深刺阿是穴治疗腰椎间盘突出症

Deep needling Ashi point treatment of lumbar disc herniation

目的观察深刺阿是穴治疗腰椎间盘突出症的临床疗效。方法将60例腰椎间盘突出症患者按随机对照试验方法分为2组。阿是穴组腰部取督脉、椎旁、足太阳膀胱经阿是穴深刺并配合患侧下肢辨经取穴。夹脊穴组腰部取双侧腰夹脊穴及患侧承山、阳陵泉、环跳、秩边。采用改良的日本骨科学会下腰痛评分系统及视觉模拟评分法分别观察。结果阿是穴组总有效率96.7%,夹脊穴组总有效率86.7%,2组比较差异有统计学意义(P<0.01),阿是穴组临床疗效优于夹脊穴组。结论深刺腰部阿是穴可以在局部形成较大的有效刺激量,配合患侧下肢辨经取穴治疗腰椎间盘突出症疗效确切。

Objective To observe the clinical efficacy of deep needling Ashi point treatment of Lumbar disc herniation（ LDH）. Methods The 60 cases of LDH were randomly divided into 2 groups. Ashi group waist take Du meridian,paravertebral,bladder meridian Ashi point deep needling,combined with selecting the acupoint by identifying meridian on sick lower extremity. The Jiaji group take bilateral lumbar Jiaji and affected side Chengshan,Yanglingquan,Huantiao,Zhibian. Using the modified Japanese Orthopedic Association low lumbar pain score and Visual analogue score observe respectively. Results Ashi group the total efficiency 96. 7%,Jiaji group the total effectiveness 86. 7%. Two groups＇ difference was statistically significant（ P 〈0. 01）. Ashi group clinical curative effect is better than Jiaji group. Conclusion Deep needling the waist Ashi point can form larger effective stimulating quantity in local. Deep needling the waist Ashi point treatment LDH has obvious curative effect,combined with selecting the acupoint by identifying meridian on sick lower extremity.