经络辨证取穴针刺治疗腰椎间盘突出症临床研究
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摘要
目的:1、观察经络辨证取穴针刺治疗腰椎间盘突出症的临床疗效。
2、观察此取穴方法与临床常规取穴在疗效上的差别。方法:将符合纳入标准的55例腰椎间盘突出症患者随机分成两组,治疗组30例以经络辨证取穴为主,对照组25例以常规取穴进行针刺,两组穴位得气后行相同的平补平泻手法,针刺后留针30min,间隔10min行针1次,每周均治疗6天,休息1天,3周为一个疗程,共观察1个疗程。临床疗效评价采用“下腰痛评分标准”(JOA评分),疗效标准采用国家中医药管理局《中医病症诊断疗效标准》进行评定。
结果:治疗组在总有效率和治愈率上与对照组比较均具有显著差别(P<0.05)。
结论:采用经络辨证取穴针刺治疗腰椎间盘突出症具有很好的疗效,比普通取穴针刺临床疗效更加显著,可以获得更好的临床治愈的目的。
Objective: 1、To observe the therapeutic effect of needling by differentiation of meridian syndromes to treat Lumbar intervertebral disk protrusion (LIDP).
2、observe the difference of obtaining acupucture point in this way and the clinical convention method on the therapeutic effect.
Methods: 55 chosen LIDP patients,coincident with standards,were randomly divided into 2 groups:30 patients in Treatment Group which obtaining acupucture point by the differentiation of meridian syndromes and 25 patients in Control Group which obtaining acupucture point by the clinical convention.After gainning the pneuma,the acupucture point of 2 group use the same needing manoeuvre.The patients of two groups were all keeping the needle 30 minutes after needing and manipulating needle 1 time every interval 10 minutes. Treating 6 days every week,and recessing 1 days.3 weeks were a course of treatment and observing a course of treatment. The clinic symptoms of two groups was evaluated by“lower back pain assessment standard”(JOA evaluation sheet).The standard of the curative effect was evaluated by“diagnostic efficacy standards for diseases in Traditional Chinese Medicine”of State Administration of Traditional Chinese Medicine.
Results: There were the significant difference between the treatment group and the control group on the total effective rate and the clinical healing rate(P<0.05).
Conclusion: To treat the LIDP by the the method of needling by differentiation of meridian syndromes have the significant clinical effect,better than adopting the common methods,and can obtain the better purpose of the clinical cure.
2、观察此取穴方法与临床常规取穴在疗效上的差别。方法:将符合纳入标准的55例腰椎间盘突出症患者随机分成两组,治疗组30例以经络辨证取穴为主,对照组25例以常规取穴进行针刺,两组穴位得气后行相同的平补平泻手法,针刺后留针30min,间隔10min行针1次,每周均治疗6天,休息1天,3周为一个疗程,共观察1个疗程。临床疗效评价采用“下腰痛评分标准”(JOA评分),疗效标准采用国家中医药管理局《中医病症诊断疗效标准》进行评定。
结果:治疗组在总有效率和治愈率上与对照组比较均具有显著差别(P<0.05)。
结论:采用经络辨证取穴针刺治疗腰椎间盘突出症具有很好的疗效,比普通取穴针刺临床疗效更加显著,可以获得更好的临床治愈的目的。
Objective: 1、To observe the therapeutic effect of needling by differentiation of meridian syndromes to treat Lumbar intervertebral disk protrusion (LIDP).
2、observe the difference of obtaining acupucture point in this way and the clinical convention method on the therapeutic effect.
Methods: 55 chosen LIDP patients,coincident with standards,were randomly divided into 2 groups:30 patients in Treatment Group which obtaining acupucture point by the differentiation of meridian syndromes and 25 patients in Control Group which obtaining acupucture point by the clinical convention.After gainning the pneuma,the acupucture point of 2 group use the same needing manoeuvre.The patients of two groups were all keeping the needle 30 minutes after needing and manipulating needle 1 time every interval 10 minutes. Treating 6 days every week,and recessing 1 days.3 weeks were a course of treatment and observing a course of treatment. The clinic symptoms of two groups was evaluated by“lower back pain assessment standard”(JOA evaluation sheet).The standard of the curative effect was evaluated by“diagnostic efficacy standards for diseases in Traditional Chinese Medicine”of State Administration of Traditional Chinese Medicine.
Results: There were the significant difference between the treatment group and the control group on the total effective rate and the clinical healing rate(P<0.05).
Conclusion: To treat the LIDP by the the method of needling by differentiation of meridian syndromes have the significant clinical effect,better than adopting the common methods,and can obtain the better purpose of the clinical cure.
引文
[1]胥少汀,葛宝丰,徐印坎.实用骨科学[M].北京:人民军医出版社,2005:1690
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[3]王和鸣.中医骨伤科学[M].北京:中国中医药出版社,2007:296
[4]张卫华,安军明.腰腿痛的诊断与非手术治疗[M].人民军医出版社,2008,11(1):76‐78
[5] Patterson CAV,Clsson Y. Bood supply of spinal nerve roots,an experimental study in the rat. Acta Neuropathol.1989,7(8):455
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[8] Saal JS,Franson RC,Dobrow R,et al. High levels of inflammatory phospholipase A2 activity in lumbar disc herniation. Spine,1990,15:674
[9] Saal JS. The role of inflammation in lumbar pain. Spine,1995,20:1821
[10]蒋位庄.脊源性腰腿痛[M].人民卫生出版社,2002,2(3):37
[11] Pennington JB,Mccarron RF,Laros GS. Identification of IgG in the canine intervertebral disc. Spine,1988,13:909
[12]胡有谷.腰椎间盘突症[M].北京:人民卫生出版社,2004:241‐248
[13]伊智雄,刘春英.实用颈背腰痛中医治疗学[M].人民卫生出版社,1997,9(2):395
[14]田晓玲.针灸治疗腰椎间盘突出症临床研究[J].按摩与康复医学,2010,9:66
[15]陈秀英.针刺法治疗腰椎间盘突出症疗效观察[J].河北中医,2004,26 (9)
[16]沈克艰,杨海鸥.夹脊穴深刺拔罐治疗腰椎间盘突出症[J].针灸临床杂志,2000,16(9):35
[17]彭建民,曾少平.电针夹脊穴疗法对腰椎间盘突出症康复效果观察[J].中国临床康复,2002,6(16):2454
[18]郭会卿.针刺腰夹脊穴治疗腰椎间盘突出症的疗效观察[J].针灸临床杂志,2006,22(11):14-15
[19]卓华.“烧山火”手法治疗腰椎间盘突出症165例[J].天津中医药,2003,2,20(1):33‐34
[20]席江宁,李海权.“五虎夺羊”针法治疗老年腰椎间盘突出症疗效观察[J].辽宁中医杂志,2002,10(29):621
[21]李贤平.针刺侧隐窝治疗腰椎间盘突出症的临床体会[J].江西中医药,2005,36(267):54‐55
[22]岳寿伟.腰椎间盘突出症的非手术治疗[M].人民军医出版社,2009,13(3):164‐165
[23]伊智雄,刘春英.实用颈背腰痛中医治疗学[M].人民卫生出版社,1997,4(9):710‐711
[24]孟魏魏,蔡秀水.电针配合健腰操治疗腰椎间盘突出症疗效观察[M].上海针灸,2010,29(1):40‐42
[25]谢松林,廖小艳,刘绍梅.温针灸治疗腰椎间盘突出症疗效观察[J].针灸临床杂志2010,26(1):34‐35
[26]黄莉,陈晓蓉.穴位注射对腰椎间盘突出症术后下肢感觉障碍的疗效观察[J].中国中医骨伤科杂志,2010,18(1):38‐39
[27]岳寿伟.腰椎间盘突出症的非手术治疗[M].人民军医出版社,2009,13(5):167
[28]杨军,宋江宏.小针刀加正骨术等疗法治疗腰椎间盘突出症366例[J].人民军医,2010,53(3):204
[29]温木生.刺络疗法治百病[M].人民军医出版社,2007:13‐14
[30]孔荣.三棱针刺血法的临床应用[J].针灸临床杂志,2002,18(6):38
[31]潘文谦,林立云.七星梅花针治疗腰椎间盘突出症临床观察[J].内蒙古中医药,2001,(1):26～27
[32]北京中医药大学针灸学院.中国特种针法[M].北京科学技术出版社. 2007:3‐4
[33]吴绪平,陈永祥,黄克阳,余声钦.骨伤科疾病针灸推拿治疗学[M].中国医药科技出版社,2003:89‐92
[34]郭长青,曹榕娟,刘乃刚.实用火针疗法[M].化学工业出版社. 2009:3‐5
[35]王祖林.推拿配合火针治疗腰椎间盘突出症76例[J].江苏中医药. 2003,24(6):45
[36]胡超伟.圆利针疗法[M].湖北科学技术出版社[M]. 2007:3‐44
[37]黄移生,彭易雨.圆利针加环跳齐刺为主治疗腰椎间盘突出症58例[J].中国针灸,2005,25(4):280
[38]袁秀丽,刘驰,陈静.芒针治疗腰椎间盘突出症临床观察[J].中国针灸,2004,24(3):171-172
[39]王育庆,段俊峰,宁俊忠等.腹针对腰椎间盘突出症疼痛症状的影响[J].颈腰痛杂志,2010,31(1):72‐73
[40]王佩玲.平衡针灸治疗腰椎间盘突出症临床观察[J].辽宁中医杂志,2005,32(12):1297‐1298
[41]姚志芳,林源.针灸治疗腰椎间盘突出症疗效观察[J].上海针灸杂志,2007,26(2):25‐26
[42]彭静山.眼针疗法[M ] .中国针灸. 1988,(6):21
[43]田维柱.中华眼针[M].辽宁科学技术出版社. 1998,(4):210
[44]何希俊.眼针治疗腰椎间盘突出症68例[J].上海针灸杂志,2000,19(3):31
[1]石学敏.针灸学[M].北京:中国中医药出版社,2002:218
[2] Chen Q,Baba H,Kamitanti I,et al. Postoperative bone regrowth in lumbar pinal stenosisa multivariate analysis of 48 patients. Spine(J),1994,19:2144
[3]国家中医药管理局.中医病症诊断疗效标准[S].南京:南京大学出版社,1994:202
[4]胡有谷.腰椎间盘突出症[M].北京:人民卫生出版社,2004:362
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[12]黄仕荣,詹红生,石印玉.腰椎间盘突出症患者外周血血栓素B2、前列环素及其比值与腰腿痛的相关性研究[J].中国中医骨伤科杂志,2006,14(3):4‐81
[13]崔瑾,向开维,梁永瑛.头针及推拿治疗腰椎间盘突出症及其对自身免疫水平的影响[J].中国针灸,2004,24(7):4451
[2]钟先义.急性重症腰椎间盘突出症的非手术治疗[J].颈腰痛杂志,2004,25(6):442
[3]王和鸣.中医骨伤科学[M].北京:中国中医药出版社,2007:296
[4]张卫华,安军明.腰腿痛的诊断与非手术治疗[M].人民军医出版社,2008,11(1):76‐78
[5] Patterson CAV,Clsson Y. Bood supply of spinal nerve roots,an experimental study in the rat. Acta Neuropathol.1989,7(8):455
[6]柳登顺,张剑赤.实用颈腰肢痛诊疗手册[M].河南科学技术出版社,2006,3(2):492
[7]伊智雄.中西医结合治疗腰椎间盘突出症[M].人民卫生出版社,2008,1(3):85
[8] Saal JS,Franson RC,Dobrow R,et al. High levels of inflammatory phospholipase A2 activity in lumbar disc herniation. Spine,1990,15:674
[9] Saal JS. The role of inflammation in lumbar pain. Spine,1995,20:1821
[10]蒋位庄.脊源性腰腿痛[M].人民卫生出版社,2002,2(3):37
[11] Pennington JB,Mccarron RF,Laros GS. Identification of IgG in the canine intervertebral disc. Spine,1988,13:909
[12]胡有谷.腰椎间盘突症[M].北京:人民卫生出版社,2004:241‐248
[13]伊智雄,刘春英.实用颈背腰痛中医治疗学[M].人民卫生出版社,1997,9(2):395
[14]田晓玲.针灸治疗腰椎间盘突出症临床研究[J].按摩与康复医学,2010,9:66
[15]陈秀英.针刺法治疗腰椎间盘突出症疗效观察[J].河北中医,2004,26 (9)
[16]沈克艰,杨海鸥.夹脊穴深刺拔罐治疗腰椎间盘突出症[J].针灸临床杂志,2000,16(9):35
[17]彭建民,曾少平.电针夹脊穴疗法对腰椎间盘突出症康复效果观察[J].中国临床康复,2002,6(16):2454
[18]郭会卿.针刺腰夹脊穴治疗腰椎间盘突出症的疗效观察[J].针灸临床杂志,2006,22(11):14-15
[19]卓华.“烧山火”手法治疗腰椎间盘突出症165例[J].天津中医药,2003,2,20(1):33‐34
[20]席江宁,李海权.“五虎夺羊”针法治疗老年腰椎间盘突出症疗效观察[J].辽宁中医杂志,2002,10(29):621
[21]李贤平.针刺侧隐窝治疗腰椎间盘突出症的临床体会[J].江西中医药,2005,36(267):54‐55
[22]岳寿伟.腰椎间盘突出症的非手术治疗[M].人民军医出版社,2009,13(3):164‐165
[23]伊智雄,刘春英.实用颈背腰痛中医治疗学[M].人民卫生出版社,1997,4(9):710‐711
[24]孟魏魏,蔡秀水.电针配合健腰操治疗腰椎间盘突出症疗效观察[M].上海针灸,2010,29(1):40‐42
[25]谢松林,廖小艳,刘绍梅.温针灸治疗腰椎间盘突出症疗效观察[J].针灸临床杂志2010,26(1):34‐35
[26]黄莉,陈晓蓉.穴位注射对腰椎间盘突出症术后下肢感觉障碍的疗效观察[J].中国中医骨伤科杂志,2010,18(1):38‐39
[27]岳寿伟.腰椎间盘突出症的非手术治疗[M].人民军医出版社,2009,13(5):167
[28]杨军,宋江宏.小针刀加正骨术等疗法治疗腰椎间盘突出症366例[J].人民军医,2010,53(3):204
[29]温木生.刺络疗法治百病[M].人民军医出版社,2007:13‐14
[30]孔荣.三棱针刺血法的临床应用[J].针灸临床杂志,2002,18(6):38
[31]潘文谦,林立云.七星梅花针治疗腰椎间盘突出症临床观察[J].内蒙古中医药,2001,(1):26～27
[32]北京中医药大学针灸学院.中国特种针法[M].北京科学技术出版社. 2007:3‐4
[33]吴绪平,陈永祥,黄克阳,余声钦.骨伤科疾病针灸推拿治疗学[M].中国医药科技出版社,2003:89‐92
[34]郭长青,曹榕娟,刘乃刚.实用火针疗法[M].化学工业出版社. 2009:3‐5
[35]王祖林.推拿配合火针治疗腰椎间盘突出症76例[J].江苏中医药. 2003,24(6):45
[36]胡超伟.圆利针疗法[M].湖北科学技术出版社[M]. 2007:3‐44
[37]黄移生,彭易雨.圆利针加环跳齐刺为主治疗腰椎间盘突出症58例[J].中国针灸,2005,25(4):280
[38]袁秀丽,刘驰,陈静.芒针治疗腰椎间盘突出症临床观察[J].中国针灸,2004,24(3):171-172
[39]王育庆,段俊峰,宁俊忠等.腹针对腰椎间盘突出症疼痛症状的影响[J].颈腰痛杂志,2010,31(1):72‐73
[40]王佩玲.平衡针灸治疗腰椎间盘突出症临床观察[J].辽宁中医杂志,2005,32(12):1297‐1298
[41]姚志芳,林源.针灸治疗腰椎间盘突出症疗效观察[J].上海针灸杂志,2007,26(2):25‐26
[42]彭静山.眼针疗法[M ] .中国针灸. 1988,(6):21
[43]田维柱.中华眼针[M].辽宁科学技术出版社. 1998,(4):210
[44]何希俊.眼针治疗腰椎间盘突出症68例[J].上海针灸杂志,2000,19(3):31
[1]石学敏.针灸学[M].北京:中国中医药出版社,2002:218
[2] Chen Q,Baba H,Kamitanti I,et al. Postoperative bone regrowth in lumbar pinal stenosisa multivariate analysis of 48 patients. Spine(J),1994,19:2144
[3]国家中医药管理局.中医病症诊断疗效标准[S].南京:南京大学出版社,1994:202
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