芒针联合隔药灸治疗腰椎间盘突出症的疗效观察  

Clinical effect of elongated needle combined with moxibustion in the treatment of lumbar disc herniation

作　　者：田丙生[1] 孙国栋[1] 刘滨[1] TIAN Bing-sheng;SUN Guo-dong;LIU Bin(Affiliated Hospital of Shandong Academy of Medical Sciences,Jinan,Shandong 250031,China)

机构地区：[1]山东省医学科学院附属医院,山东济南250031

出　　处：《颈腰痛杂志》2019年第1期39-42,共4页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的探讨芒针联合隔药灸治疗腰椎间盘突出症(lumbar disc herniation,LDH)的临床疗效。方法自2015-07-2016-12,共纳入90例LDH患者,采用随机数字表法将其分为三组:其中A组30例采用芒针治疗,B组30例采用隔药灸治疗,C组30例采用芒针联合隔药灸治疗(先行芒针治疗,而后进行隔药灸)。三组患者均每日施治1次,1周为一疗程,连续3个疗程,每个疗程间隔1 d。3个疗程后进行组间疗效评价。结果 3个疗程后,三组患者的VAS评分均显著降低、JOA评分均显著提高、直腿抬高幅度均显著增加,但C组的上述指标改善效果明显优于A、B两组(P<0.05),A、B两组之间无统计学差异(P>0.05)。A组总有效率为73.3%,与B组的76.7%较为相近(P>0.05);但A、B两组均显著低于C组的93.3%,差异有统计学意义(P<0.05)。结论采用芒针深刺或隔药灸治疗LDH均可良好地缓解疼痛、改善日常生活能力,将两者联合应用可进一步提高疗效,有一定的临床参考价值。Objective To investigate the clinical curative effect of elongated needle combined with moxibustion in the treatment of lumbar disc herniation(LDH). Methods From July 2015 to December 2016,90 patients with LDH were randomly divided into three groups: 30 cases in group A were treated with elongated needle therapy, 30 cases in group B were treated with moxibustion, 30 cases in group C were treated with elongated needle combined with moxibustion treatment(first given elongated needle, and then given moxibustion). Three groups of patients were treated 1 time a day, 1 week for a course of treatment, 3 consecutive courses of treatment,each interval of 1 d. The curative effect was evaluated among the 3 groups. Results After 3 months, the VAS scores of three groups were significantly decreased, JOA scores were significantly improved, the straight leg raising significantly increased, but the above indicators in C group were obviously better than those of A, B groups(P<0.05), those between A group and B group had no statistically significant differences(P>0.05). The total effective rate of group A was 73.3%, which was similar to 76.7% of group B(P>0.05), but the total effective rate of A and B groups was significantly lower than that of group C(93.3%), and the difference was statistically significant(P<0.05). Conclusion Treatment of LDH with elongated needle deep penetration or moxibustion can achieve good relief of pain and improve the ability of daily living. Combined use of the two methods can further improve the curative effect, and has certain clinical reference value.

关 键 词：腰椎间盘突出症 芒针 隔药灸 疗效观察 

分 类 号：R681.53[医药卫生—骨科学] R245.3[医药卫生—外科学]