针刺腰夹脊穴为主治疗腰椎间盘突出症的临床视察.pdfVIP

提 要 目的：旨在比较针刺腰夹脊穴与腰背俞穴治疗腰椎间盘突出症(LDH) 的疗效差 异，为尽快地缓解临床症状、体征，以达到镇痛治痛之目的选择最佳治疗方案。 方法：将患者随机分为观察组与对照组：观察组取穴双侧 L2～5 夹脊穴，对照组 取穴双侧肾俞、气海俞、大肠俞、关元俞；配穴皆取腰骶部阿是穴、委中及昆仑。进 行两个疗程的单纯针刺治疗，以视觉模拟评分标准及腰腿痛综合评分标准进行量化评 定。 结果：①两组患者各 30 例，第 1 疗程，观察组治愈 18 例，显效 7 例，有效 3 例，无效 2 例，治愈率 60 ％，有效率93.7 ％；对照组治愈9 例，显效 5 例，有效 10 例，无效 6 例，治愈率 30 ％％，有效率 80 ％，疗效以观察组为优(P﹤0.05)。第 2 疗程，观察组治愈 19 例，显效 7 例，有效 2 例，无效 2 例，治愈率 63.3 ％，有效率 93.7 ％；对照组治愈 14 例，显效 7 例，有效 6 例，无效 3 例，治愈率 46.7 ％，有效 率 90 ％，疗效无显著性差异(P﹥0.05)。②以视觉模拟评分标准与腰腿痛综合评分标 准分析两组疼痛、综合积分的变化：第 1 疗程，观察组在疼痛程度、症状、体征等各 项评定指标方面明显优于对照组(P﹤0.01)；第 2 疗程无显著性差异(P﹥0.05)。两组 自身前后对照，均能显著性地降低各项指标(P﹤0.05)。 结论：腰夹脊穴组与腰背俞穴组治疗腰椎间盘突出症，对患者的疼痛程度、症状、 体征及日常生活活动等各项相关指标均有显著性改善，皆有较好疗效，但腰夹脊穴组 在对疼痛的缓解、症状体征的改善等各方面较腰背俞穴组见效更快。 关键词 腰椎间盘突出症；腰夹脊穴；腰背俞穴；针刺 The clinical observation on treating Lumber disc herniation by main acupuncture on jiaji points Speciality: Acu-mox massage Author: Xie Honggang Tutor: Zhang Yongchen Abstract Objective: To compare the efficacy of acupuncture between the waist Jiaji and backshu points in the treatment of lumbar disc herniation(LDH), to select the best treatment options which can ameliorate theclinical symptoms and signs and analgesia as soon as possible. Methods: The patients were randomly divided into observation group and control group: The observation group acupoint on bilateral L2 ～ 5 Jiaji points; the controlgroup choosebilateralshenshu,qihaishu,dachangshu,guanyuanshu; acupoints are take n lumbosacral Ashi, weizhong and Kunlun acupoints. Two courses have simple acupuncture treatment, with visual analogue scale standards and locate the comprehensive quantitative assessment rating criteria to quantify the treatment.