针刺配合痹痛散外敷治疗急性期中央型腰椎间盘突出症疗效观察  

The Curative Effect of Acupuncture and External Applicationof Bitong San for Acute Stage of Central Type Prolapse ofLumbar Intervertebral Disc

作　　者：庄子齐[1] 江钢辉[1] 

机构地区：[1]广州中医药大学第一附属医院,广东广州510405

出　　处：《新中医》2002年第3期47-48,共2页New Chinese Medicine

摘　　要：目的:观察针刺特定穴配合痹痛散外敷治疗急性期中央型腰椎间盘突出症临床疗效。方法:采用针刺外丘、侠溪、金门、委中、委阳等特定穴、阿是穴,配合自制痹痛散外敷阿是穴、腰阳关、大肠俞、关元俞、环跳、阳陵泉等穴位,治疗急性期腰椎间盘突出症33例,并随机选择30例以常规针刺治疗作对照。结果:治疗组总有效率87.9％,对照组总有效率66.7％,经Ridit分析,t检验,2组总有效率差异均有显著性意义。结论;治疗组疗效优于对照组,既能提高疗效,又能缩短疗程,其作用机理可能与消除局部神经根水肿,消除局部炎症反应,减少化学致痛物质,促使突出髓核吸收,促进局部血运,解除神经压迫有关。ve: To observe the curative effect of acupunc-ture to specific acupoints and extemal application of Bitong San (BS) for acute stage of central type Prolapse of lumbar interverte-bral disc(APID) . Methods: Waiqiu(GB36), Xiaxi(GB43), Jinmen (BL63), Weizhong(BL40) and Weiyang(BL39) were needled. Ashi point was deeply punctured, and BS was applied on Ashi, Yaoyangguan(DU3), Dachangshu (BL35), Guanyuanshu(BL26), Huantiao(GB30) and Yanglingquan (GB34) in 33 cases of APID. 30 cases recieving routine acupuncture treatment served as control. Results: In treatment group, total effective rate was 87. 9%; in control group, total effective rate was 66. 7%. The statistical analysis showed significant differences. Conclusion: The curative ef-fect of treatment group is superior than that of control group. Its mechanism may relate with relief of local edema of nerve root, elim-ination of local inflammation, reduction of analgesic chemicals, ab-sorption of protruding pulpiform nucleus, Promotion of local blood circulation and relief of nerve compression.

关 键 词：急性期中央型腰椎间盘突出症 针刺疗法 痹痛散 中药外敷 治疗 疗效观察 

分 类 号：R274.915.3[医药卫生—中西医结合]