齐刺结合扬刺治疗腰椎间盘突出症临床观察
|
摘要
目的:观察齐刺结合扬刺治疗腰椎间盘突出症的临床疗效。方法:将符合纳入标准的60例腰椎间盘突出症患者随机分为齐刺结合扬刺组和常规针刺组两组,每组30例。齐刺结合扬刺组以下极俞、腰阳关、十七椎、第1骶椎棘突下、气海俞、大肠俞、关元俞、小肠俞为主施以齐刺结合扬刺针法;常规针刺组以双侧气海俞、大肠俞、关元俞、小肠俞为主,施以常规针刺。两组均留针30 min,每日1次,10次为1个疗程,疗程间休息1天。2个疗程后,观察治疗前后JOA评分、VAS评分的变化,比较各组疗效。结果:齐刺结合扬刺组有效率为100. 00%(30/30),优于常规针刺组的83. 33%(25/30),差异具有统计学意义(χ2=9. 333,P <0. 05);两组治疗后JOA评分均较治疗前明显提高(均P <0. 05),且齐刺结合扬刺组评分高于常规针刺组(P <0. 05);两组治疗后VAS评分均降低,且两组比较差异有统计学意义(均P <0. 05)。结论:齐刺配合扬刺是一种治疗腰椎间盘突出症的有效方法,临床疗效肯定。
Objective: To observe the clinical effect of tirple needling combined with central-square needling in the treatment of lumbar disc herniation( LDH). Methods: 60 LDH patients were randomly divided into the the combination group( n = 30) and the common acupuncture group( n = 30). The combination group was treated with triple needling combined with central-square needling,the points chosen were EX-B5,GV3,EX-B8,BL24,BL25,BL26,BL27,and subspinous process of the first sacral vertebra. Whereas,BL24,BL25,BL26,and BL27 were selected in the common acupuncture group. The treatment was once a day,ten days were taken as one course of treatment,the whole treatment duration was two courses with one day interval of each course. The changes of JOA scores and VAS scores were observed before and after the treatment in the two groups to evaluate the efficacy. Results: The total effective rate was 100%( 30/30) in the combination group,which was obviously higher than 83. 33%( 25/30) in the common acupuncture group( χ2= 9. 333,P < 0. 05).JOA scores were significantly increased after the treatment compared to those before the treatment in the two groups( P < 0. 05),and they were much higher in the combination group than those in the common acupuncture group( P < 0. 05). VAS scores were decreased after the treatment in the two groups( P < 0. 05). Conclusion:Triple needling combined with central-square needling is an effective therapy for LDH with its positive efficacy.
Objective: To observe the clinical effect of tirple needling combined with central-square needling in the treatment of lumbar disc herniation( LDH). Methods: 60 LDH patients were randomly divided into the the combination group( n = 30) and the common acupuncture group( n = 30). The combination group was treated with triple needling combined with central-square needling,the points chosen were EX-B5,GV3,EX-B8,BL24,BL25,BL26,BL27,and subspinous process of the first sacral vertebra. Whereas,BL24,BL25,BL26,and BL27 were selected in the common acupuncture group. The treatment was once a day,ten days were taken as one course of treatment,the whole treatment duration was two courses with one day interval of each course. The changes of JOA scores and VAS scores were observed before and after the treatment in the two groups to evaluate the efficacy. Results: The total effective rate was 100%( 30/30) in the combination group,which was obviously higher than 83. 33%( 25/30) in the common acupuncture group( χ2= 9. 333,P < 0. 05).JOA scores were significantly increased after the treatment compared to those before the treatment in the two groups( P < 0. 05),and they were much higher in the combination group than those in the common acupuncture group( P < 0. 05). VAS scores were decreased after the treatment in the two groups( P < 0. 05). Conclusion:Triple needling combined with central-square needling is an effective therapy for LDH with its positive efficacy.
引文
[1]吴孟超,吴在德,吴肇汉.外科学[M]. 8版.北京:人民卫生出版社,2013,753-757.
[2]郭钦源.针灸治疗腰椎间盘突出症的研究近况[J].中医临床研究,2015,7(19):146-148.
[3]中华人民共和国卫生部.中药新药临床研究指导原则[M].第3辑.北京:中华人民共和国卫生部,1997:145.
[4]蒋协远,王大伟.骨科临床疗效评价标准[M].北京:人民卫生出版社,2005:107.
[5]陈怀民.腰痛病证古代文献研究[D].北京:北京中医药大学,2013.
[6]张仲谋.腰九针治疗腰椎间盘突出症慢性腰痛的临床疗效观察[D].北京:北京中医药大学,2016.
[7]陶亚杰,应海舟,刘遵勇.针灸治疗腰椎间盘突出症临床疗效及对相关指标的影响[J].中华中医药学刊,2015,33(9):2290-2292.
[8]刘秩智.针刺腰部九穴为主施以烧山火手法治疗腰椎间盘突出症临床研究[D].哈尔滨:黑龙江中医药大学,2012.
[9]张政烨.毫针深刺治疗腰椎间盘突出症(瘀血腰痛型)的临床研究[D].沈阳:辽宁中医药大学,2016.
[10]戴荣水,郭伟.神经干刺激法治疗腰椎间盘突出症疗效观察[J].针灸临床杂志,2011,27(5):39-41.
[2]郭钦源.针灸治疗腰椎间盘突出症的研究近况[J].中医临床研究,2015,7(19):146-148.
[3]中华人民共和国卫生部.中药新药临床研究指导原则[M].第3辑.北京:中华人民共和国卫生部,1997:145.
[4]蒋协远,王大伟.骨科临床疗效评价标准[M].北京:人民卫生出版社,2005:107.
[5]陈怀民.腰痛病证古代文献研究[D].北京:北京中医药大学,2013.
[6]张仲谋.腰九针治疗腰椎间盘突出症慢性腰痛的临床疗效观察[D].北京:北京中医药大学,2016.
[7]陶亚杰,应海舟,刘遵勇.针灸治疗腰椎间盘突出症临床疗效及对相关指标的影响[J].中华中医药学刊,2015,33(9):2290-2292.
[8]刘秩智.针刺腰部九穴为主施以烧山火手法治疗腰椎间盘突出症临床研究[D].哈尔滨:黑龙江中医药大学,2012.
[9]张政烨.毫针深刺治疗腰椎间盘突出症(瘀血腰痛型)的临床研究[D].沈阳:辽宁中医药大学,2016.
[10]戴荣水,郭伟.神经干刺激法治疗腰椎间盘突出症疗效观察[J].针灸临床杂志,2011,27(5):39-41.