皮内针配合推拿治疗腰椎间盘突出症疗效观察

Observation on therapeutic effect of intradermal needle combined with Tuina on lumbar disc herniation

目的:观察采用皮内针配合推拿的方法治疗腰椎间盘突出症的临床疗效。方法:对150例腰椎间盘患者进行推拿配合皮内针治疗。推拿治疗为在腰部使用攘法、揉法放松腰部肌肉,拔伸并牵抖腰部,行腰部后伸扳法和斜扳法,然后做强制直腿抬高试验,牵拉坐骨神经和腘绳肌,最后再使用揉法放松腰背部肌肉。推拿治疗结束以后,予毫针皮内埋针治疗,取局部阿是穴,患侧肾俞、腰阳关、秩边、风市、阳陵泉。治疗隔日1次,5次为一疗程,2个疗程结束后评定疗效。结果:痊愈102例,显效22例,好转18例,无效8例,有效率为94.7%。治疗前后症状积分分别为31.73±2.67、9.16±1.20,治疗后症状积分明显减少(P<0.01)。结论:皮内针配合推拿治疗腰椎间盘突出症有较好的临床疗效。

Objective To observe the therapeutic effect of intradermal needle therapy combined with Tuina on lumbar disc herniation. Methods One hundred and fifty patients of lumbar disc herniation were treated with intradermal needle combined with Tuina, Trundle, rub the lumbar region for relaxing the lumbar muscles; pull and extend the lumbar region with traction and vibration, and pull the loin afterward and obliquely pull the loin, followed by Compulsory straight-leg raising test, stretching sciatic nerve and hamstring muscle. Finally, rubbing method was used for relaxing the muscles of the lumbar and back regions. After Tuina therapy, ihtradermal needle embedding at local Ashi points, and Shenshu （BL 23）, Yaoyangguan （GV 3）, Zhibian （BL 54）, Fengshi （GB 31）, Yanglingquan （GB 34）. The treatment was given once other day, 5 times constituting one course. After 2 courses therapeutic effects were assessed. Results One hundred and two cases were cured, 22 cases were markedly effective, 18 cases improved and 8 cases were ineffective, with a total effective rate of 94. 7%. The symptom cumulative scores before and after treatment were （31.73±2.67） and （9.16±1.20）, respectively, significantly decreasing （P〈0. 01）. Conclusion Intradermal needle Combined with Tuina has a better clinical therapeutic effect on lumbar disc herniation.