基于导气针法联合电针治疗腰椎间盘突出症的疗效观察
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摘要
目的:观察导气针法联合电针治疗腰椎间盘突出症的临床疗效。方法:将腰椎间盘突出症患者150例随机分为2组各75例。对照组予电针留针治疗,观察组采用先导气行气再电针留针治疗。疗程均为2周。治疗前后进行VAS、JOA评分及分级,并观察临床疗效。结果:总有效率观察组为98.5%,对照组为94.5%,2组比较差异无统计学意义(P>0.05);VAS、JOA评分同组治疗前比较,差异具有统计学意义(P<0.01),VAS评分2组治疗后比较差异有统计学意义(P<0.05),JOA评分比较差异无统计学意义(P>0.05)。结论:导气针法联合电针能缓解腰椎间盘突出症患者疼痛、麻木、酸胀等部分临床症状。
Objective: To observe clinical effects of Qi-conducting needling method combined with acusector in treating lumbar disc herniation(LDH). Methods: All 150 patients were randomized into two groups, 75 cases each group. The control group was treated by retaining acusector, the observation group accepted Qi-conducting needling method to promote Qi-circulation and then retaining acusector. The course was two weeks. Clinical effects were observed, VAS and JOA scores were counted and classified before and after treating. Results: Total effective rate of the observation group was 98.5%, higher than 94.5% of the control group, and the difference had no statistical meaning(P>0.05); the difference had statistical meaning in the comparisons of VAS and JOA scores and the classification before treating within the same group(P<0.01), the difference had statistical meaning in the comparisons of VAS after treating between both groups(P<0.05), the difference had no statistical meaning in the comparisons of JOA scores(P>0.05). Conclusion: Qi-conducting needling method combined with acusector could relieve LDH patients' clinical symptoms including pain, numbness, sore and swelling and others.
Objective: To observe clinical effects of Qi-conducting needling method combined with acusector in treating lumbar disc herniation(LDH). Methods: All 150 patients were randomized into two groups, 75 cases each group. The control group was treated by retaining acusector, the observation group accepted Qi-conducting needling method to promote Qi-circulation and then retaining acusector. The course was two weeks. Clinical effects were observed, VAS and JOA scores were counted and classified before and after treating. Results: Total effective rate of the observation group was 98.5%, higher than 94.5% of the control group, and the difference had no statistical meaning(P>0.05); the difference had statistical meaning in the comparisons of VAS and JOA scores and the classification before treating within the same group(P<0.01), the difference had statistical meaning in the comparisons of VAS after treating between both groups(P<0.05), the difference had no statistical meaning in the comparisons of JOA scores(P>0.05). Conclusion: Qi-conducting needling method combined with acusector could relieve LDH patients' clinical symptoms including pain, numbness, sore and swelling and others.
引文
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[10]吴耀持,孙懿君,张峻峰,等.辨经取穴结合导气针法治疗腰椎间盘突出症临床研究[J].上海针灸杂志,2014,33(12):1138-1140.
[11]陆瘦燕,秦于生,奚永江,等.经络“导气”针法的感觉循行与多方位经穴肌电测绘之临床观察[J].上海中医药杂志,1963(11):1-6.
[12]竺永达,张峻峰,吴耀持.导气针法配合电针治疗腰突症术后顽固性腰痛疗效观察及红外热像变化[J].上海针灸杂志,2016,35(3):311-313.
[13]童青,吴耀持.导气针法结合弩法治疗腰椎间盘突出症的临床研究[J].上海医药,2015,36(8):31-33.
[2]上海市卫生局.上海市中医病症诊疗常规[M].2版.上海:中医药大学出版社,2003:393-394.
[3]徐宏光,张敏,王弘,等.QLS-DSD与JOA评分量表在脊柱退行性疾病患者评分应用中的比较[J].中国骨与关节外科杂志,2013,6(6):482-486.
[4]Jensen MP,Karoly P,Braver S.The measurement of clinic pain intensity:a comparison of six methods[J].Pain,1986,27(1):117-126.
[5]倪欢欢.吴耀持教授治疗腰椎间盘突出症经验介绍[J].新中医,2013,45(4):194-196.
[6]张必萌,吴耀持,崔学军,等.电针对腰椎间盘突出症模型大鼠椎间盘组织环氧合酶1和环氧合酶2m RNA表达水平的调控[J].中国组织工程研究,2006,10(39):51-54.
[7]张彩红,吴耀持,万超,等.电针对腰神经根压迫症大鼠受压神经根组织内超氧化物歧化酶及脂质过氧化物的影响[J].针刺研究,2006,31(2):100-102.
[8]吴耀持,张彩红.针刺对腰神经根压迫症模型大鼠受损腰神经根超微结构及炎性介质的影响[J].上海针灸杂志,2003,22(9):32-34.
[9]吴耀持,孙懿君,张峻峰,等.电针对腰神经根受压兔肌肉状态及坐骨神经运动传导速度的影响[J].中国针灸,2011,31(11):1009-1014.
[10]吴耀持,孙懿君,张峻峰,等.辨经取穴结合导气针法治疗腰椎间盘突出症临床研究[J].上海针灸杂志,2014,33(12):1138-1140.
[11]陆瘦燕,秦于生,奚永江,等.经络“导气”针法的感觉循行与多方位经穴肌电测绘之临床观察[J].上海中医药杂志,1963(11):1-6.
[12]竺永达,张峻峰,吴耀持.导气针法配合电针治疗腰突症术后顽固性腰痛疗效观察及红外热像变化[J].上海针灸杂志,2016,35(3):311-313.
[13]童青,吴耀持.导气针法结合弩法治疗腰椎间盘突出症的临床研究[J].上海医药,2015,36(8):31-33.