穴位注射治疗原发性骨质疏松腰腿痛疗效观察

Clinical observation on acupoint-injection for treatment of lumbago-leg pain induced by primary oste-oporosis

目的:观察穴位注射与中药治疗原发性骨质疏松腰腿痛疗效差异。方法:将90例骨质疏松腰腿痛患者随机分为夹脊穴组、补肾健脾穴组和药物组,各30例。夹脊穴组取双侧华佗夹脊T_(11)、L_1、L_3、L_5、S_2行穴位注射;补肾健脾穴组取脾俞、肾俞、太溪、太白、太冲、三阴交、血海穴行穴位注射;药物组口服强骨胶囊。观察治疗后骨密度及疼痛积分的变化。结果:夹脊穴组总有效率为93.3%,补肾健脾穴组为73.3%,药物组为60.0%,夹脊穴组优于补肾健脾穴组和药物组(P<0.05,P<0.01)。减少疼痛积分及改善骨密度上,夹脊穴组均优于补肾健脾穴组和药物纽(P<0.01),补肾健脾穴组优于药物组(P<0.01,P<0.05)。结论:穴位注射法治疗原发性骨质疏松腰腿痛疗效确切,其中穴位注射夹脊穴效果优于穴位注射补肾健脾穴。

Objective To compare therapeutic effects of acupoint-injection and Chinese herbs for treatment of lumbago-leg pain induced by primary osteoporosis. Methods Ninety cases of lumbago-leg pain induced by primary osteoporosis were randomly divided into a Jiaji point group, a reinforcing kidney and strengthening spleen point group and a medication group, 30 cases in each group. For the Jiaji point group, bilateral Jiaji points T11, L1, L3, L5 and S2 were selected; for the reinforcing kidney and strengthening spleen point group, Pishu （BL 20）, Shenshu （BL 23）, Taixi （KI 3）, Taibai （SP 3）, Taichong （LR 3）, Sanyinjiao （SP 6）, Xuehai （SP 10） were selected and the medication group were treated with oral administration of Qianggu Capsules. Changes of bone mass density （BMD） and pain cumulative score after treatment were observed. Results The total effective rate was 93.3% in the Jiaji point group, 73.3 % in the reinforcing kidney and strengthening spleen point group and 60.0 % in the medication group, the Jiaji point group being better than both the reinforcing kidney and strengthening spleen point group and the medication group （P〈0.01, P〈0. 05）. In reduction of pain cumulative score and improvement of BMD, the Jiaji point group was better than both the reinforcing kidney and strengthening spleen point group and the medication group （P〈0. 01）, and the reinforcing kidney and strengthening spleen point group was better than the medication group （P〈0. 05, P〈0.01）. Conclusion Acupoint-injection has a definite therapeutic effect on lumbago-leg pain induced by primary osteoporosis, and the therapeutic effect of the Jiaji point group is better than the reinforcing kidney and strengthening spleen point group.