电针夹脊穴为主治疗腰椎间盘突出症的研究
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摘要
腰椎间盘突出症(简称腰突症,LDH),是指腰椎间盘纤维环破裂致髓核脱出,突入椎管,压迫脊髓或脊神经根,引起腰痛或坐骨神经痛为主的一组综合症候群.是临床常见病、多发病,复发率高,严重影响患者的工作和生活.在腰椎间盘突出症的治疗方法中,非手术治疗占据首要地位,而国内外大量的临床资料表明,电针治疗腰突症具有更好的临床疗效.
夹脊穴,亦称华佗夹脊穴,中医经络学说认为腰部夹脊穴与督、任、冲、膀胱、脾、胃、肾等经脉、经筋都发生联系,针刺腰夹脊穴可贯通多经气血,疏导经络,调气止痛,从而达到临床治愈或缓解症状的目的;现代医学认为,腰夹脊穴和神经根距离最近,针刺夹脊穴可以直接刺激脊神经根部,引起针感传导反应,直达病所,改善局部血液循环、消除受压神经根的无菌性炎症引起的炎性水肿,提高治疗效果.
本研究通过电针夹脊穴为主和针刺夹脊穴为主对腰椎间盘突出症进行治疗,将本课题所选择的60例患者随机分为二组,每组30例,主穴取突出节段双侧腰夹脊穴,配穴选环跳、秩边、阿是穴、阳陵泉、委中、绝骨、太冲.治疗组接G6805-C低频电子脉冲治疗仪,连续波,频率为40H z,电流强度2 mA,持续时间为30 m in,每日1次,10次为1个疗程.观察二组的临床疗效,结果显示电针夹脊穴为主治疗腰椎间盘突出症与对照组纯针刺治疗腰椎间盘突出症相比较.前者总有效率为86.7%,后者总有效率为66.7%.两组临床疗效经统计学处理,治疗组的有效率与对照组相比较有显著差异(P<0.05),提示前者疗效明显优于后者.
Prolapse of lumbar intervertebral disc (referred to as lumbar sudden disease, LDH), refers to rupture of lumbar intervertebral disc annulus fibrosus induced by nucleus pulposus prolapse, protruding into the spinal canal, spinal cord compression or spinal nerve root, causing low back pain or sciatica, mainly a group of General syndrome. Clinical diseases, frequently-occurring disease, relapse rate, patients with serious impact on work and life. Lumbar disc herniation in the treatment methods, non-surgical treatment to occupy the primary position, while many domestic and foreign clinical data showed that electro-acupuncture treatment of lumbar disease process has better clinical efficacy.
Jiaji, also known as Huatuo Jiaji, traditional Chinese medicine meridian theory and consider the waist Jiaji Governor, Ren, Chong, bladder, spleen, stomach, kidney meridians, etc., have taken place by the tendon contact, acupuncture can be lumbar Jiaji through the many by the blood, the need to ease the meridian, Tiu gas pain relief, so as to achieve clinical cure or alleviate the symptoms of purpose; modern medicine, Jiaji lumbar and nerve roots from the nearest, acupuncture Jiaji can directly stimulate the spinal nerve roots, sense of conduction caused by the needle response, direct access to disease, improve local blood circulation, elimination of nerve root compression of the aseptic inflammation caused by inflammatory edema, improve treatment outcome.
In this study, through the electro-acupuncture and acupuncture mainly Jiaji Jiaji mainly on the treatment of lumbar disc herniation, the selection of the projects undertaken by the 60 patients were randomly divided into two groups of 30 cases, the main access point to highlight Bilateral segmental lumbar Jiaji with election Huantiao Point, rank edge, are the Arab-Israeli point, Yanglingquan Venezuela must bones, Taichong. Treatment group received G6805-C low-frequency electronic pulse therapeutic apparatus, continuous wave, frequency of 40H z, the current intensity of 2 mA, duration 30 m in, day one times, 10 times for a course of treatment. Observation of the clinical effect of two groups showed Jiaji Electroacupuncture treatment of lumbar disc herniation mainly with the control group, net of acupuncture treatment of lumbar disc herniation in comparison. The former total effective rate was 86.7%, which is the total effective rate was 66.7%. Clinical efficacy of the two groups by the statistical treatment, there is the efficiency of the treatment group compared with the control group were significantly different (P <0.05), prompted the former effect was superior to the latter.
夹脊穴,亦称华佗夹脊穴,中医经络学说认为腰部夹脊穴与督、任、冲、膀胱、脾、胃、肾等经脉、经筋都发生联系,针刺腰夹脊穴可贯通多经气血,疏导经络,调气止痛,从而达到临床治愈或缓解症状的目的;现代医学认为,腰夹脊穴和神经根距离最近,针刺夹脊穴可以直接刺激脊神经根部,引起针感传导反应,直达病所,改善局部血液循环、消除受压神经根的无菌性炎症引起的炎性水肿,提高治疗效果.
本研究通过电针夹脊穴为主和针刺夹脊穴为主对腰椎间盘突出症进行治疗,将本课题所选择的60例患者随机分为二组,每组30例,主穴取突出节段双侧腰夹脊穴,配穴选环跳、秩边、阿是穴、阳陵泉、委中、绝骨、太冲.治疗组接G6805-C低频电子脉冲治疗仪,连续波,频率为40H z,电流强度2 mA,持续时间为30 m in,每日1次,10次为1个疗程.观察二组的临床疗效,结果显示电针夹脊穴为主治疗腰椎间盘突出症与对照组纯针刺治疗腰椎间盘突出症相比较.前者总有效率为86.7%,后者总有效率为66.7%.两组临床疗效经统计学处理,治疗组的有效率与对照组相比较有显著差异(P<0.05),提示前者疗效明显优于后者.
Prolapse of lumbar intervertebral disc (referred to as lumbar sudden disease, LDH), refers to rupture of lumbar intervertebral disc annulus fibrosus induced by nucleus pulposus prolapse, protruding into the spinal canal, spinal cord compression or spinal nerve root, causing low back pain or sciatica, mainly a group of General syndrome. Clinical diseases, frequently-occurring disease, relapse rate, patients with serious impact on work and life. Lumbar disc herniation in the treatment methods, non-surgical treatment to occupy the primary position, while many domestic and foreign clinical data showed that electro-acupuncture treatment of lumbar disease process has better clinical efficacy.
Jiaji, also known as Huatuo Jiaji, traditional Chinese medicine meridian theory and consider the waist Jiaji Governor, Ren, Chong, bladder, spleen, stomach, kidney meridians, etc., have taken place by the tendon contact, acupuncture can be lumbar Jiaji through the many by the blood, the need to ease the meridian, Tiu gas pain relief, so as to achieve clinical cure or alleviate the symptoms of purpose; modern medicine, Jiaji lumbar and nerve roots from the nearest, acupuncture Jiaji can directly stimulate the spinal nerve roots, sense of conduction caused by the needle response, direct access to disease, improve local blood circulation, elimination of nerve root compression of the aseptic inflammation caused by inflammatory edema, improve treatment outcome.
In this study, through the electro-acupuncture and acupuncture mainly Jiaji Jiaji mainly on the treatment of lumbar disc herniation, the selection of the projects undertaken by the 60 patients were randomly divided into two groups of 30 cases, the main access point to highlight Bilateral segmental lumbar Jiaji with election Huantiao Point, rank edge, are the Arab-Israeli point, Yanglingquan Venezuela must bones, Taichong. Treatment group received G6805-C low-frequency electronic pulse therapeutic apparatus, continuous wave, frequency of 40H z, the current intensity of 2 mA, duration 30 m in, day one times, 10 times for a course of treatment. Observation of the clinical effect of two groups showed Jiaji Electroacupuncture treatment of lumbar disc herniation mainly with the control group, net of acupuncture treatment of lumbar disc herniation in comparison. The former total effective rate was 86.7%, which is the total effective rate was 66.7%. Clinical efficacy of the two groups by the statistical treatment, there is the efficiency of the treatment group compared with the control group were significantly different (P <0.05), prompted the former effect was superior to the latter.
引文
[1]周永红,刘敏勇.针刺配合走罐治疗腰椎间盘突出症60例.中国针灸,1998,18(7):424.
[2]廉玉鳞.长短针配合治疗腰椎间盘突出症116例临床观察.针灸临床杂志,1999,15(8):356.
[3]马胜.针灸治疗腰椎间盘突出症120例疗效观察.中国针灸,1998,18(1):39.
[4]王金亮.针刺治疗腰椎间盘突出100例.中国针灸,1993,13,(3):19.
[5]俞勤龙.针灸治疗腰椎间盘脱出症40例1l.江苏中医,1994,15(6):29.
[6]何京,于法景,李振东.平衡补泻治疗腰椎间盘突出症60例.中国针灸1998,18(8):456.
[7]牛京权,季榕,刘胜.搓针治疗腰稚间盘突出症足部麻木32例.中国针灸,1997,17(10):629.
[8]杨卓欣.“烧山火”法治疗腰椎间盘突出症106例.中国针灸,1997,17(7):428.
[9]王文远,郭兰,魏素英,等.平衡针灸疗法治疗腰椎间盘突出脱出180例.中国骨伤,1994,7(4):47.
[10]孟杰.针刺为主治疗腰椎间盘突出症110例临床观察.中国针灸,1997,17(10):631.
[11]张海发.寮香丹灸治腰椎间盘突出症332例临床观察.中国中西医结合杂志,1993,11﹙10]:692.
[12]万剑峰.药饼灸治疗早期腰椎间盘突出症60例报告.江西中医药,1992,(5):36.
[13]王兆霞.循经灸治疗腰椎间盘突出症.中国针灸,1994,14(4):192.
[14]杨晓军,陈延新.调整奇经治疗腰椎间盘突出症89例.中国针灸,1998,18(6):436.
[15]张容.针灸分期治疗腰椎间盘突出症35例.针灸临床杂志,1998,14(4):36.
[16]张永生,秦桂英,陈颖,等.针刺拔罐治疗椎间盘突出383例分析.中国针灸,1993,13(5):241.
[17]成培印,周国芳,王兰芳,等.正骨加针刺治疗腰椎间盘突出症2009例.上海针灸杂志,1994,13(1):22.
[18]刘群.综合治疗腰椎间盘突出症50例.北京中医,1995,(2):46.
[19]张华.电针治疗腰椎间盘突出症71例.上海针灸杂志,1996,15(2):11.
[20]李占东,俞大佩,陈斌,等.针刺治疗腰椎间盘突出症481例.上海针灸杂志,1998,17(4):32.
[21]卢卫,蒋劲,熊东林,等.电针督脉夹脊穴治疗腰椎间盘突出症.广东医学,2000,2100:4.
[22]吴新贵.电针治疗腰椎间盘突出症56例临床观察.广西医科大学学报,1998,15(3):134.
[23]王国华,余长江.针刺重刺激法治疗腰椎间盘突出症131例临床观察.中国针灸,1997,17(11):668.
[24]杨全勇.针药结合治疗腰椎间盘突出症148例.扛苏中医,1998,19(8):41
[25]李桂松,袁明华,范洪峰.电针加中药治疗腰椎间盘突出症50例.中国明间疗法,2000,18(6):14.
[26]李补常.电针一为主治疗腰椎间盘突出症385例.针灸临床杂志,1996,1200:13.
[27]李滋平.针刺配合穴位注射治疗腰椎间盘突出症48例.针灸临床杂志,1999,15(9):21.
[28]赵鸿.电针加透刺治疗腰椎间盘突出症52例.河南中医药学刊,1999,14(4):25.
[29]黄辉,董河.针刀治疗腰椎间盘突出症刊生坐骨神经痛.针灸临床杂志,1999,15(6):22.
[30]金永明,李敬怀,姜勇,等.针刀治疗腰椎间盘突出症156例临床观察.针灸临床杂志,2000,16(2):37.
[31]刘星,张安莉.小针刀为主治腰椎间盘突出症60例.江西中医药,1999,30(3):40.
[32]居思顺.小针刀为主治疗腰椎间盘突出症体会.针灸临床杂志,1999,15(10):36.
[33]刘星,张安莉.小针刀治疗腰椎间盘突出症60例.江西中医药,1999,30(3):40.
[34]林楠,刘建华,郭建红,等.针刀配合电动牵引治疗腰椎间盘突出症150例临床报道.中国中医骨伤科杂志,2000,8(3) :34.
[35]柏树祥小针刀配合埋线治疗腰椎间盘突出症.针灸临床杂志,2001,17(3):23.
[36]曹建国,段有超.针刀加推拿治疗腰椎间盘突出症[针灸临床杂志,2001,17(5):33.
[37]刘玉生,尹勇,常洪,潘雷.穴位注射治疗腰腿痛的临床运用.中国民族民间医药杂志,2006,82,274:3
[38]段修芳.针刺牵引治疗腰椎间盘突出症100例.针灸临床杂志,2003,19(9):16.
[39]李滋平,针刺配合穴位注射治疗腰椎间盘突出症48例针灸临床杂志,1999,﹙9﹚:21
[40]冉茂东,郭蕴萍.针药结合治疗腰椎间盘突出症48例.针灸临床杂志,1999,﹙9]:21
[41]栢晓勇，针推结合治疗腰椎间盘突出症100例.针灸临床杂志,2000,7:11
[42]冯跃国,综合治疗腰椎间盘突出症38例.针灸临床杂志,2000,﹙12:12)
[43]何敬敏,综合治疗腰椎间盘突出症疗效体会.针灸临床杂志,2000,﹙5):13
[2]廉玉鳞.长短针配合治疗腰椎间盘突出症116例临床观察.针灸临床杂志,1999,15(8):356.
[3]马胜.针灸治疗腰椎间盘突出症120例疗效观察.中国针灸,1998,18(1):39.
[4]王金亮.针刺治疗腰椎间盘突出100例.中国针灸,1993,13,(3):19.
[5]俞勤龙.针灸治疗腰椎间盘脱出症40例1l.江苏中医,1994,15(6):29.
[6]何京,于法景,李振东.平衡补泻治疗腰椎间盘突出症60例.中国针灸1998,18(8):456.
[7]牛京权,季榕,刘胜.搓针治疗腰稚间盘突出症足部麻木32例.中国针灸,1997,17(10):629.
[8]杨卓欣.“烧山火”法治疗腰椎间盘突出症106例.中国针灸,1997,17(7):428.
[9]王文远,郭兰,魏素英,等.平衡针灸疗法治疗腰椎间盘突出脱出180例.中国骨伤,1994,7(4):47.
[10]孟杰.针刺为主治疗腰椎间盘突出症110例临床观察.中国针灸,1997,17(10):631.
[11]张海发.寮香丹灸治腰椎间盘突出症332例临床观察.中国中西医结合杂志,1993,11﹙10]:692.
[12]万剑峰.药饼灸治疗早期腰椎间盘突出症60例报告.江西中医药,1992,(5):36.
[13]王兆霞.循经灸治疗腰椎间盘突出症.中国针灸,1994,14(4):192.
[14]杨晓军,陈延新.调整奇经治疗腰椎间盘突出症89例.中国针灸,1998,18(6):436.
[15]张容.针灸分期治疗腰椎间盘突出症35例.针灸临床杂志,1998,14(4):36.
[16]张永生,秦桂英,陈颖,等.针刺拔罐治疗椎间盘突出383例分析.中国针灸,1993,13(5):241.
[17]成培印,周国芳,王兰芳,等.正骨加针刺治疗腰椎间盘突出症2009例.上海针灸杂志,1994,13(1):22.
[18]刘群.综合治疗腰椎间盘突出症50例.北京中医,1995,(2):46.
[19]张华.电针治疗腰椎间盘突出症71例.上海针灸杂志,1996,15(2):11.
[20]李占东,俞大佩,陈斌,等.针刺治疗腰椎间盘突出症481例.上海针灸杂志,1998,17(4):32.
[21]卢卫,蒋劲,熊东林,等.电针督脉夹脊穴治疗腰椎间盘突出症.广东医学,2000,2100:4.
[22]吴新贵.电针治疗腰椎间盘突出症56例临床观察.广西医科大学学报,1998,15(3):134.
[23]王国华,余长江.针刺重刺激法治疗腰椎间盘突出症131例临床观察.中国针灸,1997,17(11):668.
[24]杨全勇.针药结合治疗腰椎间盘突出症148例.扛苏中医,1998,19(8):41
[25]李桂松,袁明华,范洪峰.电针加中药治疗腰椎间盘突出症50例.中国明间疗法,2000,18(6):14.
[26]李补常.电针一为主治疗腰椎间盘突出症385例.针灸临床杂志,1996,1200:13.
[27]李滋平.针刺配合穴位注射治疗腰椎间盘突出症48例.针灸临床杂志,1999,15(9):21.
[28]赵鸿.电针加透刺治疗腰椎间盘突出症52例.河南中医药学刊,1999,14(4):25.
[29]黄辉,董河.针刀治疗腰椎间盘突出症刊生坐骨神经痛.针灸临床杂志,1999,15(6):22.
[30]金永明,李敬怀,姜勇,等.针刀治疗腰椎间盘突出症156例临床观察.针灸临床杂志,2000,16(2):37.
[31]刘星,张安莉.小针刀为主治腰椎间盘突出症60例.江西中医药,1999,30(3):40.
[32]居思顺.小针刀为主治疗腰椎间盘突出症体会.针灸临床杂志,1999,15(10):36.
[33]刘星,张安莉.小针刀治疗腰椎间盘突出症60例.江西中医药,1999,30(3):40.
[34]林楠,刘建华,郭建红,等.针刀配合电动牵引治疗腰椎间盘突出症150例临床报道.中国中医骨伤科杂志,2000,8(3) :34.
[35]柏树祥小针刀配合埋线治疗腰椎间盘突出症.针灸临床杂志,2001,17(3):23.
[36]曹建国,段有超.针刀加推拿治疗腰椎间盘突出症[针灸临床杂志,2001,17(5):33.
[37]刘玉生,尹勇,常洪,潘雷.穴位注射治疗腰腿痛的临床运用.中国民族民间医药杂志,2006,82,274:3
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