深刺大肠俞配合火针、督灸治疗腰椎椎管狭窄症临床效果观察  

Observation on the Clinical Effect of Deep Needling Acupoint in Dachang Shu Combined With Moxibustion in the Treatment of Lumbar Spinal Stenosis

作　　者：刘辉 陈淑静 宫丽 孙勇 于滋杰 LIU Hui;CHEN Shujing;GONG Li;SUN Yong;YU Zijie(Department of Acupuncture and Moxibustion,Rushan Traditional Chinese Medicine Hospital,Rushan Shandong 264500,China;Moral Construction Office,Rushan Traditional Chinese Medicine Hospital,Rushan Shandong 264500,China;Department of Nursing,Rushan Traditional Chinese Medicine Hospital,Rushan Shandong 264500,China;Department of Orthopaedic,Rushan Traditional Chinese Medicine Hospital,Rushan Shandong 264500,China;Department of Rehabilitation,Rushan Traditional Chinese Medicine Hospital,Rushan Shandong 264500,China)

机构地区：[1]乳山市中医院针灸科,山东乳山264500 [2]乳山市中医院行风办,山东乳山264500 [3]乳山市中医院护理部,山东乳山264500 [4]乳山市中医院骨科,山东乳山264500 [5]乳山市中医院康复科,山东乳山264500

出　　处：《中国卫生标准管理》2024年第17期158-161,共4页China Health Standard Management

摘　　要：目的探讨深刺大肠俞配合火针、督灸治疗腰椎椎管狭窄症临床效果。方法选取2021年5月—2023年10月乳山市中医院腰椎椎管狭窄症(lumbar spinal stenosis,LSS)患者80例为研究对象,并按随机数字表法分为研究组(n=40)与对照组(n=40)。对照组采用深刺大肠俞治疗,研究组采用深刺大肠俞配合火针、督灸治疗。比较2组临床效果、疼痛程度评分、功能障碍评分以及治疗期间不良反应发生率的情况。结果治疗后研究组疗效高于对照组(P<0.05)。治疗后7、15、21、28 d视觉模拟评分法(visual analogue scale/score,VAS)为(6.10±0.99)分、(5.45±1.12)分、(4.10±0.99)分、(2.90±0.23)分,均低于对照组的[(6.36±1.88)分,(6.21±1.05)分、(5.06±0.83)分,(4.10±0.76)分](P<0.05)。治疗后,研究组日本骨科协会评估治疗(Japanese Orthopaedic Association scores,JOA)评分为(27.01±1.90)分,低于对照组的(22.59±4.08)分,差异有统计学意义(P<0.05)。研究组不良发生率(10.00%)与对照组(7.50%)比较,差异无统计学意义(P>0.05)。结论LSS患者应用深刺大肠俞穴位配合火针、督灸治疗干预,能有效增加治愈好转率并改善患者疼痛程度,提高患者生活能力情况,且未增加不良反应。Objective To explore the clinical observation on the treatment of lumbar spinal stenosis(LSS)by deep puncture of the Dachang Shu together with fire acupuncture and supervision moxibustion.Methods A total of 80 cases of lumbar spinal stenosis(LSS)patients received by Rushan Traditional Chinese Medicine Hospital from May 2021 to October 2023 were selected for the study and divided into the study group(n=40)and the control group(n=40)according to the method of random number table.The control group was treated with deep stimulation of the Dachang Shu,and the study group was treated with deep stimulation of the Dachang Shu together with fire needle and supervision moxibustion,comparing the two groups in terms of clinical effects,pain level scores,dysfunction scores,and the incidence of adverse reactions during the treatment period.Results The therapeutic effect of the study group was higher than that of the control group after treatment(P<0.05).At 7,15,21 and 28 days after treatment,the visual analog scale(VAS)scores were(6.10±0.99)point,(5.45±1.12)point,(4.10±0.99)point,and(2.90±0.23)point,all lower than the control group′s(6.36±1.88)point,(6.21±1.05)point,(5.06±0.83)point,and(4.10±0.76)point(P<0.05).After treatment,the Japanese Orthopedic Association scores(JOA)of the study group were(27.01±1.90)points,which was lower than the control group′s(22.59±4.08)points,and the difference was statistically significant(P<0.05).The incidence of adverse events in the study group(7.50%)was not significantly different from that in the control group(7.50%)(P>0.05).Conclusion The application of deep-needled Dachang Shu acupuncture point combined with fire needle and moxibustion treatment intervention in LSS patients with lumbar spinal stenosis can effectively increase the healing rate and improve the pain degree of patients,improve the life ability of patients and not increase in adverse effects.

关 键 词：深刺 大肠俞 火针 督灸 腰椎椎管狭窄症 临床效果 

分 类 号：R681[医药卫生—骨科学]