通督温经法治疗腰椎间盘突出症临床观察.docVIP

通督温经法治疗腰椎间盘突出症临床观察 　　摘 要 目的：观察通督温经法治疗腰椎间盘突出症的疗效。方法：收集2015年9月至2016年9月收治的腰椎间盘突出症患者100例，随机分为治疗组50例，采用电针督穴配合温灸法治疗，对照组50例，采用温经法治疗。观察两组临床疗效。结果：治疗组脱落2例，对照组脱落1例。治疗组治疗总有效率为95.83%（46/48）；对照组治疗总有效率为85.71%（42/49），组间差异有统计学意义（P0.05）。结论：电针督穴结合温经法治疗腰椎间盘突出症的疗效优于单纯温经法，值得推广。 　　关键词 腰椎间盘突出症；电针；温针灸；督脉 　　中图分类号：R681.5+7 文献标志码：A 文章编号：1006-1533（2017）12-0029-03 　　Clinical observation of dredging Du meridian and warming meridian method in the treatment of lumbar disc herniation 　　ZHANG Ranran1， CHEN Limin1， SUN Pengfei， WANG Lei1， ZHANG Mengjiao1， JIANG Hongjun1， SUN Yijun2， WU Yaochi2（1.Hongqiao Community Health Service Center of Changning District， Shanghai 200051， China； 2.Shanghai No.6 People’s Hospital， 　　Shanghai 200233， China） 　　ABSTRACT Objective： To observe the therapeutic effect of dredging Du meridian and warming meridian method in the treatment of lumbar disc herniation. Methods： From Sept. 2015 to Sept. 2016， 100 cases of lumbar disc herniation were collected and divided into a treatment group with 50 cases and treated with electro-acupuncture on Du acupoint combined with warming moxibustion therapy， and a control group with 50 cases and only treated with the warming meridian method. The clinical efficacy of the two groups was observed. Results： The treatment group dropped out of 2 cases， and the control group dropped out of 1 case. The total effective rate of the treatment group was 95.83%（46/48）， the total effective rate of the control group was 85.71%（42/49）， and the difference was statistically significant （P0.05）. Conclusion： The effect of electro-acupuncture on Du acupoint combined with warming meridian method in the treatment of lumbar disc herniation is better than that of the simple warming method. 　　KEY WORDS lumbar disc herniation； electro-acupuncture； needle warming moxibustion； Du meridian 　　腰椎间盘突出症指椎间盘退行性改变、纤维环破裂、髓核突出压迫神经根或马尾神经所产生的临床症候群[1]，临床以腰痛、下肢放射痛及麻木为主[2]。随着人们生活习惯的改变，本病已成为社区的常见病和多发病，且患者发病年龄也在不断年轻化。针灸是祖国传统医学的治疗方法，因其疗效显著，无毒副作用而成为最常用的治疗腰椎间盘突出症的非手术方法之一[3]。本