摘要
目的:分析穴位埋线治疗腰椎间盘突出症(LDH)患者的临床疗效。方法:选取2017年1月-2018年6月于佳木斯市中医院就诊的LDH患者300例。选取患者脐部乾卦、坎卦、震卦、巽卦以及患侧腰夹脊穴、环跳穴、风市、阳陵泉、殷门、承山穴,埋入2-0号可吸收缝合线。15 d/次,3次为1个疗程,患者接受1个疗程的穴位埋线治疗。评估患者治疗效果、治疗前后的腰腿痛VAS评分以及肌电腓总神经、胫后神经波幅与F波出现率的变化。结果:患者经过1个疗程的穴位埋线治疗后,腰腿痛症状较治疗前明显缓解,VAS评分较治疗前显著降低(P<0.05),患者肌电检测中腓总神经、胫后神经的运动波幅与F波出现率均较治疗前明显升高(P<0.05)。结论:穴位埋线可以有效缓解LDH患者腰腿痛等临床症状,促进下肢神经功能恢复,减少病情复发。
Objective: To analyze the clinical effect of acupoint catgut embedding in the treatment of Lumbar Disc Herniation(LDH). Method: A total of 300 LDH patients admitted to Jiamusi hospital of traditional Chinese medicine from January 2017 to June 2018 were selected. The umbilical cord Qiangua, Kangua, Zhengua, Xungua as well as the affected side waist Jiaji point, Huanxiao point, Fengshi point, Yanglingquan point, Yinmen point and Chengshan point were selected and buried into the 2-0 absorbable suture line. The patients received 1 course of acupoint catgut embedding therapy. The patients’ treatment effect, VAS score of lumbago and leg pain before and after treatment, amplitude of emg common peroneal nerve, posterior tibial nerve and F-wave occurrence rate were evaluated. Result: After 1 course of acupoint catgut embedding therapy, the symptoms of lumbar and leg pain were significantly relieved, VAS score was significantly lower than before treatment(P<0.05), and the motor amplitude and f-wave occurrence rate of the common peroneal nerve and posterior tibial nerve in the electromyographic test were significantly higher than before treatment(P<0.05). Conclusion: Acupoint catgutting can effectively relieve the lumbar and leg pain and other clinical symptoms in patients with lumbar disc herniation, promote the recovery of lower limb nerve function, and reduce the recurrence of the disease.
作者
邢武军
马跃琨
姬智
秦奎伟
黄德才
范晓云
赵敏
XING Wujun;MA Yuekun;JI Zhi;QIN Kuiwei;HUANG Decai;FAN Xiaoyun;ZHAO Min(Jiamusi Chinese Medicine Hospital,Jiamusi 154002,China)
出处
《中国医学创新》
CAS
2019年第34期85-89,共5页
Medical Innovation of China
基金
黑龙江省中医药管理局科研项目(ZHY16-080)
关键词
穴位埋线
腰椎间盘突出症
腓总神经
胫后神经
Acupoint catgut embedding
Lumbar disc herniation
Common peroneal Nerve
posterior tibial nerve
