腰椎间盘突出症单穴电针疗法社区推广应用研究  

Research on community promotion and application of single acupoint electroacupuncture therapy for lumbar intervertebral disc herniation

作　　者：黄仕荣[1] 潘良德[2] 马燕文 王智君[2] 陈颖盈 俞仲翔[1] HUANG Shi-rong;PAN Liang-de;MA Yan-wen;WANG Zhi-jun;CHEN Ying-ying;YU Zhong-xiang(Department of Orthopedics and Traumatology,Shuguang Hospital Affiliated to Shanghai University of TCM,Shanghai 201203,China;Department of TCM,People’s Hospital of Shanghai Pudong New District;Jinyang Community Health Service Center of Shanghai Pudong New District)

机构地区：[1]上海中医药大学附属曙光医院骨伤科,上海201203 [2]上海市浦东新区人民医院中医科 [3]上海市浦东新区金杨社区卫生服务中心

出　　处：《中国针灸》2021年第4期391-394,共4页Chinese Acupuncture & Moxibustion

基　　金：浦东新区卫生局卫生科技项目:PW2010D-7。

摘　　要：目的:观察单穴(腰突穴)电针疗法治疗腰椎间盘突出症的临床疗效及其在社区医疗机构的推广应用。方法:采用三级推广模式,以多中心科研协作为平台,将240例腰椎间盘突出症患者分为A组(三甲医院,80例,脱落3例)、B组(二级医院,80例,脱落8例)和C组(社区卫生服务中心,80例,脱落7例),均采用统一试验方案指导下的单穴(腰突穴)电针治疗,单次电针60 min,隔日治疗1次,每周治疗3次,共治疗2周。观察每次治疗前后各组视觉模拟量表(VAS)评分的变化情况,并评定临床疗效。结果:与单次治疗前比较,各组每次治疗后VAS评分均降低(P<0.05)。除第2、5次治疗外,A组的即时效应高于B组和C组(P<0.05)。A、B、C组的总有效率分别为90.9%(70/77)、93.1%(67/72)、86.3%(63/73),3组之间比较差异无统计学意义(P>0.05)。结论:单穴电针疗法治疗腰椎间盘突出症疗效显著,可快速缓解疼痛,且具有操作简便、易掌握的特点,适合在基层医院推广应用。Objective To observe the clinical effect of single acupoint[Yaotu(extra)]electroacupuncture(EA)therapy on lumbar intervertebral disc herniation(LIDH)and its promotion and application in community medical institutions.Methods This research adopted a three-level promotion model,and used multi-center collaboration topics as a platform.A total of 240 patients with LIDH were divided into a group A(top three hospital,80 cases,3 cases dropped off),a group B(secondary hospital,80 cases,8 cases dropped off),and a group C(community health center,80 cases,7 cases dropped off).All groups were treated with EA at a single acupoint[Yaotu(extra)]under the guidance of a unified experimental protocol.The EA was given 60 min each time and performed 3 times a week for a total of 2 weeks.The changes of visual analogue scale(VAS)scores of three groups before and after each treatment were compared,and the clinical efficacy was evaluated.Results Compared with before each treatment,the VAS scores of three groups after each treatment decreased(P<0.05).Except for the second and fifth treatments,the immediate effect in the group A was higher than that in the group B and C(P<0.05).The total effective rate of group A,group B,and group C respectively was 90.9%(70/77),93.1%(67/72),86.3%(63/73),and there was no statistically significant difference among the three groups(P>0.05).Conclusion The single acupoint EA therapy has a significant effect in the treatment of LIDH,can quickly relieve the pain symptoms,and has the characteristics of simple operation and easy control,suitable for promotion and application in primary hospitals.

关 键 词：腰椎间盘突出症 单穴电针疗法 针刺镇痛 标准操作规程 中医药适宜技术 推广应用研究 

分 类 号：R246.2[医药卫生—针灸推拿学]