温通针法治疗腰椎管狭窄症远期疗效观察  

Clinical observation on the long term effect of warming-promotion acupuncture on lumbar spinal stenosis

作　　者：陆伟峰 口锁堂 倪菁琳 

机构地区：[1]上海市长宁区天山路街道社区卫生服务中心,上海200051 [2]上海市长宁区天山中医医院

出　　处：《中国针灸》2012年第1期17-20,共4页Chinese Acupuncture & Moxibustion

基　　金：上海市卫生局中医药专项课题项目: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法治疗腰椎管狭窄症(LSS)疗效差异。方法:LSS患者60例按随机数字表随机分为普通针法组(30例)和温通针法组(30例)。两组均取大椎、命门、夹脊等穴,普通针法组采用普通针刺,不实行特殊针刺手法;温通针法组采用温通针法手法治疗。两组均每日1次,10次为一疗程,共治疗2个疗程。比较两组LSS症状体征、脊髓功能状态、生活质量评分及临床疗效。结果:治疗后3个月,温通针法组的症状、体征综合评分为6.30±1.92,而普通针法组为4.67±3.70。治疗后,脊髓功能评分温通针法组为7.03±1.03,而普通针法组为6.33±1.12;生活质量评分温通针法组为53.67±8.91,而普通针法组为64.50±16.69。两组间各评分比较差异均有统计学意义(均P<0.05)。温通针法组有效率为90.0%(27/30),普通针法组为80.0%(24/30),差异具有统计学意义(P<0.05)。结论:温通针法治疗LSS疗效优于普通针刺方法。Objective To observe the difference effects between warming-promotion acupuncture and normal acupuncture on lumbar spinal stenosis（LSS）.Methods Sixty cases of LSS were randomly divided into a normal acupuncture group（30 cases） and a warming-promotion acupuncture group（30 cases）.The two groups both chose Dazhui（GV 14）,Mingmen（GV 4）,Jiaji（EX-B 2）,etc.Normal method without special manipulation was used in normal acupuncture group,while the warming-promotion manipulation was used in warming-promotion acupuncture group,all once daily,10 treatments made one session.Compare the symptoms and spinal cord function of LSS,quality of life（QOL）and clinical effect in the two groups.Results The comprehensive score of symptoms of LSS in warming-promotion group 3 months after treatment was 6.30±1.92,while that in normal acupuncture group was 4.67±3.70.The score of spinal cord function in warming-promotion group after treatment was 7.03±1.03,while that in normal acupuncture group was 6.33±1.12.The score of QOL in warming-promotion group after treatment was 53.67±8.91,while that in normal acupuncture group was 64.50±16.69.All the differences between these scores in two groups were statistically significant（all P0.05）.The total effective rate was 90.0%（27/30）in warming-promotion group,and 80.0%（24/30）in normal acupuncture group.The effect of warming-promotion group was better than that in normal acupuncture group（P0.05）.Conclusion In the field of treating LSS,the effect of warming-promotion acupuncture is better than normal acupuncture.

关 键 词：腰椎管狭窄症 针灸疗法 温通疗法 

分 类 号：R246.2[医药卫生—针灸推拿学]