电针配合健腰操治疗腰椎间盘突出症疗效观察(英文)

Electroacupuncture plus waist-strengthening exercises for herniation of lumbar intervertebral disc

目的:验证电针配合健腰操治疗腰椎间盘突出症的疗效。方法:50例患者均予电针治疗,穴取十七椎、腰阳关、环跳、阳陵泉为主,并配合健腰操锻炼。分别于治疗前、治疗第4个月后、治疗第7个月后评定总体症状总分值,进行疗效比较。结果:治疗4个月后总体症状总分值为15.30±5.66,治疗7个月后为19.08±4.57,均明显高于治疗前的7.42±2.20(均P<0.01),治疗7个月后优于治疗4个月后(P<0.01)。不同证型患者治疗后分值差异具有统计学意义(P<0.05),以血瘀型效果最好,肝肾亏虚型其次。结论:电针配合健腰操对腰椎间盘突出症的治疗有显著疗效,并随着治疗时间的延长,效果也越明显。

Objective To investigate the clinical efficacy of electroacupuncture plus waist-strengthening exercises in treating herniation of lumbar intervertebral disc. Methods Fifty patients with herniation of lumbar intervertebral disc were treated with eleetroaeupuncture at the points of Shiqizhui （十七椎 EX-B 8）, Yaoyangguan（腰阳关 GV 3）, Huantiao （环跳 GB 30）, Yanglingquan （阳陵泉GB 34） and waist-strengthening exercises. The total scores of general symptoms were evaluated before the treatment and after four months and seven months of treatment to compare the therapeutic effects. Results The total scores of general symptoms after four months and seven months of treatment were 15.30±5.66 and 19.08±4.57 respectively, which were much higher than the score of 7.42±2.20 before the treatment （both P〈0.01 ）, in addition, the score after seven months of treatment was higher than that after four months of treatment. The variation of scores in patients with different types after treatment was statistically significant （P〈0.05）, and the best effect can he seen in the blood stagnation type of patients with herniation of hnnbar intervertebral disc, then less the patients with liver and kidney deficiency type. Conclusion Electroacupuneture plus waist-strengthening exercises has a satisfactory therapeutic effect on herniation of lumbar intervertebral diste, the longer course of treatment is, the beffer therapeutic effect achieved.