腹针结合拉筋治疗腰椎间盘突出症临床观察

Clinical Observation of Abdominal Acupuncture with Supine Stretch on Lubar Intervertebral disc Protrusion

目的：观察腹针结合拉筋治疗腰椎间盘突出症的临床疗效。方法：将58例患者随机分为治疗组和对照组,每组各29例。治疗组采用腹针结合拉筋治疗,对照组予腹针结合牵引治疗。均治疗2个疗程。结果：治疗组总有效率为96.55%（95%CI=82.20%-99.90%）,对照组为86.21%（95%CI=68.30%-96.10%）,两组综合疗效比较（u=1.6462,P=0.0997）,差异尚未达到显著性意义。结论：采用腹针结合拉筋治疗腰椎间盘突出症临床疗效优于应用腹针结合牵引治疗的证据不够充分,其收益为OR=0.22（95%CI=0.02-2.26）,NNT=10（95%CI=4.03-34.00）。

Objective： To observe the clinical effects of supine stretch combined with abdominal acupuncture on lumbar intervertebral disc herniation （LIDH）. Methods： 58 patients with LIDH were randomly divided into treatment group and control group ,29 in each group. The treatment group were treated with abdominal acupuncture combined with the supine stretch , while the control group were treated with abdominal acupuncture combined with traction. Two groups all were treated for two courses of treatment. Results： Total effective rate of treatment group was 96. 55% （95% CI = 82. 20% - 99.90% ）, while that of control group was 86.21% （95% CI = 68.30% - 96. 10% ）. The comprehensive effects of two groups were compared （u = 1. 646 2,P =0. 099 7 ）, the difference was not statistically significant. Conclusion ： It has not the sufficient evidences that the clinical effect of abdominal acupuncture combined with the supine stretch on LIDH is superior to that of abdominal acupuncture combined with traction. Its benefits is OR =0. 22（95% CI =0.02 -2.26）, NNT = 10（95% CI =4.03 -34. 00）.