腹针配合针刺肾俞、大肠俞治疗腰椎间盘突出症临床研究
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R246.9

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Clinical Study on Abdominal Acupuncture Combined with Acupuncture at Shenshu Point and Dachangshu Point for Lumbar Disc Herniation
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    摘要:

    目的:观察腹针配合针刺肾俞、大肠俞对腰椎间盘突出症(LDH) 患者即刻镇痛及腰椎功能的改善作用。方法:选取98 例LDH 患者为研究对象,按随机数字表法分为研究组和对照组各49 例。对照组给予常规针刺选穴治疗,研究组给予腹针配合针刺肾俞、大肠俞治疗。采用视觉模拟量表(VAS) 评估2 组治疗前及治疗后10 min、20 min 疼痛情况,采用改良日本骨科协会腰痛评分表(M-JOA) 评估2 组治疗前后腰椎功能,并统计2 组临床疗效及不良反应发生情况。结果:研究组总有效率为95.92%,高于对照组77.55%,差异有统计学意义(P<0.05)。治疗前,2 组VAS 评分比较,差异无统计学意义(P>0.05)。治疗后10 min,2 组VAS 评分均较治疗前降低(P<0.05);治疗后20 min,2 组VAS 评分均低于治疗后10 min(P<0.05)。研究组治疗后10 min、20 min 的VAS 评分均低于对照组(P<0.05)。治疗前,2 组M-JOA 量表中主观症状、客观体征、日常生活工作能力评分比较,差异无统计学意义(P>0.05)。治疗后,2 组M-JOA 量表中的主观症状、客观体征、日常生活工作能力评分较治疗前升高,且研究组上述指标均高于对照组,差异有统计学意义(P<0.05)。结论:腹针配合肾俞、大肠俞治疗LDH 疗效显著,具有良好的即刻镇痛作用,并能改善患者腰椎功能。

    Abstract:

    Abstract: Objective: To observe the effect of the therapy of abdominal acupuncture combined with acupuncture at Shenshu point(CV6) and Dachangshu point(CV8) on immediate analgesia and improvement of lumbar function in patients with lumbar disc herniation(LDH). Methods:A total of 98 patients with LDH were selected as the research objects and divided into the study group and the control group according to the random number table method, with 49 cases in each group. The control group was given routine acupuncture treatment, and the study group was given abdominal acupuncture combined with acupuncture at Shenshu point(CV6) and Dachangshu point(CV8). Before treatment and ten minutes and twenty minutes after treatment,the degree of pain in the two groups was evaluated by the Visual Analogue Scale(VAS). The lumbar function in the two groups was evaluated by the Modified Japanese Orthopedic Association Low Back Pain Rating Scale(M- JOA) before and after treatment,and the clinical effects and adverse reactions in the two groups were counted. Results:The total effective rate was 95.92% in the study group, higher than that of 77.55% in the control group, the difference being significant(P<0.05). Before treatment, there was no significant difference being found in the comparison of the scores of VAS between the two groups(P>0.05). Ten minutes after treatment, the VAS scores in the two groups were decreased when compared with those before treatment(P<0.05);twenty minutes after treatment,the VAS scores in the two groups were lower than those ten minutes after treatment(P<0.05). The VAS scores in the study group ten minutes and twenty minutes after treatment were lower than those respectively in the control group(P<0.05). Before treatment,there was no significant difference being found in the comparison of the scores of subjective symptoms,objective signs and ability of daily living and working of the M- JOA scale between the two groups(P>0.05). After treatment, the scores of subjective symptoms,objective signs and ability of daily living and working of the M-JOA scale in the two groups were increased when compared with those before treatment, and the above indexes in the study group were higher than those in the control group, the difference being significant(P<0.05). Conclusion: The therapy of abdominal acupuncture combined with acupuncture at Shenshu point(CV6) and Dachangshu point(CV8) has a significant curative effect on LDH,which has a good immediate analgesic effect and can improve the lumbar function of patients.

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乔磊,白玉,付爱玲.腹针配合针刺肾俞、大肠俞治疗腰椎间盘突出症临床研究[J].新中医,2022,54(9):184-188

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  • 在线发布日期: 2022-05-09
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