指针治疗腰椎间盘突出症的研究

Study of finger acupuncture on lumbar disc herniation

目的评价指针治疗腰椎间盘突出症(LDH)的临床疗效及安全性。方法将2006年3月—2008年3月就诊的100例LDH患者随机列入试验组和对照组,试验组运用指针治疗,对照组运用传统的按摩合针灸治疗,10 d为1个疗程,疗程间休息4 d,连续3个疗程。结果2组治疗前后的JOA评分比较均有显著性差异(P均<0.001),2组3个疗程结束后的JOA及Prolo评分、临床疗效比较均无显著性差异(P均>0.05)。但早期疗效、因治疗本身引起的不适、对治疗产生畏惧心理方面,2组存在显著性差异(P均<0.05)。结论2种方法治疗LDH疗效相当,但是指针疗法显效快于传统疗法,治疗本身引起的不适明显少于传统疗法。此法操作简便、安全有效,为LDH的治疗提供了又一有效途径。

Objective It is to evaluate the clinical effect and security of the finger acupuncture on lumbar disc herniation. Methods 100 patients with lumbar disc herniation （LDH） were divided into tentative group and control group by randomized method from March 2006 to March 2008. The patients of tentative group were treated by the finger acupuncture, the pa- tients of control group were treated by the traditional massage and acupuncture. 10 days were one course of treatment. The patients had 4-day-rest after finished a course of treatment, then continued the next course of treatment till finished the third course. Results There was significant difference between prior treatment and post treatmen：t in both groups （ P 〈 0. 001 ）, and there was no significant difference between the JOA＇s mark, Prolo＇s mark and curative effect of two groups after the third course （ P 〉 0.05）. But there were significant differences between two groups on the aspects of the curative effect during the morning of treatment, indisposition and fearing feeling generated by the treatment （ P 〈 0.05）. Conclusion There is thera- peutic equivalence between two treatments, but the excellence of the finger-acupuncture-therapy is faster than the traditional therapy. There is no suffering and the disease is natural cured during the course of treatment. This therapy is convenient, safe, good effect, and provides an available cur-method to LDH.