独刺大钟穴治疗虚证棘上韧带损伤疗效观察

Efficacy observation on supraspinal ligament injury in deficiency syndrome treated with acupuncture at Dazhong (KI 4) only

目的:对比独刺大钟穴与针刺腰部常规取穴治疗虚证棘上韧带损伤的疗效差异,寻找治疗本病的最佳方法。方法:将126例符合条件的患者随机分为大钟穴组(63例)和常规取穴组(63例)。两组均用TDP照射腰部和在肾俞、大肠俞、命门、腰阳关及阿是穴拔罐,大钟穴组加用针刺双侧大钟穴,用呼吸补法,每日或隔日1次,3次为一疗程,疗程间休息1日或不休息;常规取穴组则用同样的补法刺肾俞、大肠俞、命门、腰阳关及阿是穴,疗程等其余做法与大钟穴组相同。观察两组的临床疗效。结果:大钟穴组和常规取穴组的愈显率分别为88.9%(56/63)、54.0%(34/63),差异有统计学意义(P<0.01);两组患者疼痛评分及临床症状评分治疗后均较治疗前减少,差异均有统计学意义(均P<0.01),治疗后组间比较,大钟穴组优于常规取穴组(均P<0.01)。结论:以独补大钟穴加拔罐和TDP照射是治疗虚证棘上韧带损伤的简便有效的方法。

Objective To compare the efficacy difference on the treatment of supraspinal ligament injury in deficiency syndrome between only-puncturing at Dazhong（KI 4） and routine acupuncture therapy and then explore an optimum process.Methods One hundred and twenty-six cases were randomly divided into a Dazhong group（63 cases） and a routine acupuncture group（63 cases）.Based on the same treatment including TDP irradiation,cupping at Shenshu（BL 23）,Dachangshu（BL 25）,Mingmen（GV 4）,Yaoyangguan（GV 3） and Ashi points,the patients in the Dazhong group received only-puncturing Dazhong（KI 4） with respiratory reinforcing method once daily or every other day,three times of which made a course of the treatment,with on interval of one day or without between different courses.For the routine acupuncture group,the same reinforcing method was applied at shenshu（BL 23） pointect,and the other requirements such as courses were also the same.Results The cured and markedly effective rate was 88.9%（56/63） in the Dazhong group,which was significantly superior to that of 54.0%（34/63） in the routine acupuncture group（P0.01）.Compared before and after the treatment,the score of Numerical Rating Scale（NRS） and the clinical symptom score of the two groups were significantly decreased（all P0.01）.Compared between the two groups,there were significant differences in NRS and clinical symptom score the Dazhong group was better than the routine acupuncture group（both P0.01）.Conclusion The only-puncturing Dazhong（KI 4） method combined with cupping and TDP irradiation are simple and effective for supraspinal ligament injury in deficiency syndrome.