芒针联合隔药灸治疗腰椎间盘突出症的疗效观察
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摘要
目的探讨芒针联合隔药灸治疗腰椎间盘突出症(lumbar disc herniation,LDH)的临床疗效。方法自2015-07-2016-12,共纳入90例LDH患者,采用随机数字表法将其分为三组:其中A组30例采用芒针治疗,B组30例采用隔药灸治疗,C组30例采用芒针联合隔药灸治疗(先行芒针治疗,而后进行隔药灸)。三组患者均每日施治1次,1周为一疗程,连续3个疗程,每个疗程间隔1 d。3个疗程后进行组间疗效评价。结果 3个疗程后,三组患者的VAS评分均显著降低、JOA评分均显著提高、直腿抬高幅度均显著增加,但C组的上述指标改善效果明显优于A、B两组(P<0.05),A、B两组之间无统计学差异(P>0.05)。A组总有效率为73.3%,与B组的76.7%较为相近(P>0.05);但A、B两组均显著低于C组的93.3%,差异有统计学意义(P<0.05)。结论采用芒针深刺或隔药灸治疗LDH均可良好地缓解疼痛、改善日常生活能力,将两者联合应用可进一步提高疗效,有一定的临床参考价值。
Objective To investigate the clinical curative effect of elongated needle combined with moxibustion in the treatment of lumbar disc herniation(LDH). Methods From July 2015 to December 2016,90 patients with LDH were randomly divided into three groups: 30 cases in group A were treated with elongated needle therapy, 30 cases in group B were treated with moxibustion, 30 cases in group C were treated with elongated needle combined with moxibustion treatment(first given elongated needle, and then given moxibustion). Three groups of patients were treated 1 time a day, 1 week for a course of treatment, 3 consecutive courses of treatment,each interval of 1 d. The curative effect was evaluated among the 3 groups. Results After 3 months, the VAS scores of three groups were significantly decreased, JOA scores were significantly improved, the straight leg raising significantly increased, but the above indicators in C group were obviously better than those of A, B groups(P<0.05), those between A group and B group had no statistically significant differences(P>0.05). The total effective rate of group A was 73.3%, which was similar to 76.7% of group B(P>0.05), but the total effective rate of A and B groups was significantly lower than that of group C(93.3%), and the difference was statistically significant(P<0.05). Conclusion Treatment of LDH with elongated needle deep penetration or moxibustion can achieve good relief of pain and improve the ability of daily living. Combined use of the two methods can further improve the curative effect, and has certain clinical reference value.
Objective To investigate the clinical curative effect of elongated needle combined with moxibustion in the treatment of lumbar disc herniation(LDH). Methods From July 2015 to December 2016,90 patients with LDH were randomly divided into three groups: 30 cases in group A were treated with elongated needle therapy, 30 cases in group B were treated with moxibustion, 30 cases in group C were treated with elongated needle combined with moxibustion treatment(first given elongated needle, and then given moxibustion). Three groups of patients were treated 1 time a day, 1 week for a course of treatment, 3 consecutive courses of treatment,each interval of 1 d. The curative effect was evaluated among the 3 groups. Results After 3 months, the VAS scores of three groups were significantly decreased, JOA scores were significantly improved, the straight leg raising significantly increased, but the above indicators in C group were obviously better than those of A, B groups(P<0.05), those between A group and B group had no statistically significant differences(P>0.05). The total effective rate of group A was 73.3%, which was similar to 76.7% of group B(P>0.05), but the total effective rate of A and B groups was significantly lower than that of group C(93.3%), and the difference was statistically significant(P<0.05). Conclusion Treatment of LDH with elongated needle deep penetration or moxibustion can achieve good relief of pain and improve the ability of daily living. Combined use of the two methods can further improve the curative effect, and has certain clinical reference value.
引文
[1]宋敏,曹林忠,柴居堂,等.基于阶梯疗法探讨腰椎间盘突出症的临床治疗[J].颈腰痛杂志,2015,36(6):445-448.
[2]杨铭.芒针针刺华佗夹脊穴为主治疗腰椎间盘突出症疗效观察[J].陕西中医,2011,32(8):1049-1050.
[3]詹倩,俞竹青,陈丹,等.隔药灸疗法的临床文献计量分析[J].中国中医药科技,2016,23(6):753-755.
[4]熊毅.腰椎间盘突出症非手术治疗的研究进展[J].中华生物医学工程杂志,2016,22(5):429-432.
[5]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994.201-203.
[6]项昌盛.腰椎间盘突出症中医治疗进展[J].中医药临床杂志,2011,23(11):1029-1031.
[7]孙钰,江文文,王鹍,等.不同针刺法分期治疗腰椎间盘突出症的临床效果[J].中国康复理论与实践,2016,(2):184-188.
[8]李曌嫱,田元祥,赵建新,等.针刺深度治疗腰椎间盘突出症疗效相关性可视化分析[J].世界科学技术-中医药现代化,2016,18(9):1609-1613.
[9]王子臣,杨晓锋,刘冰,等.芒针结合CT定位深刺腰夹脊穴治疗腰椎间盘突出症临床观察[J].河北医药,2016,38(19):2983-2985.
[10]刘伟基,岳峰杰.芒针配合短针治疗腰椎间盘突出症80例观察[J].实用中医药杂志,2014,30(4):323-324.
[11]杨硕,杨孝芳,江瑜,等.隔药饼灸对腰椎间盘突出症患者腰腿痛功能及血浆P物质的影响[J].针刺研究,2014,39(6):491-495.
[12]杨佩秋,葛丽丽,韩志新,等.隔中药饼灸并动态牵引治疗腰椎间盘突出症疗效观察[J].现代康复,2001,5(12):109.
[2]杨铭.芒针针刺华佗夹脊穴为主治疗腰椎间盘突出症疗效观察[J].陕西中医,2011,32(8):1049-1050.
[3]詹倩,俞竹青,陈丹,等.隔药灸疗法的临床文献计量分析[J].中国中医药科技,2016,23(6):753-755.
[4]熊毅.腰椎间盘突出症非手术治疗的研究进展[J].中华生物医学工程杂志,2016,22(5):429-432.
[5]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994.201-203.
[6]项昌盛.腰椎间盘突出症中医治疗进展[J].中医药临床杂志,2011,23(11):1029-1031.
[7]孙钰,江文文,王鹍,等.不同针刺法分期治疗腰椎间盘突出症的临床效果[J].中国康复理论与实践,2016,(2):184-188.
[8]李曌嫱,田元祥,赵建新,等.针刺深度治疗腰椎间盘突出症疗效相关性可视化分析[J].世界科学技术-中医药现代化,2016,18(9):1609-1613.
[9]王子臣,杨晓锋,刘冰,等.芒针结合CT定位深刺腰夹脊穴治疗腰椎间盘突出症临床观察[J].河北医药,2016,38(19):2983-2985.
[10]刘伟基,岳峰杰.芒针配合短针治疗腰椎间盘突出症80例观察[J].实用中医药杂志,2014,30(4):323-324.
[11]杨硕,杨孝芳,江瑜,等.隔药饼灸对腰椎间盘突出症患者腰腿痛功能及血浆P物质的影响[J].针刺研究,2014,39(6):491-495.
[12]杨佩秋,葛丽丽,韩志新,等.隔中药饼灸并动态牵引治疗腰椎间盘突出症疗效观察[J].现代康复,2001,5(12):109.