摘要
目的:探讨以针灸为主治疗腰椎间盘突出症的特效穴位。方法:将82例患者随机分为治疗组45例和对照组37例。两组均采用针灸、牵引、推拿综合治疗,治疗组在针灸时采用常规取穴加大肠俞深刺,对照组仅取针灸常规穴位,其余治疗两组相同。治疗2个疗程后进行疗效评定;并采用Mcgill量表对两组患者疼痛程度进行比较评定;随访1年比较两组复发率。结果:治疗组总有效率95.6%,对照组总有效率83.8%,两组差异具有显著性意PRI总分、直观模拟量表(visual analohuc scales,VAS)、现在疼痛程度(the present pain intensity,PPI)5个方面进行比较,差异具有显著性意义(分别为t=2.871、3.15、4.40、4.92、3.06,P均<0.01);随访1年复发率治疗组为8.9%,对照组21.7%,两组差异具有显著性意义(P<0.05)。结论:以大肠俞深刺为主治疗腰椎间盘突出症的疗效和镇痛效果均明显优于常规取穴,且复发率低。
Objective： To explore the acupuncture treatment of lumbar disc herniation mainly effects of the acupuncture points. Methods： 82 patients were randomly divided into treatment group 45 cases and 37 cases of the control greup. The twe groups using acupuncture, traction, massage combined therapy, the treatment group in the use of conventional acupuncture point selection to increase Dachangshu deep acupuncture in the control group only conventional acupuncture points, and the remaining two sets of the same treatment. Treatment after two courses of treatment efficacy evaluation; Megill scale used for the two groups were compared in patients with pain assessment; follow-up of 1 year recurrence rate were compared between two groups. Results： The total effective rate 95.6%, control group 83.8% of the total effective rate, differences in the two groups with significant （ X^2=6.852, P〈0.05）; ef the two groups in the Megill Pain Assessment Scale in the index （the pain rating index, PRI） at the feeling, PRI emotional points, PRI score, visual analogue scale （visual analohuc scales, VAS）, pain now （the present pain intensity, PPI） 5 comparison areas, the difference with a significant （respectively t= 2.871,3.15, 4.40,4.92,3.06, P all 〈0.01）; fellow-up of 1 year recurrence rate of 8.9% treatment group, 21.7% of the control group, differences between the two groups with significant （P〈0.05）. Conclusion： The deep acupuncture in the Dachangshu based treatment of lumbar disc herniation and the analgesic effect was significantly better than conventional point selection, and low recurrence rate.
出处
《辽宁中医药大学学报》
CAS
2009年第8期178-180,共3页
Journal of Liaoning University of Traditional Chinese Medicine
关键词
腰椎
椎间盘移位
针灸疗法
大肠俞
针刺深度
lumbar spine
intervertebral disk displacement
acupuncture therapy
Dachangshu
deep acupuncture
