摘要
目的:观察运用岐黄针结合经筋理论治疗腰椎间盘突出症的临床疗效。方法:将符合纳入标准的我院腰椎间盘突出症患者60例按照随机数字表法分成治疗组和对照组,各30例,治疗组采用岐黄针在腰、臀、腿部位的筋结点进行治疗,对照组配穴参照《针灸学》,采用普通针刺进行治疗。采用JOA下腰痛评分量表、VAS评分等量表对其症状改善及功能恢复情况进行评价,比较治疗前后疾病疗效、腰椎功能及生活质量改善情况。结果:治疗后治疗组VAS、PRI等评分均较对照组下降明显(P<0.05);两组JOA下腰痛评分及腰椎活动度评分均有所升高,治疗组较对照组升高明显(P<0.05);治疗组总有效率为96.67%,优于对照组的73.33%(P<0.05)。结论:岐黄针结合经筋理论治疗和普通针刺治疗都能有效缓解腰椎间盘突出症患者的腰腿痛症状,改善腰椎功能,两者比较岐黄针治疗效果优于普通针刺治疗效果。
Objective:To observe the clinical effect of the application Qihuang needles combined with the meridian sinew theory in the treatment of lumbar disc herniation(LDH).Methods:60 cases of LDH met the inclusion criteria were randomly divided into the treatment group(n=30)and the control group(n=30).The treatment group was treated with needling tendons knots of waist,hip and leg with Qihuang needles,and the control group was treated with conventional needling with filiform needles.JOA scores,PRI scores and VAS scores were observed to assess the symptom improvement and function recovery after the treatment.Results:The scores of VAS and PRI were significantly decreased in the treatment group than those in the control group after the treatment(P<0.05).The scores of JOA of lumbago and lumbar spine activity were increased in the treatment group than those in the control group(P<0.05).The total effective rate of the treatment group was 96.67%,which was significantly higher than 73.33%of the control group(P<0.05).Conclusion:The application of Qihuang needles combined with the meridian sinew theory method and filiform needling both can effectively relieve the lumbar and leg pain of the LDH patients,the therapies can improve the lumbar vertebral function.In comparison,the treatment effect of Qihuang needling is better than filiform needling.
作者
张瑞琳
陈振虎
ZHANG Ruilin;CHEN Zhenhu(The First Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou 510405,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Acupuncture and Rehabilitation Center,Guangzhou 510405,China)
出处
《针灸临床杂志》
2019年第10期54-58,共5页
Journal of Clinical Acupuncture and Moxibustion
关键词
腰椎间盘突出症
岐黄针
经筋理论
临床疗效
Lumbar disc herniation
Qihuang needles
Theory of meridian sinew
Clinical effect
