黄帝内经古法九针治疗腰椎管狭窄临床症状的对比研究  

A comparative study on the clinical symptoms of lumbar spinal stenosis treated by Huangdi Neijing ancient nine needles

作　　者：尚斌[1] 林泉营[1] 邵雅斐[1] SHANG Bin;LIN Quanying;SHAO Yafei(Department of Traditional Chinese Medicine,People's Hospital of Ningxia Hui Autonomous Region,Yinchuan 750002,China)

机构地区：[1]宁夏回族自治区人民医院中医科,宁夏银川750002

出　　处：《宁夏医学杂志》2021年第6期529-531,共3页Ningxia Medical Journal

基　　金：宁夏自然科学基金资助项目(2019AAC03298);宁夏重点研发(惠民)计划项目(2016KJHM82)。

摘　　要：目的观察古法黄帝内经九针治疗腰椎管狭窄的临床效果。方法腰椎管狭窄患者120例,按随机方法分为古法九针治疗60例为观察组,普通针刺治疗60例为对照组。对患者治疗前后用疼痛(VAS)、腰痛(JOA)、Oswestry功能障碍指数(ODI)量表测定进行疗效评价,分析其对疼痛和生活质量的影响。结果观察组治疗后VAS评分第2周由(7.67±0.80)分降至(1.4±0.49)分(P<0.05),对照组由(7.5±0.85)降至(4.6±0.96)分(P<0.05),治疗组2周后VAS评分低于对照组(P<0.05);观察组JOA腰痛评分第2周由(10.13±1.13)分升高至(23.83±1.22)分(P<0.05),对照组由(10.3±1.17)分升至(14.47±2.16)分(P<0.05),治疗组2周后JOA腰痛评分高于对照组(P<0.05);观察组ODI评分第2周由(56.6±8.32)分降至(21.13±4.09)分(P<0.05),对照组ODI评分由(54.53±6.5)分降至(34.53±4.71)分(P<0.05),治疗组2周后ODI评分低于对照组(P<0.05)。结论古法九针治疗腰椎管狭窄优于普通针灸,可显著缓解患者的疼痛,提高其生活质量,且古法九针治疗次数少,无须留针,值得在临床推广应用。Objective To observe the clinical effect of Huangdi Neijing ancient nine needles in the treatment of lumbar spinal stenosis.Methods 120 patients with lumbar spinal stenosis were randomly divided into Gufa nine needle therapy(60 cases)and ordinary acupuncture therapy(60 cases).The pain(VAS),low back pain(JOA)and Oswestry disability index(ODI)were measured before and after treatment in order to evaluate the curative effect and analyze its impact on pain and quality of life.Results The VAS score of the Gufa nine needle treatment group decreased from(7.67±0.80)to(1.4±0.49)in the second week(P<0.05),and that of the ordinary acupuncture group decreased from(7.5±0.85)to(4.6±0.96)in the second week(P<0.05).The VAS score of the treatment group was lower than that of the control group after two weeks(P<0.05).The JOA low back pain score of the Gufa nine needle treatment group increased from(10.13±1.13)to(23.83±1.22)in the second week(P<0.05).In the ordinary acupuncture group,the score increased from(10.3±1.17)to(14.47±2.16)in the second week(P<0.05),The JOA low back pain score of the treatment group was higher than that of the control group after 2 weeks(P<0.05).The ODI score of the Gufa nine needle treatment group decreased from(56.6±8.32)to(21.13±4.09)after 2 weeks(P<0.05),and the ODI score of the ordinary acupuncture group decreased from(54.53±6.5)to(34.53±4.71)after 2 weeks(P<0.05),and the ODI score of the treatment group was lower than that of the control group after 2 weeks(P<0.05).Conclusion Gufa nine needle therapy is superior to ordinary acupuncture in the treatment of lumbar spinal stenosis,which can significantly relieve the pain of patients and improve the quality of life,and the treatment times of Gufa nine needle therapy are less,without retaining the needle,so it is worthy of clinical application.

关 键 词：腰椎管狭窄 针灸 古法九针 疼痛 生活质量 

分 类 号：R245.3[医药卫生—针灸推拿学]