浮针联合循经针刺治疗腰椎间盘突出症的临床效果  

Clinical effect of Fu’s acupuncture combined with meridian acupuncture for treatment of lumbar intervertebral disc herniation

作　　者：孟宪宇 程云 吕志刚[1] 侯为林[1] MENG Xianyu;CHENG Yun;LYU Zhigang;HOU Weilin(Department of Rehabilitation,Changzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Jiangsu Province,Changzhou213003,China)

机构地区：[1]南京中医药大学附属常州市中医医院康复科,江苏常州213003

出　　处：《中国医药导报》2023年第9期93-96,共4页China Medical Herald

基　　金：国家中医药管理局全国优秀中医临床人才研修项目(国中医药发(2008)8号)。

摘　　要：目的观察浮针联合循经针刺法治疗腰椎间盘突出症的临床效果。方法选取2020年11月至2021年11月南京中医药大学附属常州市中医医院康复科门诊中诊断明确的腰椎间盘突出症患者60例,采用随机数字表法将其分成对照组和治疗组,各30例。治疗组采用浮针联合循经针刺法,对照组采用常规针刺法。治疗3周后分别观察两组日本骨科协会评分、Oswestry功能障碍指数评分、血清炎症因子、临床疗效。结果治疗后,两组日本骨科协会评分高于治疗前,且治疗组高于对照组,差异有统计学意义(P<0.05)。治疗后,两组Oswestry功能障碍指数、血清炎症因子均低于治疗前,且治疗组低于对照组,差异有统计学意义(P<0.05)。治疗组临床疗效优于対照组(P<0.05)。结论浮针联合循经针刺法对腰椎间盘突出症有明显的改善,疗效优于普通针刺,可于临床推广使用。Objective To observe the clinical effect of Fu’s acupuncture combined with meridian acupuncture on lumbar intervertebral disc herniation.Methods A total of 60 patients with lumbar disc herniation diagnosed clearly in the outpatient Department of Rehabilitation,Changzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine from November 2020 to November 2021 were selected,and they were divided into control group and treatment group by random number table method,with 30 cases in each group.The treatment group was treated with Fu’s acupuncture combined with meridian acupuncture,and the control group was treated with conventional acupuncture.After three weeks of treatment,the clinical efficacy,Japanese Orthopaedic Society score,Oswestry disability index,and serum inflammatory factors were observed and analyzed statistically.Results After treatment,the score of Japanese Orthopaedic Society score in the two groups was higher than before treatment,and the treatment group was higher than the control group,the differences were statistically significant(P<0.05).After treatment,the Oswestry disability index and serum inflammatory factors of the two groups were lower than before treatment,and the treatment group was lower than the control group,the differences were statistically significant(P<0.05).The therapeutic effect of the treatment group was better than that of the control group,the difference was statistically significant(P<0.05).Conclusion Fu’s acupuncture combined with meridian acupuncture can obviously improve lumbar intervertebral disc herniation,and its curative effect is better than ordinary acupuncture,which can be popularized in clinic.

关 键 词：浮针 循经针刺 腰椎间盘突出症 炎症因子 临床研究 

分 类 号：R274[医药卫生—中医骨伤科学]