“督穴导气针法”联合电针治疗血瘀型轻中度腰椎间盘突出症临床研究
发布时间：2019-06-20 14:50
【摘要】：目的:比较"督穴导气针法"联合电针与常规电针治疗血瘀型轻中度腰椎间盘突出症的临床疗效差异。方法:将201例血瘀型轻中度腰椎间盘突出症患者随机分为观察组(101例)与对照组(100例)。观察组采用"督穴导气针法"联合电针治疗,穴取腰阳关、十七椎、环跳和阳陵泉,腰阳关、十七椎在得气基础上行"导气针法";环跳、阳陵泉得气后实施电针疗法。隔天治疗1次,每周3次,12次为一疗程,共观察治疗1个疗程;对照组取穴同观察组,4穴分别行电针治疗,电针参数、治疗时间与周期和观察组相同。比较两组患者治疗前、治疗后及治疗后3个月随访时日本骨科学会下腰痛评分(JOA评分),治疗前后腰部红外热像图温度变化及静息状态下肌肉压力-位移曲线下面积(RAUC),并比较两组患者近、远期疗效。结果:观察组近、远期总有效率分别为89.11%(90/101)、91.11%(82/90),对照组分别为86.00%(86/100)、89.53%(77/86),组间比较差异均无统计学意义(均P0.05);观察组近、远期临床治愈率分别为52.48%(53/101)、55.56%(50/90),均优于对照组的36.00%(36/100)、34.88%(30/86,均P0.05)。与治疗前比较,两组治疗后及随访时JOA评分均提高(均P0.01),各时点组间差异均无统计学意义(均P0.05);两组治疗后腰部红外热像图温度均升高(均P0.01),且升高幅度观察组大于对照组(P0.01);观察组治疗后腰部RAUC较治疗前明显增大(P0.01),且大于对照组(P0.01)。结论:"督穴导气针法"联合电针治疗血瘀型轻中度腰椎间盘突出症临床疗效优于常规电针治疗。
[Abstract]:Objective: to compare the clinical efficacy of acupuncture combined with acupuncture at du acupoint and routine acupuncture in the treatment of mild to moderate lumbar disc protrusion with blood stasis. Methods: 201 patients with mild to moderate lumbar disc protrusion with blood stasis type were randomly divided into observation group (101 cases) and control group (100 cases). The observation group was treated with "du acupoint qi guidance acupuncture" combined with electro-acupuncture. The acupoints were lumbar Yangguan, 17 vertebrae, ring jump and Yanglingquan, waist Yangguan, 17 vertebrae were treated with "qi guidance acupuncture method" on the basis of getting qi, and acupuncture therapy was carried out after ring jump and Yangling spring getting qi. Once every other day, 3 times a week, 12 times as a course of treatment, a total of 1 course of treatment was observed, while the control group was treated with electro-acupuncture at 4 points, and the treatment time was the same as that of the observation group and the observation group. Before and after treatment, the low back pain score (JOA score) of Japanese Orthopaedics Society was compared between the two groups before and after treatment, and the temperature changes of lumbar infrared thermography and the area of muscle pressure-displacement curve under resting state were compared between the two groups before and after treatment, and the short-term and long-term curative effects were compared between the two groups. Results: the total effective rates of short and long term were 89.11% (90 鈮，
本文编号：2503304
[Abstract]:Objective: to compare the clinical efficacy of acupuncture combined with acupuncture at du acupoint and routine acupuncture in the treatment of mild to moderate lumbar disc protrusion with blood stasis. Methods: 201 patients with mild to moderate lumbar disc protrusion with blood stasis type were randomly divided into observation group (101 cases) and control group (100 cases). The observation group was treated with "du acupoint qi guidance acupuncture" combined with electro-acupuncture. The acupoints were lumbar Yangguan, 17 vertebrae, ring jump and Yanglingquan, waist Yangguan, 17 vertebrae were treated with "qi guidance acupuncture method" on the basis of getting qi, and acupuncture therapy was carried out after ring jump and Yangling spring getting qi. Once every other day, 3 times a week, 12 times as a course of treatment, a total of 1 course of treatment was observed, while the control group was treated with electro-acupuncture at 4 points, and the treatment time was the same as that of the observation group and the observation group. Before and after treatment, the low back pain score (JOA score) of Japanese Orthopaedics Society was compared between the two groups before and after treatment, and the temperature changes of lumbar infrared thermography and the area of muscle pressure-displacement curve under resting state were compared between the two groups before and after treatment, and the short-term and long-term curative effects were compared between the two groups. Results: the total effective rates of short and long term were 89.11% (90 鈮，
本文编号：2503304
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