基于经筋理论运用员利针恢刺法治疗腰椎间盘突出症临床研究  

Clinical Study of Lateral Needling with Round-Sharp Needle in Treatment of LDH Based on Meridian-Sinew Theory

作　　者：彭思可 吴松[1] 曹静 徐洋洋 刘家辉 程红梅 许辛寅[1] PENG Sike;WU Song;CAO Jing;XU Yangyang;LIU Jiahui;CHENG Hongmei;XU Xinyin(Hubei University of Chinese Medicine,Wuhan 430000,China;Hubei Provincial Hospital of Traditional Chinese Medicine,Wuhan 430000,China)

机构地区：[1]湖北中医药大学,湖北武汉430000 [2]湖北省中医院,湖北武汉430000

出　　处：《针灸临床杂志》2024年第1期49-53,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：国家中医药管理局青年岐黄学者培养项目,编号:国中医药人教函[2022]256号。

摘　　要：目的:观察经筋理论指导下员利针恢刺法治疗腰椎间盘突出症(LDH)的临床疗效。方法:将纳入的90例LDH患者,按随机数字表法分为员利针组、毫针恢刺组与常规针刺组各30例,员利针组采用员利针恢刺法(1次/3 d,2次/周,共治疗4次),毫针恢刺组采用毫针恢刺法(1次/3 d,2次/周,共治疗4次),常规针刺组采用毫针常规刺法(1次/d,6次/周,共治疗12次)。观察3组患者治疗前及两周后的VAS评分、JOA评分和ODI评分与临床疗效。结果:疗程结束后,3组VAS评分及ODI评分较治疗前均降低,员利针组明显低于毫针恢刺组和常规针刺组,差异具有统计学意义(P<0.05);3组JOA评分较治疗前均升高,员利针组明显高于毫针恢刺组和常规针刺组,差异具有统计学意义(P<0.05)。员利针组总有效率93.3%(28/30),毫针恢刺组总有效率66.7%(20/30),常规针刺组总有效率56.7%(17/30),员利针组疗效优于毫针恢刺组和常规针刺组,差异具有统计学意义(P<0.05)。结论:员利针及毫针治疗LDH均有疗效,而与常规毫针相比较,经筋理论指导下员利针恢刺法治疗LDH疗效更加显著,可明显缓解疼痛,改善腰椎功能,且针刺时间短、针刺次数少。Objective:To observe the clinical effect of lateral needling with round-sharp needle in treatment of lumbar disc herniation(LDH)based on meridian-sinew theory.Methods:90 patients with LDH were randomly divided into the round-sharp needle group,the lateral needling with filiform needle group and the conventional filiform acupuncture group,with 30 cases in each group.The round-sharp needle group was intervened by the lateral needling with round-sharp needle(once per three days,twice a week,a total of 4 times),the lateral needling with filiform needle group was intervened by the lateral needling with filiform needle(once per three days,twice a week,a total of 4 times),and the conventional filiform acupuncture group was treated with normal filiform acupuncture(once a day,six times a week,a total of 12 times).Total clinical efficacy was compared among the three groups,and the scores of VAS,JOA and ODI were observed before the treatment and after two weeks of the treatment in the three groups.Results:The scores of VAS and ODI were significantly lower after the treatment than those before the treatment in the three groups,and the improvements in the round-sharp needle group were more significant than those in the other two groups(P<0.05).The JOA scores were higher after the treatment than those before the treatment in the three groups,and the score was higher in the round-sharp needle group than that in the other two groups after the treatment(P<0.05).The total effective rate was 93.3%(28/30)in the round-sharp needle group,which was significantly higher than 66.7%(20/30)in the lateral needling with filiform needle group and 56.7%(17/30)in the conventional filiform acupuncture group(P<0.05).Conclusion:Both round-sharp needling and filiform needling are effective in treatment of LDH.Lateral needling with round-sharp needle is more effective than conventional filiform acupuncture in treatment of LDH based on meridian-sinew theory,which can significantly relieve pain and improve function of lumbar spine with its less needli

关 键 词：员利针 腰椎间盘突出症 经筋理论 恢刺法 

分 类 号：R246.2[医药卫生—针灸推拿学]