温针治疗血瘀型腰椎间盘突出症疗效观察

Observations on the Efficacy of Warm Needling in Treating Lumbar Intervertebral Disc Herniation of Blood Stasis Type

目的观察温针治疗血瘀型腰椎间盘突出症(LDH)的临床疗效。方法将80例血瘀型LDH患者按Doll’s临床病例随机表分为两组。观察组40例,予温针和功能锻炼治疗;对照组40例,予单纯针刺和功能锻炼治疗。观察治疗前后的临床疗效、VAS积分、JOA积分、血清免疫球蛋白(IgG、IgM、IgA),进行比较分析。结果观察组总有效率为92.5%,与对照组比较,差异有统计学意义(P<0.05);两组VAS积分下降,JOA积分升高(P<0.05,P<0.01),组间比较,观察组的改善更为明显(P<0.01);两组血清IgG、IgM、IgA含量均下降,与治疗前比较,IgG、IgM的差异有统计学意义(P<0.05,P<0.01),组间比较,观察组的改善更为明显(P<0.01)。结论温针治疗血瘀型LDH疗效显著,并能改善患者的临床症状和免疫水平。

Objective To investigate the clinical efficacy of warm needling in treating lumbar intervertebral disc herniation of blood stasis type. Methods Eighty patients with lumbar intervertebral disc herniation of blood stasis type were allocated to two groups using Doll＇s clinical case random table. The observation group of 40 patients was treated by warm needling plus functional training and the control group, by simple acupuncture plus functional training. The clinical therapeutic effects, and pre-/post-treatment VAS scores, JOA scores and serum immunoglobulins （IgG, IgM and IgA） were compared. Results The total efficacy rate was 92.5% in the observation group and there was a statistically significant difference compared with the control group （P〈0.05）. The VAS score decreased and the JOA score increased in the two groups and the differences were statistically significant as compared with before treatment （P〈0.05, P〈0.01）. A between-group comparison showed that the improvement was more obvious in the observation group than in the control group （P〈0.01）. IgG~ IgM and IgA contents decreased in both groups and there were statistically significant differences in IgG and IgM as compared with before treatment （P〈0.05, P〈0.01）. A between-group comparison showed that the improvement was more obvious in the observation group （P〈0.01）. Conclusions Warm needling has a marked therapeutic effect on lumbar intervertebral disc herniation of blood stasis type and can improve the clinical symptoms and immunological levels in the patients.