点式直线偏振光穴位照射对腰椎间盘突出症状缓解的疗效观察
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摘要
探讨点式直线偏振光穴位照射对腰椎间盘突出症状缓解的疗效观察。选取腰椎间盘突出症患者44例,随机分为观察组(A)与对照组(B)两组。A组行点式直线偏振光照射穴位治疗22例,B组传统针刺穴位治疗22例。在治疗前后2周、4周分别采用视觉模拟评分法VAS,腰痛评分表JOA进行疗效分析。结果表明:1)点式直线偏振光(A组)与传统针刺穴位(B组)两组治疗后VAS值和JOA值与治疗前比较有显著提高(P <0. 05),说明两组治疗方法治疗腰椎间盘突出症效果明显; 2)治疗后,两组之间对比,点式直线偏振光穴位照射与传统针刺疗效(P> 0. 05)无统计学差异。JOA治疗后总改善率评分为观察组89%,对照组86%。点式直线偏振光穴位照射对腰椎间盘突出患者缓解腰腿痛改善生活功能障碍有明显效果,其疗效与传统针刺效果相当,但弥补了传统针刺治疗的不足,扩大了适应症范围。
Observation on the effect of point-type linear polarized light point irradiation on the relief of lumbar disc herniation. Forty-four patients with lumbar disc herniation were randomly divided into two groups: observation group( A) and control group( B) : group A( 22 cases) was treated with point-point linear polarized light irradiation and group B( 22 cases) was treated with traditional acupuncture. Two weeks and four weeks before and after treatment,the curative effect was analyzed by visual analogue score( VAS) and low back pain scale Japanese orthopaedic association scores( JOA).1) After treatment,the VAS and JOA value of point type linear polarized light( group A) and traditional acupuncture point( group B) were significantly higher than those before treatment( P < 0. 05). The results showed that the treatment of lumbar disc herniation in the two groups was effective. 2) After the treatment,there was a comparison between the two groups. There was no statistical difference between point type linear polarized light point irradiation and traditional acupuncture( P > 0. 05). The total improvement rate after JOA treatment was 89 in the observation group and 86 in the control group. Point-type linear polarized light point irradiation has an obvious effect on relieving lumbago and leg pain in patients with lumbar intervertebral disc herniation,and its curative effect is similar to that of traditional acupuncture,and it makes up for the deficiency of traditional acupuncture treatment and expands the scope of indication.
Observation on the effect of point-type linear polarized light point irradiation on the relief of lumbar disc herniation. Forty-four patients with lumbar disc herniation were randomly divided into two groups: observation group( A) and control group( B) : group A( 22 cases) was treated with point-point linear polarized light irradiation and group B( 22 cases) was treated with traditional acupuncture. Two weeks and four weeks before and after treatment,the curative effect was analyzed by visual analogue score( VAS) and low back pain scale Japanese orthopaedic association scores( JOA).1) After treatment,the VAS and JOA value of point type linear polarized light( group A) and traditional acupuncture point( group B) were significantly higher than those before treatment( P < 0. 05). The results showed that the treatment of lumbar disc herniation in the two groups was effective. 2) After the treatment,there was a comparison between the two groups. There was no statistical difference between point type linear polarized light point irradiation and traditional acupuncture( P > 0. 05). The total improvement rate after JOA treatment was 89 in the observation group and 86 in the control group. Point-type linear polarized light point irradiation has an obvious effect on relieving lumbago and leg pain in patients with lumbar intervertebral disc herniation,and its curative effect is similar to that of traditional acupuncture,and it makes up for the deficiency of traditional acupuncture treatment and expands the scope of indication.
引文
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[3]XU B S,XIA Q,MA X L,et al.The usefulness of magnetic resonance imaging for sequestered lunber discherniation treated with endoscopic surgery[J].Journal of X-Ray Science and Technology,2012,20(3):373-381.
[4]王智君,张瑞娟,高书荣.针刺联合补肾通络方治疗肾亏血瘀型腰椎间盘突出症的疗效观察[J].河北中医,2017,39(8):1239-1242.WANG Zhijun,ZHANG Ruijuan,GAO Shurong.Observation on curative effect of acupuncture combined with bushen tongluo recipe in treating lumbar intervertebral disc herniation with kidney deficiency and blood stasis[J].Hebei Traditional Chinese Medicine,2017,39(8):1239-1242.
[5]董玉喜.火针腰夹脊穴联合常规电针治疗腰椎间盘突出症临床观察[J].河北中医,2017,39(6):909-911.DONG Yuxi.Clinical observation on the treatment of lumbar intervertebral disc herniation with fire acupuncture combined with conventional electroacupuncture[J].Hebei Traditional Chinese Medicine,2017,39(6):909-911.
[6]李雪青,石志敏.论针刺之深浅[J].中国针灸,2015,35(09):913-916.LI Xueqing,SHI Zhimin.On the depth of acupuncture[J].Chinese Acupuncture and Moxibustion,2015,35(09):913-916.
[7]吕延煜.疼痛治疗新兵器-SUPER LIZER点式直线偏振光疼痛治疗仪[J].仪器原理与使用,1999,3(3):58-59.LV Yanyu.New weapon for pain treatment-super lizer point type linear polarized light pain therapeutic apparatus[J].Principle and Use of Instrument,1999,3(3):58-59.
[8]文晓英,梁军,伍勇.针灸结合点式直线偏振光远红外线疼痛治疗仪治疗肩周炎疼痛的临床观察[J].西南国防医药,2010,20(5):505-506.WEN Xiaoying,LIANG Jun,WU Yong.Clinical observation on the treatment of shoulder peripheral pain by acupuncture and moxibustion combined with linear polarized light far infrared pain apparatus[J].Southwest National Defense Medicine,2010,20(5):505-506.
[9]胡有谷.腰椎间盘突出症3版[M].北京:人民卫生出版社,2004:149-163.HU Yougu.Lumbar disc herniation,version 3[M].Beijing:People’s Health Publishing House,2004:149-163.
[10]何水勇,徐卫东,师宁宁,等.脊柱微调配合髂骨调整手法治疗腰4~5椎间盘突出症合并骶髂关节紊乱临床研究[J].河北中医,2016,38(10):1544-1546.HE Shuiyong,XU Weidong,SHI Ningning,et al.Clinical study on treatment of lumbar intervertebral disc herniation with sacroiliac joint disorder by spinal fine adjustment combined with iliac bone manipulation[J].Hebei Traditional Chinese Medicine,2016,38(10):1544-1546.
[11]张海霞,李曌嫱,赵建新.经络感传距离与腰椎间盘突出症临床疗效关系的随机对照试验[J].河北中医,2017,39(11):1710-1714.ZHANG Haixia,LI Zhaoqiang,ZHAO Jianxin.Arandomized controlled trial on the relationship between the distance of sensory transmission of meridians and clinical efficacy of lumbar disc herniation[J].Hebei Journal of Traditional Chinese Medicine,2017,39(11):1710-1714.
[12]曲成业,郑方.直线偏光近红外线治疗仪照射疗法的机理及临床应用[J].疼痛学杂志,1998,6(4):170-179.QU Chengye,ZHENG Fang.The mechanism and clinical application of linear polarimetric near infrared therapeutic instrument irradiation[J].Journal of Pain,1998,6(4):170-179.
[13]张万龙,汪芗.钟亚彬,等.针刺与点式直线偏振光照射治疗腰椎骨关节病临床疗效对比[J].世界中西医结合杂志,2013,8(8):803-805.ZHANG Wanlong,WANG Xiang,ZHONG Yabin,et al.Comparison of clinical efficacy between acupuncture and point-type linear polarized light irradiation in the treatment of lumbar osteoarthropathy[J].World Journal of Integrated Chinese and Western Medicine,2013,8(8):803-805.
[14]张光明,唐坤,陈俊峰.点式直线偏振光对腰椎间盘突出所致慢性腰腿痛的疗效观察[J].中国临床医学,2009,16(5):802-803.ZHANG Guangming,TANG Kun.CHEN Junfeng.Observation on the therapeutic effect of point-type linear polarized light on chronic lumbago and leg pain caused by lumbar disc herniation[J].Chinese Clinical Medicine,2009,16(5):802-803.
[15]吴思平,叶嵘,曾永.点式直线偏振光对急性痛风性关节炎的临床疗效观察[J].中国疼痛医学杂志,2009,15(6):383-384.WU Siping,YE Rong,ZENG Yong.Clinical observation of point linear polarized light on acute gouty arthritis[J].Chinese Journal of pain Medicine,2009,15(6):383-384.
[16]张泽宇,朱权,黄建芬.红外线穴位照射联合补肾活血汤治疗腰椎间盘突出症临床效果评价[J].河北中医,2018,40(1):65-67.ZHANG Zeyu,ZHU Quan,HUANG Jianfen.Clinical evaluation of infrared point irradiation combined with bushen huoxue decoction in the treatment of lumbar disc herniation[J].Hebei Traditional Chinese Medicine,2018,40(1):65-67.
[17]张丽莉,姚群,杜义平,等.点式直线偏振光治疗多种病痛1 000例疗效观察[J].中华麻醉学杂志,2000,20(8):506.ZHANG Lili,YAO Qun,DU Yiping,et al.Observation on the curative effect of point-type linear polarized light on 1000 patients with various diseases[J].Chinese Journal of Anesthesiology,2000,20(8):506.
[2]闫家智,林欣,潘海涛,等.经皮椎间孔内窥镜下手术治疗腰椎间盘突出症的近期疗效观察[J].中国脊柱脊髓杂志,2011,21(3):189-192.YAN Jiazhi,LIN Xin,PAN Haitao,et al.Clinical observation on treatment of lumbar disc herniation by percutaneous intervertebral foramen endoscopy[J].Chinese Journal of Spine and Spinal Cord,2011,21(3):189-192.
[3]XU B S,XIA Q,MA X L,et al.The usefulness of magnetic resonance imaging for sequestered lunber discherniation treated with endoscopic surgery[J].Journal of X-Ray Science and Technology,2012,20(3):373-381.
[4]王智君,张瑞娟,高书荣.针刺联合补肾通络方治疗肾亏血瘀型腰椎间盘突出症的疗效观察[J].河北中医,2017,39(8):1239-1242.WANG Zhijun,ZHANG Ruijuan,GAO Shurong.Observation on curative effect of acupuncture combined with bushen tongluo recipe in treating lumbar intervertebral disc herniation with kidney deficiency and blood stasis[J].Hebei Traditional Chinese Medicine,2017,39(8):1239-1242.
[5]董玉喜.火针腰夹脊穴联合常规电针治疗腰椎间盘突出症临床观察[J].河北中医,2017,39(6):909-911.DONG Yuxi.Clinical observation on the treatment of lumbar intervertebral disc herniation with fire acupuncture combined with conventional electroacupuncture[J].Hebei Traditional Chinese Medicine,2017,39(6):909-911.
[6]李雪青,石志敏.论针刺之深浅[J].中国针灸,2015,35(09):913-916.LI Xueqing,SHI Zhimin.On the depth of acupuncture[J].Chinese Acupuncture and Moxibustion,2015,35(09):913-916.
[7]吕延煜.疼痛治疗新兵器-SUPER LIZER点式直线偏振光疼痛治疗仪[J].仪器原理与使用,1999,3(3):58-59.LV Yanyu.New weapon for pain treatment-super lizer point type linear polarized light pain therapeutic apparatus[J].Principle and Use of Instrument,1999,3(3):58-59.
[8]文晓英,梁军,伍勇.针灸结合点式直线偏振光远红外线疼痛治疗仪治疗肩周炎疼痛的临床观察[J].西南国防医药,2010,20(5):505-506.WEN Xiaoying,LIANG Jun,WU Yong.Clinical observation on the treatment of shoulder peripheral pain by acupuncture and moxibustion combined with linear polarized light far infrared pain apparatus[J].Southwest National Defense Medicine,2010,20(5):505-506.
[9]胡有谷.腰椎间盘突出症3版[M].北京:人民卫生出版社,2004:149-163.HU Yougu.Lumbar disc herniation,version 3[M].Beijing:People’s Health Publishing House,2004:149-163.
[10]何水勇,徐卫东,师宁宁,等.脊柱微调配合髂骨调整手法治疗腰4~5椎间盘突出症合并骶髂关节紊乱临床研究[J].河北中医,2016,38(10):1544-1546.HE Shuiyong,XU Weidong,SHI Ningning,et al.Clinical study on treatment of lumbar intervertebral disc herniation with sacroiliac joint disorder by spinal fine adjustment combined with iliac bone manipulation[J].Hebei Traditional Chinese Medicine,2016,38(10):1544-1546.
[11]张海霞,李曌嫱,赵建新.经络感传距离与腰椎间盘突出症临床疗效关系的随机对照试验[J].河北中医,2017,39(11):1710-1714.ZHANG Haixia,LI Zhaoqiang,ZHAO Jianxin.Arandomized controlled trial on the relationship between the distance of sensory transmission of meridians and clinical efficacy of lumbar disc herniation[J].Hebei Journal of Traditional Chinese Medicine,2017,39(11):1710-1714.
[12]曲成业,郑方.直线偏光近红外线治疗仪照射疗法的机理及临床应用[J].疼痛学杂志,1998,6(4):170-179.QU Chengye,ZHENG Fang.The mechanism and clinical application of linear polarimetric near infrared therapeutic instrument irradiation[J].Journal of Pain,1998,6(4):170-179.
[13]张万龙,汪芗.钟亚彬,等.针刺与点式直线偏振光照射治疗腰椎骨关节病临床疗效对比[J].世界中西医结合杂志,2013,8(8):803-805.ZHANG Wanlong,WANG Xiang,ZHONG Yabin,et al.Comparison of clinical efficacy between acupuncture and point-type linear polarized light irradiation in the treatment of lumbar osteoarthropathy[J].World Journal of Integrated Chinese and Western Medicine,2013,8(8):803-805.
[14]张光明,唐坤,陈俊峰.点式直线偏振光对腰椎间盘突出所致慢性腰腿痛的疗效观察[J].中国临床医学,2009,16(5):802-803.ZHANG Guangming,TANG Kun.CHEN Junfeng.Observation on the therapeutic effect of point-type linear polarized light on chronic lumbago and leg pain caused by lumbar disc herniation[J].Chinese Clinical Medicine,2009,16(5):802-803.
[15]吴思平,叶嵘,曾永.点式直线偏振光对急性痛风性关节炎的临床疗效观察[J].中国疼痛医学杂志,2009,15(6):383-384.WU Siping,YE Rong,ZENG Yong.Clinical observation of point linear polarized light on acute gouty arthritis[J].Chinese Journal of pain Medicine,2009,15(6):383-384.
[16]张泽宇,朱权,黄建芬.红外线穴位照射联合补肾活血汤治疗腰椎间盘突出症临床效果评价[J].河北中医,2018,40(1):65-67.ZHANG Zeyu,ZHU Quan,HUANG Jianfen.Clinical evaluation of infrared point irradiation combined with bushen huoxue decoction in the treatment of lumbar disc herniation[J].Hebei Traditional Chinese Medicine,2018,40(1):65-67.
[17]张丽莉,姚群,杜义平,等.点式直线偏振光治疗多种病痛1 000例疗效观察[J].中华麻醉学杂志,2000,20(8):506.ZHANG Lili,YAO Qun,DU Yiping,et al.Observation on the curative effect of point-type linear polarized light on 1000 patients with various diseases[J].Chinese Journal of Anesthesiology,2000,20(8):506.