影像监控下针刀治疗腰椎间盘突出(血瘀证)临床研究(唐峰)..docVIP

影像监控下针刀治疗腰椎间盘突出症（血瘀证）临床研究 唐峰，吕武宾，邓军，姜兴鹏 （重庆三峡医药高等专科学校，重庆，万州，404000） 中文摘要 目的 观察影像监控下针刀治疗腰椎间盘突出症（血瘀证）临床疗效。方法 80例腰椎间盘突出症（血瘀证）患者，其中男性46例，女性34例。随机分为治疗组（针刀治疗）和对照组（常规针灸治疗），疗程治疗时间为4周。临床观察时间分别于治疗前、疗程治疗2周后、疗程治疗结束后，采用JOA腰痛疾患疗效评定标准和中医证候分级量化标准对患者症状及体征进行评分。结果 本临床研究过程中无一例不良反应和安全事故发生，通过对治疗组和对照组进行证候疗效评价比较，治疗组治疗2周后临床治愈率为35%、显效率为37.5%、有效率为22.5%；对照组治疗2周后临床治愈率为15%、显效率为35%、有效率为35%。治疗组疗程治疗结束后临床治愈率为47.5%、显效率为35%、有效率为15%；对照组疗程治疗结束后治愈率为27.5%、显效率为37.5%、有效率为22.5%。通过对两组患者疗程治疗2周后和疗程治疗结束JOA腰痛疾患总评分进行组内和组间比较，p值均0.05，治疗组在治疗疼痛、改善症状和恢复功能方面明显优于对照组。结论 影像监控下针刀治疗腰椎间盘突出症（血瘀证）疗效显著，安全可靠。 关键词 腰椎间盘突出症；血瘀证；针刀；针灸；侧扳手法；牵引 ABSTRACT Purpose: Watch video monitoring acupotomology under treatment prolapse of lumbar intervertebral disc (blood stasis syndrome) clinical curative effect..Method: 80 cases of lumbar intervertebral disc herniation blood stasis syndrome patients. 46 cases of men, 34 cases of women. Randomly divided into the treatment group (accupotomology) and the control group (conventional acupuncture treatment), treatment time of 4 weeks. Clinical observation time before, respectively in the treatment duration treatment two weeks after, treatment ended, Using JOA lumbago disorders curative effect evaluation standard of symptoms and signs be evaluated.Results：This clinical study has not occurred during a adverse reactions and safety accidents, Through the treatment group and control group effect assessment comparison, Treatment treatment two weeks after treatment group clinical cure rate for 35%, significant efficiency 37.5% and effective for 22.5.The control group treatment two weeks after clinical cure rate of 15%, significant efficiency, effectiveness is 35% and 35%. treatment group after treatment for clinical cure rate significant efficiency, effectiveness of for 35% 47.5%, 15%.The control group cure rate, significant efficiency, effectiveness of for 37.5%, 22.5% 27.5%. Through the two groups of patients after 2 weeks after treatment and score and JOA lumbago disorders total score set between gr