超微针刀网点状松解法治疗腰椎间盘突出症疗效观察  

Therapeutic Observation of Ultrastructural Dense Acupotomy Treatment for Lumbar Intervertebral Disc Herniation

作　　者：张立勇[1] 邵湘宁[2] 叶勇[1] 朱静[1] 

机构地区：[1]湖南中医药大学第一附属医院,长沙410007 [2]湖南中医药大学,长沙410208

出　　处：《上海针灸杂志》2015年第1期51-54,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：湖南省中医药科研计划项目(201367)

摘　　要：目的观察超微针刀网点状松解法治疗腰椎间盘突出症的临床疗效。方法将72例腰椎间盘突出症患者随机分为治疗组和对照组,每组36例。治疗组采用超微针刀网点状松解法治疗,对照组采用常规针刺治疗。治疗1个疗程后统计疗效,采用视觉模拟评分法(VAS)观察患者疼痛评分,采用JOA腰椎疾患评分观察患者症状、体征、功能活动的改善情况。结果两组治疗后VAS评分及JOA总评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗前后VAS评分及JOA总评分差值与对照组比较,差异均具有统计学意义(P<0.01,P<0.05)。治疗组总有效率为97.2%,对照组为80.6%,两组比较差异具有统计学意义(P<0.05)。结论超微针刀网点状松解法是一种治疗腰椎间盘突出症的有效方法。Objective To observe the therapeutic efficacy of ultrastructural dense acupotomy treatment in treating lumbar intervertebral disc herniation （LIDH）. Methods Seventy-two LIDH patients were randomized into a treatment group and a control group, 36 in each group. The treatment group was intervened by ultrastructural dense acupotomy treatment, while the control group was by conventional acupuncture. The therapeutic efficacy was evaluated after a course of treatment. The visual analogue scale （VAS） was adopted for assessing pain, and the Japanese Orthopaedic Association （JOA） score for estimating the symptoms, signs, and functional activities. Results The VAS and JOA scores were significantly changed in both groups after intervention （P〈0.01）. There were significant differences in comparing the changes of VAS and JOA scores between the two groups （P〈0.01, P〈0.05）. The total effective rate was 97.2% in the treatment group versus 80.6% in the control group, and the difference was statistically significant （P〈0.05）. Conclusion Ultrastructural dense acupotomy treatment is an effective approach in treating LIDH.

关 键 词：针刺疗法 小针刀 网点状松解法 椎间盘移位 腰椎间盘突出症 

分 类 号：R246.2[医药卫生—针灸推拿学]