通络固本针刺法治疗腰椎间盘突出症疗效观察

Observation on therapeutic effect of Tongluo Guben needling method for lumbar disc herniation

目的:探寻治疗腰椎间盘突出症的较佳疗法。方法:将132例腰椎间盘突出症患者随机分为观察组和对照组,每组66例。观察组选择百会透太阳,L1—L5华佗夹脊及患侧环跳、承扶等穴进行针刺治疗;对照组采用常规针刺法,穴取肾俞、大肠俞及患侧环跳、承扶等,每天1次,连续6次为一疗程,疗程间休息1天。观察第4疗程后、第8疗程后临床疗效和治疗结束后6个月时复发率,采用视觉模拟评分法(Visual Analogue Scale,VAS)观察患者疼痛评分,观察患者Os-westry功能障碍指数(ODI)评分。结果:观察组患者在第4疗程后痊愈率和总有效率分别为44.3%(27/61)、100.0%(61/61),对照组分别为26.7%(16/60)、93.3%(56/60),两组比较差异均有统计学意义(均P<0.05);两组第8疗程后痊愈率和总有效率差异均无统计学意义(均P>0.05)。观察组治疗结束后6个月时复发率为9.4%(5/53),显著低于对照组的24.1%(13/54,P<0.05)。治疗后两组患者VAS和ODI评分均显著降低(均P<0.05),且在第2、4、6疗程结束后观察组VAS和ODI评分均显著低于对照组(均P<0.01)。结论:通络固本针刺法治疗腰椎间盘突出症起效快速、复发率低。

Objective：To observe if the effect of acupuncture is superior to traditional acupuncture on 1umbar disc herniation（LDH）.Methods：One hundred and thirty-two patients of were randomly devided into an observation group and a control group ,66 cases in each group. The observation group was treated by Tongluo Guben needling method with Baihui（DU20）-Taiyang（EX-HN5） ,Jiaji（EX-B2）, Huantiao（GB30）,Chengfu（BL36）, Chengjin （BL56）, Chengshan（BL57）, Fengshi（GB31）, Weizhong（BL40）, YanglinGquan（GB34）, Xuanzhong（GB39）,Kunlen（BL60） selected,and the control group by routine acupuncture method with Shenshu（BL23）,dachangshu（BL25）,Ashixue, Huantiao（GB30）,Chengfu（BL36） , Chengjin （BL56）, Chengshan（BL57）, Fengshi（GB31）,Weizhong（BL40）, YanglinGquan（GB34）, Xuanzhong （GB39）,Kunlen（BL60） selected.They were treated for 8 cources and one cource by 6 sessions. Visual pain analogue scale（VPAS） and Oswestry disability Index（ODI） were used for assessment of therapeutic effect,and the therapeutic effect and changes of VPAS and ODI scores before and after treatment were observed in both groups.Results：After one time treatment, VPAS and ODI scores in two groups improved significantly （P〈0.01）. Compared with control group, VPAS and ODI scores of the observation group decreased significantly（P〈0.01） at second,fourth,sixth cource time-point,however changes of VPAS and ODI scores at eighth time-point in two groups were not significant（P〉0.05）. The cure rate and total effective rate in the observation group after four cources treatment was superior to the control group（P〈0.05）,while after eight cources treatment no significant differences（P〉0.05）.The relapse rate of the observation group was significantly less than the control group（P〈0.05）.Conclusion：Guben needling method effects on 1umbar disc herniation more rapidly than routine acupuncture method,with a lower relapse rate.