively from the ili ac crest,40mm,15mm and 20mm at the iliac crest at positioning. In the treatment of selected parts of the surgical area of skin point routine disinfection, sterile shop towe Is, local anesthetic lidocaine. Press the four needle knife therapy method;’edge line an d nerves, blood vessels, muscle fibers parallel, vertical knife skin needle, piercing the above sites are lumbosacral bone compartment, a depth of about 30mm, the patient is eligible for the exact after needling sensation when Withdrawing without blood injecti on of about 0.5 to 1 ml of compound Angelica injection, while the interior edge line perpendicular to the muscle fibers to cross after a few knives, knife slightly away fr om the body surface referred to 15mm depth cis muscle fibers to spread up and dow n the loose superficial thoracolumbar fascia, if nodules cutting and peeling. Open surg ery knife hole 1-2min, discharge bleeding, and sterile gauze applicator blade 24h. O nce a week, after a course of treatment evaluated.(3) The main points in the control group had selected L1-L5 Jiaji Yaoyangguan, Venezuela, Shenshu, colon Yu, supplemented ring jump, Yanglingquan, Vital, rank edge, Ashi points and so on. Patients were prone position, povidone-iodine disinfection corr esponding points, and select appropriate acupuncture points with needles, to be perpen dicularly or obliquely according to different points, the acupuncture needle to reach th e qi effect. Treatment with TDP placed about 40cm above the waist at the irradiation needle, adjust the distance of the lamp according to the degree of cold patients. Acu puncture 30min, three times a week, Monday 3 courses.(4) Two groups of patients with treatment 3 weeks after the end of treatment, the pain visual analog score (VAS), Oswestry disability index comparison; 1 month after follow-up,3 months followed up, compared two groups of VAS score and Oswestry d isability and mesial period clinical curative effect analysis. Results:(1) There was no significant difference in age, sex, course of disease betwee n the two groups which showed that the two groups were comparable.(2) Pre-treatment control group and the treatment group VAS score, the differenc e was not statistically significant, the treatment group and control group before their tr eatment, the differences were statistically significant between the two groups after treat ment, the difference was no Statistical significance.(3) Pre-treatment control group and the treatment group Oswestry Disability Index score, the difference was not statistically significant, the treatment group, the control group and its treatment, the differences were statistically significant between the two g roups after treatment compared with the difference was not statistically significant.(4) Treatment group and control group patients after treatment the total effective r ate were 96.43%,79.31%, two groups were compared, the difference was not statistica lly significant.(5) The treatment group and the control group were followed up for 1 month aft er the total effective rate was respectively 96.43%,75.86%, after the comparison of th e two groups were followed up in January, the difference was statistically significant, patients were followed up for 1 month after the VAS score, Oswestry Disability index score, the difference was statistically significant.(6) Treatment group and control group patients after 3 months of follow-up of th e total efficiency of 92.86%,72.41%, respectively, compared two groups of follow-up after 3 months, the difference was statistically significant, three months after the patie nts were followed up VAS scores, Oswestry Disability index score, the difference was statistically significant.Conclusion:(1) The research results show that using the designed by the research group of wate r knife in treatment of lumbosacral osseous fascia compartment integrated syndrome clinical curativ e effect is exact.(2) The acupotomy therapy and the acupuncture and moxibustion therapy can improve the lumbosacral fascia compartment syndrome of the function and pain of the patient s, but Acupotomy nearly, long-term effect is obviously better than acupuncture therapy.(3) Water needle knife therapy in the treatment of lumbar sacral bone fascia room co mprehensive syndrome patients can significantly improve the waist pain, improve life f unction, stable curative effect, low recurrence rate, it is worth clinical promotion.