温通针法治疗腰椎管狭窄症临床观察  

Clinical Observation on Warm-dredging Needling Method for Lumbar Spinal Stenosis

作　　者：口锁堂 吴耀持[2] 汪崇淼[2] 蔡秀水 陈晞 刘顺超 张俊峰[2] 唐新 孟巍巍 唐银娟 陆伟峰 倪菁琳 

机构地区：[1]上海市天山中医医院伤骨科,上海200051 [2]上海市第六人民医院针推伤科,上海200233 [3]上海市长宁区天山路街道社区卫生服务中心,上海200051

出　　处：《上海针灸杂志》2011年第12期845-847,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海市卫生局2009-2010年度社区及农村中医药服务科研专项计划(2009S016);上海市长宁区卫生系统"明日之星"培养计划项目

摘　　要：目的观察温通针法和普通针刺治疗腰椎管狭窄症(LSS)疗效差异性,提倡临床运用针刺手法。方法 154例LSS患者按随机数字表随机分为对照组(77例)和治疗组(77例),在治疗前后采用LSS症状体征评分、脊髓功能评分、生活质量评分、疗效、随访等方面比较。结果两种方法治疗LSS在症状体征评分、脊髓功能评分、生活质量评分、疗效、随访等方面有差异(P<0.05)。结论 两种针刺方法对LSS都有治疗作用,温通针法疗效优于普通针刺方法,且疗效较稳定。Objective To observe the difference of therapeutic effects between warm-dredging needling method and ordinary needling method in treating lumbar spinal stenosis （LSS）, and to promote the application of needling manipulations in clinic. Method A total of 154 patients with LSS were randomized into a control group （n=77） and a treatment group （n=77） according to the random number table. The LSS sign and symptom scoring system, spinal function rating scale, quality of life, therapeutic effects and follow-up study were adopted in the comparison before and after treatment. Result There were significant differences between the two needling methods for LSS in comparing the sign and symptom scores, spinal function score, quality of life, therapeutic effects and follow-up study results （P〈0.05）. Conclusion The two needling methods were both effective in treating LSS. However, compared with the ordinary needling method, the warm-dredging needling method has better and more stable therapeutic effect.

关 键 词：针刺 刺法 温通针法 腰椎管狭窄症 

分 类 号：R246.2[医药卫生—针灸推拿学]