次髎穴深刺为主治疗腰椎间盘突出症临床观察

Clinical observation on deeply needling Ciliao (BL 32) for treatment of prolapse of lumbar intervertebral disc

目的:探讨以针灸为主综合治疗腰椎间盘突出症的特效穴位。方法:将180例患者随机分为治疗组(120例)和对照组(60例)。两组均采用针灸、牵引、推拿综合治疗,治疗组在针刺时采用常规取穴加次髎穴深刺,对照组仅针刺常规穴位,其余治疗两组相同。治疗两疗程后观察疗效。结果:治疗组的总有效率为97.5%,对照组总有效率为88.3%,经统计学处理差异有显著性意义(χ2=5.203,P<0.05);随访半年复发率治疗组为8.6%,对照组为20.8%,经统计学处理差异有显著性意义(P<0.05)。结论:以深刺次髎穴为主综合治疗腰椎间盘突出症临床效果明显优于常规取穴,且复发率低。

Objective To explore specificity of acupoints for treatment of prolapse of lumbar intervertebral disc. Methods One hundred and eighty cases were randomly divided into a treatment group （ n = 120） and a control group （n = 60）. The two groups were treated with acupuncture, traction and massage therapy. For the treatment group, routine acupoints were selected and deeply needling Ciliao （BL 32） were added. For the control group, only routine acup0ints were needled. And other treatments were same in both the two groups. Results The total effective rate was 97.5% in the treatment group and 88.3% in the control group; with a significant difference between the two groups （P〈0. 05）; after following survey of a half year, the recurrence rate was 8. 6% in the treatment group and 20.8% in the control group, with a significant difference between the two groups （P〈0. 05）. Conclusion The clinical effect of deeply needling Ciliao （BL 32） as main therapy is significantly better than that of the routine selection of acupoints, with a lower recurrence rate.