摘要
目的:观察分层穴位注射合电针、普通穴位注射合电针及单纯分层穴位注射3种治疗方法治疗腰椎间盘突出症的临床疗效。方法:将138例腰椎间盘突出症患者随机分为3组。A组48例采用分层穴位注射合电针疗法;B组46例采用普通穴位注射合电针疗法;C组44例采用分层穴位注射法。分层穴位注射分深浅两层,深层是注射至神经根附近,浅层注射至肌肉层;普通穴位注射只注射在肌肉层。穴位注射药物为维生素B12注射液和当归注射液;A组和B组电针方法相同。观察3种治疗方法总有效率、疼痛消除时间及复发率。结果:3组患者经治疗疼痛均有消失或减轻,A组总有效率为95.8%;B组总有效率为93.5%;C组总有效率为93.2%;临床总有效率相当,无显著性差异(P>0.05)。但患者疼痛消失治疗次数有差异,A组疼痛消失的治疗次数明显低于B组(P<0.01),C组疼痛消失治疗次数也低于B组(P<0.05);而A组和C组患者疼痛消失治疗次数无明显差异(P>0.05)。患者半年内腰部疼痛复发A组占13.0%,B组占16.3%,C组占48.8%,A组和B组的复发率无明显差异(P>0.05),但明显低于C组(P<0.01)。结论:分层穴位注射合电针治疗腰椎间盘突出症能够缩短病程,减少复发。
Objective： To compare tile therapeutic effects of different depth acupoint - injection combined with electroacupuncture and routine acupoint -injection combined with electroacupuncture and different depth acu- point -injection on lumbar intervertebral disc protrusion（ LIDP）. Methods：One hundrend and thirty -eight ca- ses of LIDP were randomly divided into three groups. A group （n = 48 ）adopted defferent depth acupoint -injec- tion and electroacupuncture ; B group （ n = 46 ） adopted general acupoint - injection and electroacupuncture ; C group（ n =44） adopted differerent depth acupoint- injection. The total effective rate, the time of pain relief and relapse rate were compared. Results：In comparison with three groups, the total effective rate was no significant difference（P 〉0.05）;the treating times of pain relief of A group and C group were less than that in B group （ P 〈 0.05 ） ; the relapse rate of A group and B group had significant differences compared with C group （ P 〈 0. 01 ）. Conclusion：Different depth acupoint -injection combined with electroacupuncture can shorten the time of pain relief and decrease relapse rate.
出处
《针灸临床杂志》
2013年第4期37-40,共4页
Journal of Clinical Acupuncture and Moxibustion
关键词
穴位注射
电针疗法
维生素B12注射液
当归注射液
腰椎间盘突出症
Acupoint - injection
Electroacupuncture
Vitamin B12 injection
Danggui injection
Lumbar inter-vertebral disc protrusion
