摘要
[目的]观察温针灸治疗腰椎间盘突出症疗效。[方法]使用随机平行对照方法,将112例住院患者按病志号抽签方法随机分为两组。对照组56例腰痛宁,1.5g/次,1次/d,口服;急性期复方丹参注射液250m L,甘露醇250m L,静滴,持续5d。治疗组56例温针灸,患者仰卧位,酒精消毒后,0.35×50mm针灸针,委中、阳陵泉、承扶、命门、腰阳关、腰俞、命门及肾俞等穴位,直刺,捻转补法2~3min,夹脊进针后针尖达椎弓板处,以明显酸胀感为最佳,清艾条切2cm段状,垂直插入命门处针柄,皮肤垫保护片,点燃艾条,2条/次,1次/d。连续治疗15d为1疗程。观测临床症状、直腿抬高试验、镇痛有效时间、疼痛消失时间、疼痛程度评分、不良反应。连续治疗2疗程(30d),判定疗效。[结果]治疗组显效32例,有效22例,无效2例,总有效率96.43%;对照组显效28例,有效15例,无效13例,总有效率76.79%;治疗组疗效优于对照组(P<0.01)。镇痛有效时间、疼痛消失时间两组均有改善(P<0.01,P<0.05),治疗组改善优于对照组(P<0.01)。疼痛评分两组均有改善(P<0.01),治疗组改善优于对照组(P<0.01)。[结论]温针灸治疗腰椎间盘突出症,疗效满意,无严重不良反应,值得推广。
[Objective] To observe the therapeutic effect of warming needle moxibustion on lumbar disc herniation. [Methods] 112 cases of inpatients were randomly divided into two groups by random parallel control method. In the control group,56 cases were treated with lumbago,1.5 g/times,1 times/d,oral administration,compound salvia injection 250 m L,mannitol 250 m L in the acute phase,intravenous drip,continuous 5 d. In the treatment group,56 cases of warm acupuncture and moxibustion,patients in the supine position,after alcohol disinfection,0.35×50 mm acupuncture needle,the acupoints in the Central Committee,Yang Mausoleum,Cheng Fu,life gate,waist Yang Guan,Yao gate and Shenshu and so on,direct puncture,twisting and twisting 2-3 min,the needle tip to the vertebra arch plate at the end of the needle,in order to clear the sense of acid swelling as the best,and clear the 2 cm section with the clearance bar. Directly insert the needle handle on the door of the door,protect the skin pad,ignite the moxa stick,2 strips/times,1 times/d. The continuous treatment of 15 d was 1 courses. Observe clinical symptoms,straight leg raising test,analgesic effective time,pain disappear time,pain score,adverse reactions. 2 courses of continuous treatment（30 d） were used to determine the curative effect. [Results] 32 cases were found in the treatment group,22 cases were effective,2 cases were invalid,the total effective rate was 96.43%,the control group was 28 cases,15 cases were effective,13 cases were invalid and the total effective rate was 76.79%. The curative effect of the treatment group was better than the control group（P〈0.01）. The effective time of analgesia and the time of pain disappeared were improved in the two groups（P〈0.01,P〈0.05）,and the improvement in the treatment group was better than that in the control group（P〈0.01）.Pain scores in the two groups were improved（P〈0.01）,and the improvement in the treatment group was better than that in the control group（P〈0.01）. [Conclusion] The therapeutic effect of warming needle moxibustion on lumbar disc herniation is satisfactory,and there is no serious adverse reaction. It is worth promoting.
作者
袁志荣
YUAN Zhirong(Acupuncture and Moxibustion Department of Wuyang County Hospital of Traditional Chinese Medicine, Wuyang 462600,Henan,Chin)
出处
《实用中医内科杂志》
2018年第5期56-58,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
腰椎间盘突出症
腰痛
温针灸
腰痛宁
复方丹参注射液
甘露醇
直腿抬高试验
镇痛有效时间、疼痛消失时间、疼痛程度评分
随机平行对照研究
lumbar disc herniation
lumbago
warm acupuncture
low back pain Ning
compound salviamihiorrhiza injection
mannitol
straight leg elevation test
analgesic effective time
pain disappearance time
pain degree score
random parallel control study
