發(fā)布時間：2019-06-20 14:50

【摘要】：目的:比較"督穴導(dǎo)氣針法"聯(lián)合電針與常規(guī)電針治療血瘀型輕中度腰椎間盤突出癥的臨床療效差異。方法:將201例血瘀型輕中度腰椎間盤突出癥患者隨機(jī)分為觀察組(101例)與對照組(100例)。觀察組采用"督穴導(dǎo)氣針法"聯(lián)合電針治療,穴取腰陽關(guān)、十七椎、環(huán)跳和陽陵泉,腰陽關(guān)、十七椎在得氣基礎(chǔ)上行"導(dǎo)氣針法";環(huán)跳、陽陵泉得氣后實施電針療法。隔天治療1次,每周3次,12次為一療程,共觀察治療1個療程;對照組取穴同觀察組,4穴分別行電針治療,電針參數(shù)、治療時間與周期和觀察組相同。比較兩組患者治療前、治療后及治療后3個月隨訪時日本骨科學(xué)會下腰痛評分(JOA評分),治療前后腰部紅外熱像圖溫度變化及靜息狀態(tài)下肌肉壓力-位移曲線下面積(RAUC),并比較兩組患者近、遠(yuǎn)期療效。結(jié)果:觀察組近、遠(yuǎn)期總有效率分別為89.11%(90/101)、91.11%(82/90),對照組分別為86.00%(86/100)、89.53%(77/86),組間比較差異均無統(tǒng)計學(xué)意義(均P0.05);觀察組近、遠(yuǎn)期臨床治愈率分別為52.48%(53/101)、55.56%(50/90),均優(yōu)于對照組的36.00%(36/100)、34.88%(30/86,均P0.05)。與治療前比較,兩組治療后及隨訪時JOA評分均提高(均P0.01),各時點組間差異均無統(tǒng)計學(xué)意義(均P0.05);兩組治療后腰部紅外熱像圖溫度均升高(均P0.01),且升高幅度觀察組大于對照組(P0.01);觀察組治療后腰部RAUC較治療前明顯增大(P0.01),且大于對照組(P0.01)。結(jié)論:"督穴導(dǎo)氣針法"聯(lián)合電針治療血瘀型輕中度腰椎間盤突出癥臨床療效優(yōu)于常規(guī)電針治療。
[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，

本文編號：2503304