腹针治疗腰椎间盘突出症临床观察  

Clinical Observation on Abdominal Acupuncture Treatment for Lumbar Intervertebral Disc Herniation

作　　者：李勇[1] 符文彬[1] 郭元琦[1] 蒙昌荣[1] 

机构地区：[1]广东省中医院,广州510120

出　　处：《上海针灸杂志》2009年第2期92-94,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：广东省中医药管理局资助项目(1050103)

摘　　要：目的比较腹针与常规针刺治疗腰椎间盘突出症的疗效差异。方法将180例腰椎间盘突出症患者随机分为腹针组90例及针刺组90例。确定治疗处方、针刺深度、手法、留针时间、疗程。采用简化McGill疼痛量表、改良日本骨科学会下腰痛评分法M-JOA评分,由第三者进行盲法评价,对结果进行意向性治疗分析判定疗效。结果腹针组90例,结果优49例,占54.4%,良24例,占26.7%,可13例,占14.5%,差4例,占4.4%,总有效率95.6%;针刺组90例,结果优42例,占46.7%,良22例,占24.4%,可19例,占21.1%,差7例,占7.8%,总有效率92.2%。结论经统计学处理分析,表明两组总有效率比较差异无统计学意义,但两组优良率比较差异具有统计学意义,腹针组优于针刺组。Objective To compare the efficacy of abdominal acupuncture with conventional acupuncture in treating lumbar intervertebral disc herniation. Methods One hundred and eighty patients with lumbar intervertebral disc herniation were randomly allocated to an abdominal acupuncture group of 90 cases and a conventional acupuncture group of 90 cases. The prescription, needle insertion depth and techniques, needle retention time, and treatment course were worked out. The therapeutic effects were evaluated by blinded assessors using McGill pain questionnaire and modified Japanese Orthopaedics Association Low Back Pain Score （M-JOA）. Results Of the 90 cases of the abdominal acupuncture group, 49（54.4%） obtained an excellent effect, 24（26.7%） obtained a good effect, 13（14.4%） obtained a fair effect and 4（4.4%） obtained a poor effect, with a total efficacy rate of 95.6%. Of the 90 cases of the conventional acupuncture group, 42（46.7%） obtained an excellent effect, 22（24.4%） obtained a good effect, 1（21.1%） obtained a fair effect and 7（7.8%） obtained a poor effect, with a total efficacy rate of 92.2%. Conclusion Statistical analysis showed that there was no significant difference in the total efficacy rate between the two groups, but there was a significant difference in the excellent-good rate between the two groups. The effect was better in the abdominal acupuncture group than in the conventional acupuncture group.

关 键 词：椎间盘移位 腰椎间盘突出症 针刺疗法 腹针疗法 

分 类 号：R246.2[医药卫生—针灸推拿学]