针刀联合自拟腰痛1方治疗寒湿型腰椎间盘突出症135例疗效观察  

Clinical effect of acupotomology combined with the first prescription of backache in treating the lumbar intervertebral disc herniation(cold-dampness type)

作　　者：潘苏琴 袁晓芳[2] 张建芳[1] 

机构地区：[1]浙江中医药大学,浙江杭州310053 [2]浙江中医药大学附属第三医院,浙江杭州310009

出　　处：《山西中医学院学报》2016年第2期55-56,68,共3页Journal of Shanxi College of Traditional Chinese Medicine

摘　　要：目的:观察针刀联合自拟腰痛1方治疗寒湿型腰椎间盘突出症的疗效。方法:门诊寒湿型腰椎间盘突出症患者135例,通过为期3 w的针刀松解术联合中药内服,将患者治疗前与治疗3 w后的M-JOA评分进行比较,并将患者治疗前与治疗6个月后的McGill各评分及总评分进行比较,观察长期疗效。结果:患者JOA评分治疗前为(9.31±2.50)分,治疗后为(20.02±2.90)分,治疗前后比较差异有统计学意义(P<0.01),治疗改善率为92.6%;治疗6个月后McGill简化疼痛量表各分量表得分及总分与治疗前比较差异亦有统计学意义(P<0.01)。结论:针刀局部松解减压联合自拟腰痛1方可以有效缓解寒湿型腰椎间盘突出症患者症状,对于腰椎间盘突出症的临床治疗具有指导意义。Objective：To observe the clinical effect of acupotomology combined with the first prescription of backache in treating the lumbar intervertebral disc herniation（cold-dampness type）. Methods：135 patients were treated with Chinese medicine and acupotomology for 3 weeks. Using M-JOA to evaluate therapeutic effect,and Mc Gill to evaluate the follow-up results after 6 months. Results：JOA scores before and after 3 week′ s treatment were respectively（9.31 ±2.50）scores and（20.02±2.90）scores. The total effective rate was 92.6%. Comparative difference was statistically significant between before and after 3 week′s treatment（P0.01）. The differences about all subscales score and total score of Mc Gill were statistically significant between before and after 6 month′s treatment（P0.01）. Conclusion：Acupotomology combined with the self-made first prescription of backache can effectively relieve symptoms of LDH and has guiding significance for the clinical treatment.

关 键 词：腰椎间盘突出症 中药 腰痛1方 针刀 寒湿型 

分 类 号：R274.9[医药卫生—中西医结合]