舒针联合低浓度三氧注射治疗腰椎间盘突出症  

Lumbar disc herniation treated with Shu-needle therapy and ozone injection of low concentration

作　　者：张银川 徐瑛瑛 杨双娥 包寿乾 张伶 

机构地区：[1]定西市妇幼保健院中医科,甘肃定西743000 [2]海军总医院治疗康复中心 [3]定西市中医院康复科

出　　处：《中国针灸》2012年第9期829-832,共4页Chinese Acupuncture & Moxibustion

基　　金：2011年甘肃省普通中医药科研立项资助项目:GZK-2011-39

摘　　要：目的:验证舒针联合低浓度三氧注射治疗腰椎间盘突出症的疗效。方法:130例腰椎间盘突出症患者随机分为舒针组和针刀组,每组65例。舒针组采用舒针疗法并联合低浓度三氧注射治疗,针刀组采用传统小针刀疗法并联合低浓度三氧注射治疗,10天治疗1次,3次为一疗程,1个疗程后观察两组临床疗效,统计治疗前后疼痛视觉模拟表(VAS)及Oswestry功能障碍指数评分,随访半年观察远期疗效。结果:舒针组临床治愈率69.2%(45/65),总有效率96.9%(63/65),针刀组分别为43.1%(28/65)、84.6%(55/65),舒针组优于针刀组(P<0.01,P<0.05)。两组治疗后VAS及Oswestry功能障碍指数评分较治疗前均明显下降(均P<0.05),且舒针组改善程度优于针刀组(均P<0.05)。半年后随访舒针组复发率为17.8%(8/45),低于针刀组的46.4%(13/28)(P<0.05)。结论:舒针联合低浓度三氧注射治疗腰椎间盘突出症疗效显著,且优于常规针刀联合低浓度三氧注射治疗。Objective To verify the efficacy on lumbar disc herniation treated with Shu-needle therapy in combi- nation with ozone injection of low concentration. Methods One hundred and thirty cases of lumbar disc herniation were randomized into a Shu-needle therapy group and an acupotomy group, 65 cases in each one. In the Shu-needle therapy group, Shu-needle therapy was used in combination with ozone injection of low concentration. In the acu- potomy group, tile conventional acupotomy therapy was applied in combination with ozone injection of low concen- tration. The treatment was given once every 10 days, 3 treatments made one session. After one session treatment, the clinieaI efficacy of two groups was ohserved, scores of visual analogue scale（VAS） and Oswestry disability index （ODI） were counted before and after treatment. The long-term efficacy was followed up in half a year. Results The clinical curative rate was 69.2%（45/65） and the total effective rate was 96.9% （63/65） in theShu needle therapy group. The curative rate was 43. 1% （28/65） and the total effective rate was 84.6% （55/65） in the acupotomy group. In comparison, the efficacy of the Shu-needle therapy group was superior to that of theacupoto- my group （P〈0.01, P〈0.05）. The scores of VAS and ODI were reduced obviously after treatment as compared with those before treatment in two groups （all P〈0.05）. The improvements in the Shu-needle therapy group were superior to those in the acupolomy group （both P〈0. 05）. In the follow-up observation, the recurrence rate in the Shu needle therapy group was lower than that in the acupotomy group [17. 8% （8/45） vs 46.4 % （13/28）, P〈0.05]. Conclusion Shu needle therapy in combination with ozone injection of low concentration achieves the supe- rior efficacy on lumbar disc herniation as compared with the acupotomy group.

关 键 词：椎间盘移位 腰椎 舒针 小针刀 

分 类 号：R246.2[医药卫生—针灸推拿学]