温针灸治疗腰椎间盘突出症临床疗效观察
0bservation on Clinical Curative Effect of Warm Acupuncture on Treating Lumbar Disc Herniation
宋明霞 1沈友虎 1胡长顺1
作者信息
- 1. 上海市金山区中西医结合医院,上海201501
- 折叠
摘要
目的 观察温针疗法对于腰椎间盘突出症的临床疗效.方法 将120例患者按随机数字表法分为温针组和电针组各60例.两组取穴相同,主穴均选取患侧大肠俞、关元俞、环跳、秩边、委中、阳陵泉,悬钟.温针组针刺后于针柄上方套长约3 cm的艾段点燃,对照组针刺后加电针,10次为1个疗程.观察治疗前后的疼痛评分、腰椎JOA评分及临床疗效.结果 温针组总有效率91.67％与电针组的90.00％差别不大(P＞0.05).治疗前,两组VAS评分差别不大(P＞0.05),同组治疗前后VAS差值差异均有统计学意义(P＜0.05),治疗1次后温针组差值优于电针组,差异有统计学意义(P＜0.05),1个疗程后两组的VAS差值差别不大(P＞0.05).治疗前两组JOA评分差别不大(P＞0.05),治疗1次和1个疗程后,两组JOA评分差值,差异无统计学意义(P＞ 0.05).两组治疗结束1个月后进行电话随访,温针组与电针组复发率差别不大(P＞0.05).结论 温针法和电针法对于腰间盘突出症疗效差别不大,但温针组起效快,近期效果好.
Abstract
Objective: To observe and discuss the clinical curative effect of acupuncture treatment on lumbar disc herniation,and compare it with electro acupuncture therapy.Methods: 120 cases with lumbar disc herniation were randomly divided into 2 groups,acupuncture group and electroacupuncture group with 60 cases.2 groups of patients with the same acupoints, main points were selected from side Dachangshu (BL25), Guanyuanshu (BL26), Huantiao (GB30), Zhibian (BL54), Weizhong (BL40), Yanglingquan (GB34), Xuanzhong (GB39).The treatment group was treated with acupuncture at the upper part of the needle handle,and about 3 cm in length.And the control group was treated with electro acupuncture.10 times was for a course of treatment.The pain scores and clinical efficacy were observed before and after treatment.Results: VAS scores of 2 groups of patients before and after treatment decreased,with statistical significance (P＜ 0.05).Curative effect of acupuncture group and electroacupuncture group had no significant difference (P ＞ 0.05),but once after treatment,VAS and JOA scores of the two groups had difference (P＜ 0.05).Conclusion: Warm needling and electroacupuncture method for lumbar disc herniation has curative effect, no significant difference between the two groups ,but the acupuncture group has a rapid onset and a better curative effect.
关键词
腰椎间盘突出症/温针灸/电针Key words
Lumbar disc herniation/Warm acupuncture/Electro acupuncture引用本文复制引用
基金项目
上海市金山区卫生计生委课题(JSKJ-KTQN-2013-04)
出版年
2016
国家科技期刊平台
NSTL
维普
万方数据