“四穴电针”治疗腰椎间盘突出症102例临床观察.pdfVIP

第19卷 第8期 中莲为导般 2013年 8月 Vo1．19 No．8 GuidingJournal ofTraditionalChineseMedicineandPharmacy August．2013 四‘‘穴电针’’治疗腰椎间盘突出症1O2例临床观察术 潘 畅，吴粮葶 (双流县中医医院，四川 双流 610200) 摘『要1 目的：观察 自创的 “四穴电针”对腰椎 间盘突出症根性痛的镇痛效果。方法：将193例患者按就诊顺序随机分为两 组：A组为四穴电针组，B组采用常规电针组，疗程15d，观察两组对腰椎间盘 突出症根性痛的镇痛效果(包括 即刻、远期镇痛 效果以及临床疗效、功能恢复等方面)。结果：A组治疗后VAS疼痛评分即刻下降49．0％，治疗结束时共下降81．0％，与治疗前比较差 异均有统计学意义(P0．01)；B组治疗后VAS疼痛评分即刻下降28．0％，治疗结束时共下降66．0％，与治疗前比较差异有统计学 意义(P0．O1)；A组的即刻和持续镇痛效应均优于B组(P0．01)；总有效率A组为95．1％，B组为83．5％，A组疗效优于B组 (P O．05)；且临床控制率A组为72．6％，B组为49．5％，两组比较，差异有统计学意义 (PO．叭)；JOA评分比较，治疗前后A、B组内及 组间比较差异均有统计学意义(PO．01)。结论：“四穴电针”对腰椎间盘突出症根性痛有明显的即刻和持续镇痛作用，且在临 床疗效和促进患肢功能恢复方面均优于常规 电针组。 关『键词1 椎间盘移位；腰椎间盘突出症 ；针灸；电针；治疗 中『图分类号1R255 文『献标识码]A 文『章编号1 1672—951X(2013)08—0062—03 ClinicalStudy on FOur—acupOintNeedling forProlapseofLumbar IntervertebralDisc： A ClinicalObservation of102 Cases PAN Chang,WU Liang—ting (ShuangliuHospitalofTraditional ChineseMedicine，SichuanShuangliu610200,China) A【bstract] Objective：ToobservetheanalgesiceffectofFour-acupointNeedlingonnerverootpainduetoprolapseof lumb~ intervertebraldisc．Methods：193 patientscwere randomly divided into group A and rgoup B，respectively Four—acu— pointNeedling group and generalacupuncture group，the treatmentcoursewas 15 days．The effectobservation，immediate ef- feet，and long-term effect，clinical effectand functional recovery were detected．Results：The immediate decline rate ofVAS score was 49．0％ in group A and decline rate ofVAS score was 81．0％ after treatment．the differencewaswith statistical significanceP(O．O1)；TheimmediatedeclinerateofVASscorewas28．0％ ingroupB and declinerateofVASscorewas 66．0％ aftertreatment，thedifferencewaswithstatisticalsignmcance O．01)；theimmediateeffect