刺血配合针刺治疗腰椎间盘突出症的临床研究
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摘要
目的：观察刺血配合针刺治疗腰椎间盘突出症的疗效,并探讨刺血疗法治疗本病的作用机理,为临床治疗腰椎间盘突出症提供一种新思路。
方法：将腰椎间盘突出症患者60例随机分为刺血组和针刺组。刺血组刺血疗法配合针刺治疗,针刺组只采用针刺治疗。刺血穴位选取委中穴或其附近有瘀血的络脉,隔日刺血一次,两组针刺选取相同穴位,均日治疗1次,6次为1疗程,两组患者均在治疗前及治疗1个、2个疗程后进行总体疗效评价,视觉模拟评分和症状体征评分分别统计疗效。
结果：1.在总体疗效上,刺血组与针刺组比较差异无显著意义(P>0.05),说明刺血组与针刺组总体疗效一致,但刺血组在第一疗程后的治愈率和总有效率分别是33.3%和70%,第二疗程后的治愈率和总有效率分别是56.7%和90%,均高于针刺组。2.VAS疼痛程度差值比较,两组患者在治疗前后差值比较有显著性差异(P<0.05)。3.症状体征评分差值比较,两组患者治疗前与治疗后第一疗程,第二疗程比较有显著性差异(P<0.05),并且在治疗前后差值比较也有显著性差异(P<0.05)。
结论：1.刺血配合针刺疗法与针刺疗法对腰椎间盘突出症患者的总体疗效均有改善,但刺血组的治愈率和总有效率高于针刺组。2.刺血组与针刺组对腰椎间盘突出症患者的疼痛和症状体征均有改善,但刺血组较针刺组更能减轻患者的疼痛,更能改善患者的临床症状和体征。
Objective:To observe the gill of blood and acupuncture treatment of lumbar disc herniation, and to explore treatment of this disease, Bloodletting and mechanism for the clinical treatment of lumbar disc herniation to provide a new idea.
Research Methods:60 patients with lumbar disc herniation were randomly divided into gill blood group and the acupuncture group. Thorn pricking blood therapy combined with blood group acupuncture treatment, acupuncture group treated only with acupuncture. Bloodletting acupuncture points or select committee in the vicinity of the venae ecchymosis following day, Bloodletting and time, select the same two groups of acupuncture points are treated 1 day,6 times for a course of treatment, two groups of patients were treated before and Treatment of 1,2 overall efficacy evaluation after treatment, visual analog scale scores were signs and symptoms of statistical effects.
Results:1. In the overall efficacy, the thorns of blood group and the acupuncture group was no significant difference (P> 0.05), shows the blood group and the acupuncture group thorns overall efficacy consistent, but the gill blood group after the first course of treatment cure rate and total effective rates were 33.3% and 70%, the second post-treatment cure rate and total effective rates were 56.7% and 90%, were higher than the acupuncture group.2. VAS pain intensity difference comparison, the difference between the two groups were compared before and after treatment were significantly different (P <0.05).3. Symptoms and signs score difference comparison, the two groups before and after treatment in patients first course of treatment, the second course of treatment there was significant difference (P＜0.05), and to compare the difference before and after treatment are also significant differences (P<0.05).
Conclusion:1. Pricking blood group and acupuncture group of patients with lumbar disc herniation overall efficacy are improved, but the cure rate of gill blood group and the total effective rate higher than the acupuncture group.2. Pricking blood group and acupuncture group of patients with lumbar disc herniation pain and symptoms and signs have improved, but gill blood group than in the acupuncture group more patients to alleviate pain, our efforts to improve clinical symptoms and signs.
方法：将腰椎间盘突出症患者60例随机分为刺血组和针刺组。刺血组刺血疗法配合针刺治疗,针刺组只采用针刺治疗。刺血穴位选取委中穴或其附近有瘀血的络脉,隔日刺血一次,两组针刺选取相同穴位,均日治疗1次,6次为1疗程,两组患者均在治疗前及治疗1个、2个疗程后进行总体疗效评价,视觉模拟评分和症状体征评分分别统计疗效。
结果：1.在总体疗效上,刺血组与针刺组比较差异无显著意义(P>0.05),说明刺血组与针刺组总体疗效一致,但刺血组在第一疗程后的治愈率和总有效率分别是33.3%和70%,第二疗程后的治愈率和总有效率分别是56.7%和90%,均高于针刺组。2.VAS疼痛程度差值比较,两组患者在治疗前后差值比较有显著性差异(P<0.05)。3.症状体征评分差值比较,两组患者治疗前与治疗后第一疗程,第二疗程比较有显著性差异(P<0.05),并且在治疗前后差值比较也有显著性差异(P<0.05)。
结论：1.刺血配合针刺疗法与针刺疗法对腰椎间盘突出症患者的总体疗效均有改善,但刺血组的治愈率和总有效率高于针刺组。2.刺血组与针刺组对腰椎间盘突出症患者的疼痛和症状体征均有改善,但刺血组较针刺组更能减轻患者的疼痛,更能改善患者的临床症状和体征。
Objective:To observe the gill of blood and acupuncture treatment of lumbar disc herniation, and to explore treatment of this disease, Bloodletting and mechanism for the clinical treatment of lumbar disc herniation to provide a new idea.
Research Methods:60 patients with lumbar disc herniation were randomly divided into gill blood group and the acupuncture group. Thorn pricking blood therapy combined with blood group acupuncture treatment, acupuncture group treated only with acupuncture. Bloodletting acupuncture points or select committee in the vicinity of the venae ecchymosis following day, Bloodletting and time, select the same two groups of acupuncture points are treated 1 day,6 times for a course of treatment, two groups of patients were treated before and Treatment of 1,2 overall efficacy evaluation after treatment, visual analog scale scores were signs and symptoms of statistical effects.
Results:1. In the overall efficacy, the thorns of blood group and the acupuncture group was no significant difference (P> 0.05), shows the blood group and the acupuncture group thorns overall efficacy consistent, but the gill blood group after the first course of treatment cure rate and total effective rates were 33.3% and 70%, the second post-treatment cure rate and total effective rates were 56.7% and 90%, were higher than the acupuncture group.2. VAS pain intensity difference comparison, the difference between the two groups were compared before and after treatment were significantly different (P <0.05).3. Symptoms and signs score difference comparison, the two groups before and after treatment in patients first course of treatment, the second course of treatment there was significant difference (P＜0.05), and to compare the difference before and after treatment are also significant differences (P<0.05).
Conclusion:1. Pricking blood group and acupuncture group of patients with lumbar disc herniation overall efficacy are improved, but the cure rate of gill blood group and the total effective rate higher than the acupuncture group.2. Pricking blood group and acupuncture group of patients with lumbar disc herniation pain and symptoms and signs have improved, but gill blood group than in the acupuncture group more patients to alleviate pain, our efforts to improve clinical symptoms and signs.
引文
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[4]胡有谷.腰椎间盘突出症[M].第3版.北京：人民卫生出版社,2004：184-185.
[5]张京峰,孙国胜。孙六合教授应用刺血拔罐疗法的临证探微[J]中医药学刊,2005,23,(9)：1569.
[6]丛萃,金庆文,李耀芳,等.刺血治疗对慢性病患者血液流变学的影响.深圳中西医结合杂志,2002；12(6)：346-347.
[7]张建斌,姜亚军,芦慧霞,等.刺络放血法对脑梗塞恢复期患者凝血系统的影响.中国针灸,2003；23(1)：46-47.
[8]吴峻,沈晓柔.刺血治疗前后微循环变化33例对照观察.中国针灸,2001;21(9)：553.
[9]王苓苓,张维波,谢衡辉,等.使用血流成像技术对“腰背委中求”经典理论的验证.针刺研究,2007；32(4)：247-251.
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[2]沈雪勇.经络腧穴学[M].中国中医药出版社,2007年6月第二版,53-129.
[3]陈佑邦.中华人民共和国中医药行业标准.国家中医药管理局：中医病症诊断疗效标准,1995；186国家中医药管理局.
[4]胡有谷.腰椎间盘突出症[M].第3版.北京：人民卫生出版社,2004：184-185.
[5]张京峰,孙国胜。孙六合教授应用刺血拔罐疗法的临证探微[J]中医药学刊,2005,23,(9)：1569.
[6]丛萃,金庆文,李耀芳,等.刺血治疗对慢性病患者血液流变学的影响.深圳中西医结合杂志,2002；12(6)：346-347.
[7]张建斌,姜亚军,芦慧霞,等.刺络放血法对脑梗塞恢复期患者凝血系统的影响.中国针灸,2003；23(1)：46-47.
[8]吴峻,沈晓柔.刺血治疗前后微循环变化33例对照观察.中国针灸,2001;21(9)：553.
[9]王苓苓,张维波,谢衡辉,等.使用血流成像技术对“腰背委中求”经典理论的验证.针刺研究,2007；32(4)：247-251.
[1]王少山,张世华,邱红明,等.骨病中西医诊断学[M].中国中医药出版社,2001年第一版,503.
[2]周永红,刘敏勇.针刺配合走罐治疗腰椎间盘突出症60例[J].中国针灸,1998,18(7)：424.
[3]廉玉麟.长短针配合治疗腰椎间盘突出症116例临床观察[J].针灸临床杂志,1999,15(8)：336.
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