不同体位电针治疗腰椎间盘突出症疗效差异研究  

Efficacy differences between different position in patients treated with electroacupuncture for lumbar herniated disc

作　　者：邓启龙[1,2] 吴耀持[2] 何承敏[3] 孙懿君[2] 马光兴[4] 田勇[5] 

机构地区：[1]上海中医药大学,上海201203 [2]上海市第六人民医院,上海200233 [3]湖北中医药大学附属国医堂 [4]青岛海慈医疗集团 [5]襄阳市中心医院

出　　处：《中国针灸》2016年第7期689-693,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察改良侧卧体位与俯卧位电针治疗腰椎间盘突出症的临床疗效差异。方法:腰椎间盘突出症患者共76例,随机分为改良侧卧位组、俯卧位组,各38例。两组治疗除体位不同外,取穴、治疗方法均相同,穴取命门、腰阳关,双侧大肠俞、小肠俞及患侧秩边、环跳等,均每周电针治疗3次,10次为一疗程,共治疗20次。采用视觉模拟量表(visual analogue scale,VAS)、日本骨科学会(JOA)下腰痛评分法作为疗效评判标准,分别于治疗前、治疗结束时以及治疗结束1个月后进行评测。结果:治疗结束时两组VAS评分和JOA评分均较治疗前明显改善(改良侧卧位组JOA 10.60±2.60vs 18.92±3.87,VAS 8.13±0.99vs 2.34±0.81;俯卧位组JOA10.94±2.06vs 17.02±3.96,VAS 8.02±1.05vs 2.86±0.96,均P<0.01),但改良侧卧位组VAS评分和JOA评分均高于俯卧位组,差异具有统计学意义(均P<0.05);治疗结束1个月后,两组JOA及VAS评分均较治疗前明显改善(均P<0.01),且改良侧卧位组仍优于俯卧位组(均P<0.05)。结论:体位影响电针治疗腰椎间盘突出症疗效,改良侧卧位电针治疗较俯卧位电针治疗具有一定的优势。Objective To observe the clinical efficacy differences between modified lateral position and prone position in patients treated with electroacupuncture（EA）for lumbar herniated disc（LHD）.Methods Seventy-six patients with LHD were randomly divided into a lateral position group and a prone position group,38 cases in each one.The acupoint selection and treatment method were identical in the two groups except the position.Mingmen（GV 4）,Yaoyangguan（GV 3）,Dachangshu（BL 25）,Xiaochangshu（BL 27）,Zhibian（BL 54）and Huantiao（GB 30）were selected.EA was given three times a week,ten times were taken as one course and totally 20 times were given.The visual analogue scale（VAS）and Japanese orthopaedic association（JOA）scale were taken as efficacy criteria,which were evaluated before and after treatment as well as one month after treatment.Results After treatment,VAS and JOA were significantly improved in the two groups（lateral position group：JOA 10.60±2.60 vs 18.92±3.87,VAS 8.13±0.99 vs 2.34±0.81;prone position group：JOA 10.94±2.06 vs 17.02±3.96,VAS 8.02±1.05 vs 2.86±0.96,all P〈0.01）;the VAS and JOA in the lateral position group were higher than those in the prone position group（both P〈0.05）.One month after treatment,VAS and JOA were significantly improved in the two groups（all P〈0.01）,which was more significant in the lateral position group（both P〈0.05）.Conclusion The treatment position could influence the efficacy of EA for LHD,and lateral position presents certain advantages to prone position group.

关 键 词：腰椎间盘突出 体位 电针 侧卧位 俯卧位 

分 类 号：R246.2[医药卫生—针灸推拿学]