三步针罐疗法治疗急性旁侧型腰椎间盘突出症的疗效及其对甲襞微循环的影响

Three-step Acupuncture and Cupping in Acute Lateral Prolapse of Lumber Intervertebral Disc and Its Effect on Nailfold Microcirculation

目的探讨三步针罐疗法治疗急性旁侧型腰椎间盘突出症的临床疗效及其作用机制。方法选取60例急性旁侧型腰椎间盘突出症患者为研究对象,治疗组30例采用三步针罐疗法治疗,对照组30例采用常规针刺治疗,观察两组患者的临床疗效及治疗前后甲襞微循环的变化。结果治疗组痊愈17例(56.67%),有效11例(36.66%),无效2例(6.67%);对照组痊愈6例(20.00%),有效16例(53.33%),无效8例(26.67%),两组患者的疗效间差异有统计学意义(P<0.05)。两组患者治疗前的甲襞微循环输入枝管径、输出枝管径、管袢数目、血液流态积分间差异均无统计学意义(P>0.05),治疗后各指标间差异均有统计学意义(P<0.05)。两组患者治疗前的甲襞微血管清晰度、袢周瘀血、袢周渗出间差异均无统计学意义(P>0.05),治疗后各指标间差异均有统计学意义(P<0.05)。结论三步针罐疗法通过显著改善机体微循环状态,从而实现对急性旁侧型腰椎间盘突出症的良好疗效,是临床治疗急性旁侧型腰椎间盘突出症的较好的治疗方法。

Objective To explore the clinical curative effect of 3-step acupuncture and cupping in treatment of acute lateral prolapse of lumbar intervertebral disc and its mechanism of action.Methods Sixty patients with acute lateral prolapse of lumbar intervertebral disc were divided randomly into therapy group(n=30,receiving 3-step acupuncture and cupping treatment) and control(n=30,receiving conventional acupuncture treatment).Clinical curative effect and changes in nailfold microcirculation were observed before and following treatment.Results The general clinical effect was better in therapy group(full recovery 56.67%,effectiveness 36.66%,ineffectiveness in 6.67%) than in control(20.00%,53.33%,26.67%,respectively)(P<0.01).The improvement of microcirculation was better in therapy group than in control(P<0.01).Conclusion Three-step acupuncture and cupping therapy,which can achieve good curative effect by improving obviously organism microcirculation,is a relative good method in treatment of acute lateral prolapse of lumbar intervertebral disc.