针刺郄穴为主治疗腰椎间盘突出症的临床视察.pdfVIP

提 要 目的：观察和评价针刺郄穴为主治疗腰椎间盘突出症的临床疗效，以期为临床寻 找非手术疗法治疗腰椎间盘突出症的有效方法提供必要的临床依据。方法：将 60 例 腰椎间盘突出症患者随机分为针刺郄穴组和针刺对照组各 30 例。郄穴组以针刺郄穴 为主，对照组常规针刺。针刺2个疗程后观察患者的疗效，并记录治疗前后日本矫形 外科学会的腰痛疾病综合判定标准（JOA 评分）、视觉模拟量表（VAS 评分），观察两 组患者疼痛、生活能力的改善情况。结果：针刺郄穴组的疗效优于针刺对照组。两组 患者治疗后的VAS评分、JOA评分与治疗前相比均有改善且针刺郄穴组优于针刺对照 组，第二疗程的改善程度较第一疗程显著。结论：针刺郄穴为主治疗腰椎间盘突出症 可以明显提高其临床疗效，并且在改善腰椎间盘突出症患者疼痛症状、功能障碍、生 活能力等方面优于针刺对照组。 关键词 腰椎间盘突出症；郄穴；针刺治疗 Clinical Observation on the Therapeutic Effect of Acupuncture Xi （cleft ） Point for Lumbar Intervertebral Disc Protrusion Speciality: Acupuncture and Moxibustion Author:Xu Qunqun Tutor:Associate Professor Zhang Yongchen Abstract Objective: To observe and evaluate the clinical efficacy of acupuncture Xi （cleft ） point as a main treatment for lumbar intervertebral disc protrusion(LIDP), with a view to provide clinical basis for finding non-operative therapy for the treatment of LIDP.Methods:The research is performed on 60 patients with lumbar intervertebral disc protrusion. The 60 cases were randomly divided into the acupuncture Xi （cleft ）point group as the treatment group and the traditional-acupuncture group as the comparition group,with 30 cases for each group.All the patients were treated for two treatment period.We evaluate every case according to the following indexes before the treatment and after treatment:JOA 、VAS and the efficacy.Result: The acupuncture Xi （cleft ）point group was more effective than acupuncture control group.Both the index of JOA and VAS evaluation of the two groups are promoted after treatment. And the acupuncture Xi （cleft ）point group is superior to the comparition group acupuncture.There were also significant differences between the first and second course of treatment.Conclusion:The acupuncture Xi （cleft ）