大椎、关元对腰椎间盘突出症临床疗效影响.docVIP

大椎、关元对腰椎间盘突出症临床疗效影响 　　[摘 要] 目的：探讨大椎、关元对腰椎间盘突出症临床疗效的影响，以及任督脉在腰椎间盘突出症临床治疗上的指导意义。方法：将427例腰椎间盘突出症患者随机单盲分为常规(循经取穴)组、常规加大椎组和常规加关元组进行治疗观察，采用u检验评定比较各组间疗效。结果：加大椎组和加关元组的治愈率与常规组比较，差异有显著或非常显著性意义(P0.05)。结论：大椎、关元可以提高腰椎间盘突出症的治愈率，调节任督、温补阳气可能是治疗腰椎间盘突出症的重要手段和方法之一。[主题词] 椎间盘移位/针灸疗法；穴，大椎；穴，关元 Influence of GV 14 and CV 4 on clinical therapeutic ef fects of intravertebral disk displacement Lin Zhiwei, Zhang Yongshu, Li Jian, et al. (Department of Acupuncture Moxibustion Quanzhou Hospital of TCM, Fujian 362000, China) ABSTRACT Objective To observe influence of Dazhui (GV 14) and Guanyuan (CV 4) on clinical therapeutic effect of intervertebral disk disp lacement, and probe into the action of the Conception Vessel and the Governor Ve ssel in treatment of intervertebral disk displacement. Methods 427 cases of intervetebral disk displacement were randomly divided by sing le-blind method into routine group (acupoint selection along channel), routine plus Dazhui group, and routine plus Guanyuan group, and therapeutic effects were observed. Results There was a significant difference in the cured rate in the routine plus Dazhui group and the routine plus Guanyuan group as compared with the routine group (P0.05). Conclusion Dazhui (GV 14) and Guanyuan (CV 4) can inc rease the cured rate of intervetebral disk displacement, indication that regu-lat ing the Conception Vessel and Governor Vessel, and warm reinforcing Yang-Qi are possibly one of important ways for treatment of intervetebral disk disp lacement. KEY WORDS Intervertebral Disk Displacement/acup ther; Point GV 14 (Dazhui); Point CV 4 (Guanyuan) 　　腰椎间盘突出症是以腰腿疼痛、活动不利为主诉的针灸科常见病和多发病。笔者自1997年起将其作为针灸治疗研究的单病种之一，已取得较好的疗效。现就1999年12月～2002年1月在门诊治疗的腰椎间盘突出症患者427例，分别采用常规(循经取穴)针刺治疗和常规加大椎穴、常规加关元穴治疗3种不同治疗方法观察临床疗效，报道如下。1 临??资料1.1 一般资料 　　427例中，男298例，女129例；年龄19～74岁，其中30岁以下58例，31～45岁197例，46～60 岁93例，61岁以上79例；病程3天～15年。左侧发病307例，右侧发病20例，双侧发病42例，单纯腰痛58例。CT检查示中央型突出341例，左侧型突出69例，右侧型突出17例。单个椎间盘突出216例，两个椎间盘以上突出211例；轻度突出(≤4.0 mm) 154例，中度突出(4.1～9.0 mm)266例，重度突出(9.0