摘要
目的:探讨针刺八髎穴治疗腰椎间盘突出症的临床疗效。方法:选取80例腰椎间盘突出症患者随机分为治疗组与对照组各40例。2组均在随症配穴的基础上,治疗组采用针刺八髎穴治疗,对照组采用传统针刺方案取穴治疗。每天1次,10次为1疗程,共治疗2疗程。评估2组治疗1疗程、2疗程后的临床疗效,分别比较治疗前、治疗1次、1疗程、2疗程后和随访1月的视觉模拟疼痛评分法(VAS)评分及治疗前、治疗1疗程、2疗程后和随访1月的日本骨科协会(JOA)评分(包括主观症状、体征和日常生活评分)。结果:治疗1疗程后,总有效率治疗组为9 7.5%,对照组为80.0%,2组比较,差异有统计学意义(P<0.05);治疗2疗程后,2组总有效率均为100%,差异无统计学意义(P>0.05)。治疗1次、1疗程、2疗程后和随访1月时,2组VAS评分均较治疗前降低(P<0.05),治疗组各时间点VAS评分均较对照组降低更明显(P<0.05)。治疗1疗程、2疗程后和随访1月时的主观症状、体征、日常生活和JOA总评分均较治疗前升高(P<0.05),治疗组各时间点各项评分均较对照组升高更明显(P<0.05)。结论:针刺八髎穴治疗腰椎间盘突出症,临床疗效总体优于传统针刺治疗方案,可以缓解患者疼痛,改善腰椎功能,在临床选穴时值得考虑。
Objective：To discuss the clinical effect of acupuncture at Baliao point for lumbar disc herniation. Methods：Divided 80 cases of patients with lumbar disc herniation into the treatment group and the control group randomly,40 cases in each group. Based on the routine point combination, the control group was treated with acupuncture at Baliao point, while the treatment group was treated with the point locating in traditional acupuncture. The treatment in the two groups lasted for a total of two courses, once a day, ten times for a course. Evaluated the clinical effect in the two groups after one course and two courses of treatment, and compared the scores of visual analogue scale（VAS） before treatment and after treatment for once,one course of treatment,two courses of treatment and one month of follow-up of treatment and scores of Japan orthopaedic association（JOA）（including subjective symptoms, signs and daily living scores） before treatment and after one course of treatment, two courses of treatment and one month of follow-up of treatment. Results： After one course of treatment, the total effective rate was 97.5% in the treatment group and 80.0% in the control group, difference being significant（P〈0.05）. After two courses of treatment, the total effective rate was 100% in the two groups,difference being insignificant（P〉0.05）. After treatment for once,one course of treatment,two courses of treatment and one month of follow-up of treatment,VAS scores in the two groups were both decreased when compared with those before treatment（P〈0.05）. The decrease of VAS score at each time point in the treatment group was more evident than that in the control group（P〈0.05）. The scores of subjective symptoms,physical signs,signs,daily life and total JOA after one course of treatment,two courses of treatment and one month of follow-up of treatment were increased when compared with those before treatment（P〈0.05）. The increase of each score at each time point in the treatment group was
作者
白世平
周愚
BAI Shiping;ZHOU Yu
出处
《新中医》
CAS
2018年第8期189-192,共4页
New Chinese Medicine
