首页|针刺董氏奇穴联合中频脉冲电治疗腰椎间盘突出症的临床疗效观察

针刺董氏奇穴联合中频脉冲电治疗腰椎间盘突出症的临床疗效观察

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目的 探究针刺董氏奇穴联合中频脉冲电治疗腰椎间盘突出症的疗效。方法 选取 2021 年 1 月至 2023 年10 月于上海市黄浦区香山中医医院就诊的腰椎间盘突出症患者 80 例,随机分为研究组和对照组,每组 40 例。治疗期间脱落12 例,最终共纳入病例 68 例,研究组 34 例,对照组 34 例。对照组采用常规针刺法联合中频脉冲电治疗,研究组采用针刺董氏奇穴联合中频脉冲电治疗,均治疗 2 周,每周 3 次。比较 2 组治疗前后视觉模拟量表(VAS)评分、日本骨科学会量表(JOA)评分和Oswestry功能障碍指数(ODI)。结果 治疗后,2 组VAS评分、ODI和JOA评分与治疗前比较差异有统计学意义,且组间比较差异均有统计学意义(P<0。001):治疗后VAS评分和ODI均低于治疗前,JOA评分均高于治疗前;研究组VAS评分和ODI低于对照组,JOA评分高于对照组(P<0。001)。结论 针刺董氏奇穴联合中频脉冲电对腰椎间盘突出症疗效优于常规针刺法联合中频脉冲电,能够更快地缓解临床症状,恢复腰椎间盘功能,并且安全性良好,值得临床推广。
Clinical effects of Dong's extraordinary point acupuncture combined with medium frequency pulse electrotherapy on lumbar disc herniation
Objective To explore the effect of Dong's extraordinary point acupuncture combined with medium frequency pulse electrotherapy on lumbar disc herniation.Methods Eighty patients with lumbar disc herniation who were admitted to Xiangshan Hospital of Traditional Chinese Medicine from January 2021 to October 2023 were selected and randomly divided into study group and control group,with 40 cases in each group.Twelve patients were lost during treatment,and eventually 68 patients were enrolled in this study,including 34 in the study group and 34 in the control group.The control group was treated with conventional acupuncture combined with medium frequency pulse electrotherapy,and the study group was treated with Dong's extraordinary point acupuncture with medium frequency pulse electrotherapy,both for 2 weeks,3 times a week.Visual Analogue Scale(VAS)score,Japanese Orthopaedic Society(JOA)score and Oswestry Disability Index(ODI)were compared between the two groups before and after treatment.Results VAS score and ODI were significantly decreased and JOA score was significantly increased after treatment in both groups(P<0.001).VAS score and ODI in the study group were lower than those in the control group after treatment,while JOA score in the study group was higher than that in the control group(P<0.001).Conclusion Dong's extraordinary point acupuncture combined with medium frequency pulse electrotherapy is superior to conventional acupuncture combined with medium frequency pulse electrotherapy in treatment of lumbar disc herniation.It can faster relieve clinical symptoms and restore lumbar disc function,and is worthy of clinical application with satisfactory safety.

AcupunctureDong's extraordinary pointLumbar disc herniationRandomized controlled trialsRepeated measurement

姚嘉敏、黄成怡、张梦超、吴嘉琪、孙凤琴、陈杰

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200001 上海,上海市黄浦区香山中医医院康复科

200001 上海,上海市黄浦区香山中医医院护理部

针灸 董氏奇穴 腰椎间盘突出症 随机对照试验 重复测量

2024

海军医学杂志
海军医学研究所

海军医学杂志

CSTPCD
影响因子:0.518
ISSN:1009-0754
年,卷(期):2024.45(12)