平衡针治疗腰椎间盘突出症疗效观察  

Observations on the Therapeutic Effect of Balancing Acupuncture on Lumbar Intervertebral Disc Herniation

作　　者：陈秋菊[1] 王文远[1] 李瑞[1] 

机构地区：[1]北京中医药大学,北京100029

出　　处：《上海针灸杂志》2013年第1期1-4,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家重点基础研究发展计划(2007CB512704)

摘　　要：目的观察平衡针治疗腰椎间盘突出症的临床疗效并作出综合评价。方法将287例腰椎间盘突出症患者随机分为治疗组143例和对照组144例。治疗组采用平衡针治疗,单取"腰痛"穴,对照组采用常规针刺治疗。从镇痛、改善功能障碍及临床疗效3个方面对两组进行综合评价。结果治疗组总有效率为92.0%,对照组为87.8%,两组比较差异具有统计学意义(P<0.05)。治疗组治疗1次、2次和4次后疼痛改善率与对照组比较,差异均具有统计学意义(P<0.01)。治疗组治疗20次后及第2次随访时疼痛改善率与对照组比较,差异均具有统计学意义(P<0.05)。两组治疗后医生疼痛评分比较,差异具有统计学意义(P<0.01)。两组治疗1次、20次后PRI各项评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗20次后PRI各项评分与对照组比较,差异均具有统计学意义(P<0.05)。治疗组治疗1次、20次后VAS评分与对照组比较,差异均具有统计学意义(P<0.01,P<0.05)。治疗组治疗18次、20次后及随访1、2、3次时0swestry功能障碍指数与对照组比较,差异均具有统计学意义(P<0.05)。结论在镇痛方面,治疗组有明显的即时镇痛作用并有较好的远期疗效;在功能障碍改善方面,两组作用相近,但远期的疗效则显示出平衡针的优势;在临床疗效方面,治疗组疗效明显优于对照组,尤其是临床治愈率及总体有效率均高于对照组。Objective To investigate the clinical efficacy of balancing acupuncture in treating lumbar intervertebral disc herniation and make a comprehensive evaluation. Methods Two hundred and eighty-seven patients with lumbar intervertebral disc herniation were randomly allocated to a treatment group of 143 cases and a control group of 144 cases. The treatment group received balancing acupuncture at point Yaotong alone and the control group, conventional acupuncture. A comprehensive evaluation of three aspects： analgesic effect, functional improvement and clinical therapeutic effect was made in the two groups. Results The total efficacy rate was 92.0% in the treatment group and 87.8% in the control group; there was a statistically significant difference between the two groups （P〈0.05）. There was a statistically significant difference in the pain relief rate after one, two and four sessions of treatment （P〈0.01） and also after 20 sessions of treatment and at the second follow-up （P〈 0.05） between the treatment and control groups. There was a statistically significant post-treatment difference in the doctor-assessed pain score between the two groups （P〈0.01）. In the two groups, there were statistically significant differences in the sores of various PRI items between before treatment and after one or 20 sessions of treatment （P〈0.01）. There were statistically significant differences in the sores of various PRI items after 20 sessions of treatment between the treatment and control groups （P〈0.05）. There was a statistically significant difference in the VAS score after one and 20 sessions of treatment between the treatment and control groups （P〈0.01,P〈0.05）. There was a statistically significant difference in the Oswestry Disability Index score after 18 and 20 sessions of treatment and at the first, second and third follow-ups between the treatment and control groups （P〈0.05）. Conclusions As for analgesia, there were marked immediate and better long-term analgesic effects in

关 键 词：针刺疗法 椎间盘移位 平衡针 腰椎间盘突出症 

分 类 号：R246.2[医药卫生—针灸推拿学]