针刺“环下”穴配合常规针刺治疗腰椎间盘突出症的临床疗效观察

发布时间：2018-10-15 19:31

【摘要】：目的:观察针刺“环下”穴加常规取穴治疗腰椎间盘突出症的临床疗效,并与常规针刺的疗效相比较,探讨其作用机理,以期为针灸治疗腰椎间盘突出症提供一种新的思路。方法:筛选符合纳入标准的腰椎间盘突出症患者62例,使用Doll’s临床病例随机表将62例患者按1:1的比例分为治疗组和观察组,每组各31例(每组各脱落1例,实际每组30例)。治疗组加刺“环下”穴,余与对照组相同,每日一次,连续六次后休息一日为一个疗程,治疗两个疗程。每个疗程结束后进行疗效观察,并在VAS和JOA评分方面对两组进行自身和组间比较。结果:1.疗效结果比较:两个疗程结束后,两组患者均取得了良好的疗效,治疗组的总有效率略高于对照组,但治疗组的愈显率明显高于对照组。2.VAS评分比较:两疗程结束后,两组患者的VAS评分均有所下降,第一、第二疗程VAS评分差值比较显示均具有显著性差异(P0.05),提示治疗组能够持续、更大程度的减轻患者的疼痛。3.JOA评分比较:两疗程结束后,两组患者的JOA评分均有大幅度提高(P0.05),提示两种治疗方案都能明显改善腰椎间盘突出症患者的临床症状,第一、第二疗程JOA评分差值比较显示两组具有显著性差异(P0.05),而且治疗组的两疗程差值均大于对照组,提示治疗组相比对照组在改善患者的症状方面更具优势。结论:两组患者经过两个疗程的治疗都取得了较好的疗效,疼痛程度明显减轻,症状也得到明显缓解,且治疗组优于对照组。结果表明针刺“环下”穴加常规针刺治疗腰椎间盘突出症确有良好的临床疗效,值得推广。
[Abstract]:Objective: to observe the clinical effect of acupuncture "Huanxia" point plus conventional acupuncture on lumbar intervertebral disc herniation, and compare the effect of acupuncture with that of routine acupuncture, and explore its mechanism, so as to provide a new way of thinking for acupuncture treatment of lumbar disc herniation. Methods: 62 patients with lumbar disc herniation were selected according to the inclusive criteria. 62 patients were randomly divided into treatment group and observation group according to the 1:1 scale by using Doll's clinical case list. Each group had 31 cases (1 case in each group and 30 cases in each group). In the treatment group, the point of "Huanxia" was pricked, and the rest was the same as the control group, once a day, six times a day for a course of treatment and two courses of treatment. The curative effect was observed at the end of each course, and the VAS and JOA scores were compared between the two groups. The result is 1: 1. The total effective rate of the treatment group was slightly higher than that of the control group, but the effective rate of the treatment group was obviously higher than that of the control group. Comparison of 2.VAS score: after the two courses of treatment, the total effective rate of the treatment group was higher than that of the control group. The VAS scores of the two groups were all decreased. First, the difference of VAS scores in the second course of treatment was significantly different (P0.05), which indicated that the treatment group could continue to alleviate the pain of the patients to a greater extent. Comparison of 3.JOA score: after the end of the two courses of treatment, The JOA scores of the two groups were significantly improved (P0.05), suggesting that the two treatment schemes can significantly improve the clinical symptoms of patients with lumbar disc herniation, first, The difference of JOA score in the second course of treatment showed significant difference between the two groups (P0.05), and the difference of two courses of treatment in the treatment group was higher than that in the control group, indicating that the treatment group had more advantages in improving the symptoms of the patients than the control group. Conclusion: after two courses of treatment, the patients in both groups achieved better curative effect, the pain degree was obviously alleviated, and the symptoms were relieved obviously, and the treatment group was superior to the control group. The results showed that acupuncture of "Huanxia" and routine acupuncture in the treatment of lumbar disc herniation has a good clinical effect and is worth popularizing.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

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