絮刺火罐结合电针对退行性腰椎管狭窄症步行能力的影响
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摘要
目的观察絮刺火罐结合电针疗法对退行性腰椎管狭窄症(DLSS)步行能力的改善情况。方法将风寒痹阻型DLSS患者60例随机分为絮刺火罐组和物理组,每组30例。絮刺火罐组给予"杨氏"絮刺火罐结合电针治疗,物理组给予TENS联合腰椎牵引治疗。4周为1疗程,共治疗8周。观察治疗第4、8周步行能力评分的变化,并在治疗结束后4周随访满意度。结果两组患者经治疗8周后,共脱落1例。两组总有效率、随访满意度评分比较差异无统计学意义(P>0.05)。两组患者治疗第4、8周两组步行能力评分与治疗前比较差异均具有统计学意义(P<0.01)。两组治疗后絮刺火罐组治疗第4周步行能力改善情况显著优于物理组,差异具有统计学意义(P<0.01);而治疗第8周两组间比较,差异无统计学意义(P>0.05)。结论 "杨氏"絮刺火罐结合电针能明显改善风寒痹阻型DLSS患者的步行能力,提高生活质量。
Objective To observe the improvement of walking function on pricking-cupping and electro-acupuncture therapy for degenerative lumbar spinal stenosis( DLSS). Methods 60 patients with DLSS with wind-cold retention type were randomized into observation group and control group with 30 cases in each group. The observation group was treated with YANG' s pricking-cuppingand electro-acupuncture and control group was treated with physiotherapy of TENS with lumbar traction,for 8 weeks of treatment in all. The scores of walking ability was observed before treatment,after 4-week and 8-week treatment. Also,the scores of satisfaction scale after 4 weeks followed up were estimated. Results One case was lost after treatment for 8 weeks. The total effective rates and the satisfaction scale after 4 weeks followed up had no difference between the two groups( P > 0. 05). There was statistical significance of scores of walking ability before and after fourth,eighth weeks of treatment( P < 0. 01). The improvement of walking ability of the pricking-cupping group after fourth weeks of treatment was better than that of the physiotherapy group( P <0. 01),but there was no significant difference between the two groups after eighth weeks of treatment( P >0. 05). Conclusion The YANG's pricking-cupping and electro-acupuncturetherapy can significantly improve the walking ability and living quality of patients with DLSS with wind-cold retention type.
Objective To observe the improvement of walking function on pricking-cupping and electro-acupuncture therapy for degenerative lumbar spinal stenosis( DLSS). Methods 60 patients with DLSS with wind-cold retention type were randomized into observation group and control group with 30 cases in each group. The observation group was treated with YANG' s pricking-cuppingand electro-acupuncture and control group was treated with physiotherapy of TENS with lumbar traction,for 8 weeks of treatment in all. The scores of walking ability was observed before treatment,after 4-week and 8-week treatment. Also,the scores of satisfaction scale after 4 weeks followed up were estimated. Results One case was lost after treatment for 8 weeks. The total effective rates and the satisfaction scale after 4 weeks followed up had no difference between the two groups( P > 0. 05). There was statistical significance of scores of walking ability before and after fourth,eighth weeks of treatment( P < 0. 01). The improvement of walking ability of the pricking-cupping group after fourth weeks of treatment was better than that of the physiotherapy group( P <0. 01),but there was no significant difference between the two groups after eighth weeks of treatment( P >0. 05). Conclusion The YANG's pricking-cupping and electro-acupuncturetherapy can significantly improve the walking ability and living quality of patients with DLSS with wind-cold retention type.
引文
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[2]陈雪,张晓彤.腰椎管狭窄症的非手术治疗研究进展[J].湖南中医杂志,2015,31(10):178-181.
[3]陆伟峰,口锁堂,倪菁琳,等.温通针法治疗腰椎管狭窄症远期疗效观察[J].中国针灸,2012,32(1):17-20.
[4]国家中医药管理局.中华人民共和国中医药行业标准-中医病证诊断疗效标准(2012版)[M].北京:中国医药科技出版社,2012:217.
[5]Yi Honglei,Wei Xianzhao,Zhang Wei,et al.Reliability and validity of simplified Chinese version of Swiss spinal stenosis questionnaire for patients with degenerative lumbar spinal stenosis[J].Spine,2014,39(10):820-825.
[6]易红蕾,王昕辉,李红霞,等.腰椎管狭窄症特异性自我评价量表的研究进展[J].中国脊柱脊髓杂志,2012,22(5):466-469.
[7]徐鸣曙,陈春艳,葛林宝,等.杨永璇学术经验介绍[J].上海针灸杂志,2013,32(8):615-617.
[8]王波,刘希茹,沈卫东,等.“杨氏”絮刺拔罐法治疗膝骨关节炎:多中心随机对照研究[J].中国针灸,2016,36(2):113-118.
[9]王文礼,张伟,沈卫东,等.杨氏絮刺火罐配合电针治疗腰椎管狭窄症48例[J].中医外治杂志,2016,25(2):39-40.
[10]葛林宝,陈莲芳,陈赟,等.风寒湿痹造模及絮刺火罐治疗的实验研究[J].辽宁中医学院学报,2000,2(2):149-150.