定点旋转复位配合芒针治疗腰椎间盘突出症疗效观察  

Observations on the Efficacy of Fixed Rotation and Reposition plus Elongate Needles in Treating Lumbar Intervertebral Disc Herniation

作　　者：张志松 孙谊 

机构地区：[1]山东省荣成市中医院,山东264300

出　　处：《上海针灸杂志》2008年第10期24-25,共2页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察定点旋转复位配合芒针治疗腰椎间盘突出症的疗效。方法将400例患者随机分为治疗组200例、药物组100例、手法组100例,治疗组采用定点旋转复位配合芒针治疗,药物组口服布洛芬,手法组单纯采用定点旋转复位,治疗20天后观察疗效。结果治疗组总有效率为100%,药物组和手法组分别为84%、92%,三组疗效比较差异有统计学意义(P<0.05);三组随访,一年复发率治疗组为0,药物组为16%,手法组为6%。结论定点旋转复位配合芒针治疗腰突症总有效率优于单纯手法和药物治疗;其一年复发率亦低于后两者。Objective To investigate the efficacy of fixed rotation and reposition plus elongate needles in treating＇lumbar intervertebral disc herniation. Methods Four hundred patients were randomly allocated to a treatment group of 200 cases, a medication group of 100 cases and a manipulation group of 100 cases. The treatment group was treated by fixed rotation and reposition plus use of elongate needles, the medication group, by oral administration of Bnffen and the manipulation group by simple fixed rotation and reposition. The therapeutic effects were evaluated after 20 days of treatment. Results The total efficacy rate was 100% in the experiment group, 84% in the medication group and 92% in the manipulation group. There was a statistically significant difference in therapeutic effect among the three groups （P 〈0.05）. Follow-up showed that one year recurrence rate was 0 in the experiment group, 16% in the medication group and 6% in the manipulation group. Conclusion The total efficacy rate of fixed rotation and reposition plus elongate needles is higher than that of simple manipulation or medication in treatment of lumbar intervertebral disc herniation. One year recurrence rate is lower in the former than in the latter.

关 键 词：针刺 长针疗法 推拿 椎间盘移位 腰椎间盘突出症 

分 类 号：R246.2[医药卫生—针灸推拿学]