夹脊电针配合激光针刀治疗腰椎间盘突出症:多中心随机对照试验  

Multiple central clinical test of electroacupuncture at Jiaji (EX-B 2) combined with laser needle-knife for treatment of lumbar disc herniation

作　　者：穆敬平[1] 程建明[1] 敖金波[1] 杨定荣[1] 赵大贵[1] 高明[2] 李玉娥 

机构地区：[1]郧阳医学院附属太和医院针灸科,湖北十堰442000 [2]上海中医药大学 [3]宜昌市人民医院康复科

出　　处：《中国针灸》2007年第8期553-556,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察夹脊电针配合激光针刀治疗腰椎间盘突出症的临床效应。方法:将120例腰椎间盘突出症患者按随机数字表法分为夹脊电针组、激光针刀组和综合组(夹脊电针加激光针刀),采用SF-MPQ积分观察治疗前后不同时段症状变化。结果:115例完成全部研究,综合组SF-MPQ积分明显低于激光针刀组和夹脊电针组(P<0.01,P<0.05),激光针刀组在治疗2周末SF-MPQ积分与夹脊电针组相比差异有非常显著性意义(P<0.01),在治疗1周和3周末则无统计学差异(P>0.05)。综合组半年后复发率明显低于激光针刀组和夹脊电针组(P<0.05)。结论:夹脊电针配合激光针刀可明显提高临床疗效,减轻患者疼痛,降低复发。Objective To observe therapeutic effect of electroacupuncture （EA） at Jiaji （EX-B 2） combined with laser needle-knife on lumbar disc herniation. Methods One hundred and twenty eases of lumbar disc herniation were divided into an Jiaji EA group, a laser needle-knife group and a combination group （Jiaji EA plus laser needle-knife） according to random number table. Changes of symptoms at different Stages before and after treatment were investigated with SF-MPQ cumulative scores. Results All the 115 eases completed all of the study, SF-MPQ score in the combination group was significantly lower than those in the Jiaji EA group and the laser needle-knife group （P〈0.01, P〈0.05）, with a significant difference at the end of treatment of 2 weeks （P〈0.01） between the laser needle-knife group and the Jiaji EA group, and with no significant difference at treatment of 1 week and 3 weeks （P〉0. 05）. The recurrence rate at a half year later in the combination group was significantly lower than those in laser needle-knife group and the Jiaji EA group （P〈0.05）. Conclusion EA at Jiaji （EX-B 2） combined with laser needle-knife can significantly increase clinical therapeutic effect, alleviate pain of the patient and reduce recurrence.

关 键 词：电针 小刀针 腰椎 椎间盘移位/针灸疗法 椎间盘移位/治疗 多中心研究 

分 类 号：R246.2[医药卫生—针灸推拿学]