腹部温针治疗肾虚型腰椎间盘突出症的远红外热断层扫描研究

The study of TTM on the treatment of kidney lumbar disc herniation with abdominal temperature needle

目的:用远红外热断层扫描成像系统观察温针关元治疗腰椎间盘突出症的临床疗效。方法:62例患者随机分为2组,治疗组32例,对照组30例,对照组针刺取穴大肠俞、关元俞、环跳、委中、承山、阳陵泉、阿是穴。治疗组在对照组取穴的基础上加温针关元,四周为一疗程。结果:治疗组愈显有效率93.8%,高于对照组77.0%,差异有显著意义(P<0.01),TTM显示腰部温度治疗组与对照组相比,差异有显著意义(P<0.05),下腹部温度差异有非常显著意义(P<0.01)。结论:治疗腰椎间盘突出症不但应在背部取位,还应加用腹部温针治疗以补肾气,并阴中求阳,可提高临床疗效。

Objective： To observe the clinical effect on treating lumbar intervertebral disc protrusion with tepid acupuncture Guanyuan in TTM （thermal texture maps system）- Methods： 62 patients were randomly divided into 2 groups： treatment group （n=32） and control group （n=30）- The patients in control group were treated with acupuncture on bilateral Dachangshu, Guanyuan Shu, Huantiao, Weizhong, Chengshan, Yanglin Quan, A Shixue- And the patients in treatment group were treated with tepid acupuncture on Guanyuan for take 4 weeks as a treatment course- Results： The efficiency of treatment group up to 93-8%, was higher than 77-0% of control group （P〈0-05）- TTM showed that the temperature of renal region of patients in treatment group was higher than control group （P〈0-05）, which difference has significantly meaning and the temperature of hypogastric region of patients in treatment group was much higher than control group （P〈0-01）, which also has significantly meaning- Conclusion： To treat lumbar intervertebral disc protrusion should not only take local acupuncture points, which also add the warm-kidney acupuncture pints- Only using this treatment to resolve both the symptoms and root causes, can we improve the clinical effect-