针刺神经根治疗腰椎间盘突出麻木症的疗效观察

Clinical Observation of Acupuncture the Nerve Root on Lumbar Disc Herniation with Numbness Symptoms

目的探讨针刺神经根对腰椎间盘突出症(lumbar disc herniation,LDH)患者麻木症状的疗效。方法将60例LDH患者随机分为观察组与对照组,每组30例。其中观察组针刺腰椎间盘突出相应节段椎旁神经根;对照组常规针刺。10次1个疗程,2个疗程后,通过对比治疗前后麻木VAS评分、胫腓神经F波传导速度及JOA评分,观察针刺神经根对患者麻木症状的疗效。结果治疗后,观察组、对照组麻木VAS评分均明显低于治疗前(P<0.01),且观察组低于对照组(P<0.01);治疗后观察组、对照组胫腓神经F波传导速度、JOA评分均明显高于治疗前(P<0.01),且观察组高于对照组(P<0.01或P<0.05)。结论针刺神经根可提高LDH患者患肢胫、腓神经F波传导速度,缓解麻木程度,对麻木症状有良好疗效。

Objective To discuss the curative effect of acupuncture the nerve root on lumbar disc herniation（LDH） with numbness symptoms. Methods 60 patients were randomly divided into the observation group and control group, 30 cases in each group. The observation group was acupunctured the nerve root at corresponding segments, and the control group was treated with conventional acupuncture. A course of treatment was for 10 times. The VAS scores, F wave conduction velocity of tibial and peroneal nerve, and JOA score were compared after 2 courses.The numbness syndromes of patients were observed. Results After treatment, VAS scores in the observation group and control group were significantly lower than before treatment（P〈0.01）, and the observation group is lower than the control group（P0.01）; the F wave conduction velocity of tibial and peroneal nerve, JOA score were significantly higher than before treatment（P0.01）, and the observation group was higher than control group（P0.01 or P0.05）. Conclusion Acupuncture the nerve root treatment could improve the F wave conduction velocity of tibial and peroneal nerve, and relieve the degree of numbness. This method showed a good effect on numbness symptoms.