腕踝针与物理疗法治疗腰椎间盘突出症疗效对比研究  

Comparative Study on Wrist-ankle Acupuncture Versus Physical Therapy for Lumbar Intervertebral Disc Herniation

作　　者：徐贤[1] 方凡夫[1] 黄枫[1] 杨凯旋[2] 周庆辉[1] 顾伟[1] 

机构地区：[1]第二军医大学附属长海医院,上海200433 [2]第二军医大学国际肿瘤合作研究所,上海200433

出　　处：《上海针灸杂志》2016年第3期317-321,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：第二军医大学军事医学专项课题(2011JS12);军队中医药科研专项课题(10ZYZ225)

摘　　要：目的比较腕踝针与物理疗法治疗腰椎间盘突出症的临床疗效。方法将50例腰椎间盘突出症患者随机分为治疗组20例和对照组30例。治疗组采用腕踝针治疗,对照组采用牵引和干扰电治疗。比较两组治疗前后简式Mc Gill疼痛问卷(SF-MPQ)评分及日本骨科学会(JOA)腰痛评分系统评分的变化情况。结果两组治疗5、10、15 d后及随访时SF-MPQ总分和JOA总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5、10、15 d后及随访时SF-MPQ总分和JOA总分与对照组比较,差异均无统计学意义(P>0.05)。结论腕踝针与物理疗法均为治疗腰椎间盘突出症的有效方法,均能缓解患者疼痛症状。Objective To campare the clinical efficacy of wrist-ankle acupuncture versus physical therapy in treating lumbar intervertebral disc herniation（LIDH）. Method Fifty LIDH patients were randomized into a treatment group of 20 cases and a control group of 30 cases. The treatment group was intervened by wrist-ankle acupuncture, while the control group was by traction and interference electrotherapy. The short-form Mc Gill Pain Questionnaire（SF-MPQ） and lumbar pain scoring system by Japanese Orthopedic Association（JOA） were compared before and after intervention. Result The SF-MPQ and JOA scores were significantly changed respectively after 5-day, 10-day, 15-day treatment as well as at the follow-up study in both groups（p〈0.01）. There were no significant differences between the two groups in comparing the SF-MPQ and JOA scores respectively after 5-day, 10-day, 15-day treatment as well as at the follow-up study（p〈0.05）. Conclusion Wrist-ankle acupuncture and physical therapy both are effective in treating LIDH, as they both can release the pain.

关 键 词：针刺疗法 腕踝针 椎间盘移位 腰椎间盘突出症 牵引术 干扰电 

分 类 号：R246.2[医药卫生—针灸推拿学]