平衡针改善腰椎间盘突出症疼痛的随机对照研究  

Randomized Controlled Trails for “Equilibrium-acupuncture” Treatment of Lumbar Pain in Patients with Lumbar Intervertebral Disc Prolapse

作　　者：韩笑[1] 马文珠[1] 王文远[2] 

机构地区：[1]北京中医药大学针灸推拿学院,北京100029 [2]北京军区总医院全军平衡针灸治疗培训中心,北京100125

出　　处：《针刺研究》2013年第1期57-63,共7页Acupuncture Research

基　　金：国家"973"课题平衡针疗法治疗颈肩腰腿痛的基础研究(No.2007CB 512704)

摘　　要：目的:观察平衡针法改善腰椎间盘突出症疼痛症状的疗效。方法:采用随机对照试验,将纳入的受试者随机分为平衡针组143例和传统针组144例。平衡针组取平衡针腰痛穴,平刺进针,得气即出针;传统针组取阿是、委中、夹脊、肾俞等穴,留针30min。两组均每日治疗1次,共治疗20次。观察疼痛改善率和简式疼痛量表(包括疼痛分级指数、视觉模拟量表、现时疼痛强度)的变化情况。结果:两组治疗后比较,疼痛改善率及疼痛分级指数总分、视觉模拟量表评分、现时疼痛状况,平衡针组略显优势,既体现在即时效果,也表现在远期疗效方面(P<0.05)。结论:平衡针能很好地改善腰椎间盘突出症的疼痛症状,既有即时效果,也有远期疗效。Objective To observe the effect of ＂equilibrium-acupuncture＂ intervention on lumbar pain in lumbar interver- tebral disc prolapse patients. Methods A total of 287 patients with lumbar intervertebral disc prolapse syndrome were random- ly assigned to equilibrium acupuncture group （n = 143） and routine acupuncture group （n = 144） using SAS （Statistical Analysis System） Software. Patients of the equilibrium acupuncture group were treated by acupuncture stimulation of bilateral ＂Yaotong＂ point （at the middle site of the forehead） and those of the routine acupuncture group treated by acupuncture stimulation of Ashi- points, Weizhong （BL 40）, Jiaji （EX-B 2）, Shenshu （BL 23）, etc. The treatment was conducted once daily for 20 days, then, 3 months＇ follow-up was given. Pain scores including pain rating index （PRI） and visual analogue scale （VAS） were given to the patients before and after the treatment using Chinese version of Short-Form of McGill Pain Questionnaire. Present pain intensity （PPI） was evaluated after the treatment. Results Before the treatment, no significant differences were found between the equi- librium acupuncture group and the routine acupuncture group in PRI and VAS scores （P〈0.05）. Following the treatment, the pain symptom was apparently improved in both groups, and the rates of pain improvement （including excellent, good and moderate im- provement rates） of the equilibrium acupuncture group were significantly higher than those of the routine acupuncture group from the 1^st to the 4^th treatment sessions, in the 20^th treatment session and the 2nd follow-up（P〈0.05） ; and the PRI and VAS scores of the equilibrium acupuncture group were significantly lower than those of the routine acupuncture group after the 18^th and 20^th sessions of treatment and the 3 months＇ follow-up （P〈0.05）. The cases and percentages of patients without pain （PPI rating） were sig- nificantly more in the equilibrium acupuncture group than in the rou

关 键 词：平衡针 腰椎间盘突出症 针刺镇痛 

分 类 号：R245.319[医药卫生—针灸推拿学]