电针疗法在腰椎间盘突出症中的应用：随机对照  

Electro-acupuncture therapy for lumbar intervertebral disc protrusion:A randomized controlled study

作　　者：张必萌[1] 吴耀持[1] 邵萍[2] 沈健[3] 金如峰[4] 

机构地区：[1]上海交通大学附属第六人民医院针推伤科,上海市200233 [2]上海市中医医院伤骨科,上海市200071 [3]上海中医药大学附属曙光医院儿科,上海市200021 [4]上海中医药大学医学统计学教研室,上海市201203

出　　处：《中国组织工程研究与临床康复》2008年第2期353-355,共3页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：目的:验证电针疗法在改善腰椎间盘突出症的主要症状体征以及副反应方面存在优势,对电针治疗腰椎间盘突出症的疗效进行客观评价。方法:①对象:选择2005-01/2006-01在上海交通大学附属第六人民医院腰椎间盘突出症诊治中心、上海市中医医院门诊就诊的腰椎间盘突出症患者200例,经患者同意入选本试验。G6805-Ⅱ型电针仪(上海高新医疗器械公司);30#1.5寸和3寸的不锈钢毫针(华佗牌、苏州医疗用品厂生产);莫比可(MOBIC)片剂(德国勃林格殷格翰国际公司出品)。②分组:随机分为观察组100例,对照组100例。③干预:观察组取夹脊穴、腰阳关、环跳、阳陵泉为基本穴位,取30#1.5寸和3寸的不锈钢毫针针刺,得气后接G6805-Ⅱ型电针仪,选用连续波,频率为4Hz,电流强度2mA,持续时间为20min。观察组用莫比可片剂,7.5mg/d;以上两组治疗1次/d,连用10d,休息5d后,再用10d。④分别对患者的腰痛、下肢痛或麻木、步行能力、感觉障碍、直腿抬高以及肌力的改善进行观察。结果:①观察组治疗腰椎间盘突出症的总有效率高于对照组(86.53%,75.00%,P<0.01);观察组腰痛、下肢痛或麻木、步行能力、直腿抬高以及肌力的改善优于对照组(P<0.01)。②对照组存在纳差、恶心、上腹痛、水肿以及头晕头痛等副反应;观察组除了局部血肿外,未见明显副反应。结论:电针疗法在改善腰椎间盘突出症的主要症状体征以及副反应方面存在优势。AIM： This study was intended to verify the advantages of electro-acupuncture therapy on improving the symptoms and side effects of lumbar intervertebral disc protrusion and to validate the clinical effect of electro-acupuncture in treating lumbar intervertebral disc protrusion. METHODS： （1）Totally 200 patients with lumbar intervertebral disc protrusion, who were treated at Sixth People＇s Hospital Affiliated to Shanghai Jiao Tong University and Shanghai Hospital of Traditional Chinese Medicine from January 2005 to January 2006, were enrolled. They all singed the informed consent. G6805-Ⅱ electro-acupuncture apparatus was provided by Shanghai Gaoxin Medical Instrument Company. 30# 1.5 cun and 3 cun stainless steel acupuncture needle was Brand Huatuo and offered by Suzhou Medical Article Factory. Mobic tablets were provided by Germany Bolingeyingehan International Company. （2）The patients were randomly divided into observational group （n =100） and control group （n = 100）. （3）The Jiaji （EX B 2）, Yaoyangguan （Du 3）, Huantiao （GB 30） and Yanglingquan （G 34） were applied in observational group with 30# 1.5 cun and 3 cun stainless steel acupuncture needle and then frequency of 4 Hz and current intensity of 2 mA G6805- Ⅱ electro-acupuncture apparatus, continuous wave for 20 minutes. Mobic was taken in the observational group, 7.5 mg per day. The treatment in both the groups were given once a day for 10 days, with an interval of 5 days, then given for another 10 days. （4）The improvement of lumbago, pain or numbness of lower limb, walking ability, sensory disability, raising straight leg and muscle strength was observed. RESULTS： （1）The total efficacy percent of observational group was higher than that of the control group （86.53%, 75.00%, P 〈 0.01 ） . The improvement of lumbago, pain or numbness of lower limb, walking ability, raising straight leg and muscle strength was better in the observational group than the control group （P 〈 0.01）. （2）There were

关 键 词：椎间盘移位 针灸疗法 电针 组织构建 

分 类 号：R681.53[医药卫生—骨科学]