刺血疗法配合电针治疗腰椎间盘突出症的临床研究
摘要
研究目的:观察刺血疗法配合电针治疗腰椎间盘突出症的疗效,并研究刺血疗法配合针刺在本病的最佳适应症、穴位的选取及临床注意事项等,以期优化刺血疗法对本病的治疗作用,为临床探索一种疗效确切、易于操作的新的治疗方法。
研究方法:将腰椎间盘突出症患者60例随机分为刺血组和电针组。刺血组采用刺血疗法配合针刺治疗,电针组采用普通针刺治疗。两组选取相同穴位,均为隔日治疗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(参照国家中医药管理局1994年颁布的《中医病症诊断疗效标准》评定(见附件一))、疼痛综合评分(腰椎疾患成绩判断评价表(见附表)由日本骨科学会创建)分别统计疗效。
研究结果:
1.在总体疗效上,刺血组与电针组比较差异无显著意义(P＞0.05),说明刺血组与电针组总体疗效一致,但治愈率和总有效率分别是60%和86.7%,高于电针组。
2.在疼痛综合评分方面,治疗前及治疗后1个疗程、2个疗程各项指标比较的差异均有显著性意义(P＜0.01)。
3.刺血组和电针组在VAPS视觉类比疼痛评分方面,与治疗前相比差异有非常显著性意义(P＜0.01),两组之间治疗前及治疗后1个疗程、2个疗程的差异均无显著性意义。
研究结论:
1.刺血疗法与电针疗法对腰椎间盘突出症患者的总体疗效均有改善,但刺血疗法的治愈率和好转率高于电针疗法。
2.刺血疗法与电针疗法对腰椎间盘突出症患者的疼痛均有改善,但刺血疗法的镇痛优于电针疗法。
Objective:To assess therapeutic effect on blood-letting puncture combined with electroacupuncture for the Treatment of Spasticity for lumbar disc herniation patients
Methods:A total of 60 patients were diagnosed with lumbar disch herniation according to the diagnostic standards stated in Nation's Diagnostic Standards, in combination with the patients' medical history, clinical symptoms and medical images. They underwent group-stratified randomization, which broke them down into treatment and controlled group. The treatment group which totaled 30 patients were treated on acupuncture with bleeding. The controlled group, which also totaled 30 patiens,were treated equally but only on acupunture. The two groups had treatment once every other day. A period of treatment was Six times and both treated two periods..
During the course of treatment, the patients' clinical symptoms and change in range of motion were observed. According to the Nation's Diagnostic Standards, a patient is clinically recovered when the pain disappears, the straight leg raising (SLR) test scores more than 70 and normal range of motion is resumed. The treatment is effective when the pain is reduced and the range of twisting motion is improved, and it is said to be ineffective when clinical symptoms has no improvement at all. The JOA Pain Questionnaire was used in this study to assess quantitative measures of clinical pain before and after acupuncture treatment.
Results:After two courses of treatment, (l)The total effect of two groups was both improved. The difference between two groups was no significant. (P>0. 05) The treatment groups had a total effective rate of 60% and a improved rate of86. 7% , and surpassed the controlled group. (2)The scores of the JOA Pain Questionnaire's each item of index were very significant between two groups. (P<0. 01) (3)The scores of VAPS of the two groups were no significant.
Conclusion:
1. The two treat groups also can alleviate the total effect of lumbar disc herniation patients,but healing rate and improvement rate of the treatment group surpass the controlled group.
2. The two treat groups also can alleviate the pain of lumbar disc herniation patients, but the treatment group surpass the controlled group.
研究方法:将腰椎间盘突出症患者60例随机分为刺血组和电针组。刺血组采用刺血疗法配合针刺治疗,电针组采用普通针刺治疗。两组选取相同穴位,均为隔日治疗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(参照国家中医药管理局1994年颁布的《中医病症诊断疗效标准》评定(见附件一))、疼痛综合评分(腰椎疾患成绩判断评价表(见附表)由日本骨科学会创建)分别统计疗效。
研究结果:
1.在总体疗效上,刺血组与电针组比较差异无显著意义(P＞0.05),说明刺血组与电针组总体疗效一致,但治愈率和总有效率分别是60%和86.7%,高于电针组。
2.在疼痛综合评分方面,治疗前及治疗后1个疗程、2个疗程各项指标比较的差异均有显著性意义(P＜0.01)。
3.刺血组和电针组在VAPS视觉类比疼痛评分方面,与治疗前相比差异有非常显著性意义(P＜0.01),两组之间治疗前及治疗后1个疗程、2个疗程的差异均无显著性意义。
研究结论:
1.刺血疗法与电针疗法对腰椎间盘突出症患者的总体疗效均有改善,但刺血疗法的治愈率和好转率高于电针疗法。
2.刺血疗法与电针疗法对腰椎间盘突出症患者的疼痛均有改善,但刺血疗法的镇痛优于电针疗法。
Objective:To assess therapeutic effect on blood-letting puncture combined with electroacupuncture for the Treatment of Spasticity for lumbar disc herniation patients
Methods:A total of 60 patients were diagnosed with lumbar disch herniation according to the diagnostic standards stated in Nation's Diagnostic Standards, in combination with the patients' medical history, clinical symptoms and medical images. They underwent group-stratified randomization, which broke them down into treatment and controlled group. The treatment group which totaled 30 patients were treated on acupuncture with bleeding. The controlled group, which also totaled 30 patiens,were treated equally but only on acupunture. The two groups had treatment once every other day. A period of treatment was Six times and both treated two periods..
During the course of treatment, the patients' clinical symptoms and change in range of motion were observed. According to the Nation's Diagnostic Standards, a patient is clinically recovered when the pain disappears, the straight leg raising (SLR) test scores more than 70 and normal range of motion is resumed. The treatment is effective when the pain is reduced and the range of twisting motion is improved, and it is said to be ineffective when clinical symptoms has no improvement at all. The JOA Pain Questionnaire was used in this study to assess quantitative measures of clinical pain before and after acupuncture treatment.
Results:After two courses of treatment, (l)The total effect of two groups was both improved. The difference between two groups was no significant. (P>0. 05) The treatment groups had a total effective rate of 60% and a improved rate of86. 7% , and surpassed the controlled group. (2)The scores of the JOA Pain Questionnaire's each item of index were very significant between two groups. (P<0. 01) (3)The scores of VAPS of the two groups were no significant.
Conclusion:
1. The two treat groups also can alleviate the total effect of lumbar disc herniation patients,but healing rate and improvement rate of the treatment group surpass the controlled group.
2. The two treat groups also can alleviate the pain of lumbar disc herniation patients, but the treatment group surpass the controlled group.
引文
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