电针刺深度与经络感传对腰椎间盘突出症疗效的影响  

Influence of Electroacupuncture Insertion Depth and Along-meridian Sensation Transmission on the Therapeutic Effect on Lumbar Intervertebral Disc Herniation

作　　者：李曌嫱 赵建新 田元祥[2] 张海霞 LI Zhao-qiang;ZHAO Jian-xin;TIAN Yuan-xiang;ZHANG Hai-xia(Beijing University of Traditional Chinese Medicine Third Hospital,Beijing 100029,China;China Academy of Traditional Chinese Medicine Institute of Clinical Basic Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学第三附属医院,北京100029 [2]中国中医科学院中医临床基础医学研究所,北京100700

出　　处：《上海针灸杂志》2018年第4期448-452,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：北京中医药大学研究生自主课题(2017-JYB-XS-126)

摘　　要：目的通过电针"腰突五穴"治疗腰椎间盘突出症,比较深刺与浅刺的疗效差异,探讨不同深度针刺各自的疗效优势。方法采用电针"腰突五穴"治疗腰椎间盘突出症,以RCT设计方法为基础,通过电针不同深度,结合JOA及VAS评价指标,观察其疗效差异。共纳入60例患者,脱落4例,最终数据分析56例,深刺组28例,浅刺组28例。结果深刺组总有效率为92.9%,浅刺组总有效率为64.3%;两组JOA、VAS治疗前后评分差值比较差异具有统计学意义(P<0.05)。结论电针"腰突五穴"治疗腰椎间盘突出症确有疗效,深刺组疗效优于浅刺组,证明针刺深度不同,临床疗效具有差异性。Objective To explore the advantages of different depths of needle insertion in the therapeutic effect by comparing the efficacy of deep versus shallow needling in electroacupuncture at“lumbar herniation five acupoints”for lumbar intervertebral disc herniation.Method Electroacupuncture at“lumbar herniation five acupoints”was used to treat lumbar intervertebral disc herniation.The study was based on RCT design.The therapeutic effects of different electroacupuncture insertion depths were compared using the JOA score and VAS as evaluating indicators.A total of 60 patients were enrolled.Four patients dropped out.Finally,the data were analyzed in 56 patients including 28 in the deep needling group and 28 in the shallow needling group.Result The total efficacy rate was 92.9%in the deep needling group and 64.3%in the shallow needling group.There were statistically significant differences in the pre-/post-treatment difference values of the JOA and VAS scores between the two groups(P<0.05).Conclusion Electroacupuncture at“lumbar herniation five acupoints”has a definite therapeutic effect on lumbar intervertebral disc herniation.The therapeutic effect was better in the deep needling group than in the shallow needling group,which proves that different depths of needle insertion have different clinical therapeutic effects.

关 键 词：电针 椎间盘移位 腰椎间盘突出症 针刺深度 随机对照试验 JOA评分 VAS评分 

分 类 号：R246.2[医药卫生—针灸推拿学]