针灸配合梅特兰手法治疗腰椎间盘突出症疗效观察

Therapeutic Observation of Acupuncture-moxibustion plus MEI Te-lan's Manipulations for Lumbar Intervertebral Disc Herniation(Blood Stagnation Pattern)

目的观察针灸配合梅特兰手法治疗腰椎间盘突出症(血瘀证)的临床疗效。方法将248例腰椎间盘突出症(血瘀证)患者随机分为治疗组123例和对照组125例。治疗组采用针灸配合梅特兰手法治疗,对照组采用针灸配合腰部推拿治疗。观察两组治疗前后简式Mc Gill疼痛量表(SF-MPQ)各项评分及Osewestry下腰痛功能障碍问卷评分,比较两组临床疗效。结果治疗组总有效率和愈显率分别为80.5%和52.0%,对照组总有效率和愈显率分别为72.8%和20.0%。两组愈显率比较,差异具有统计学意义(P<0.05)。治疗组治疗3、6、20 d后PRI评分、VAS评分、PPI评分及Osewestry下腰痛功能障碍问卷评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗20 d后PRI评分、VAS评分、PPI评分及Osewestry下腰痛功能障碍问卷评分与对照组比较,差异具有统计学意义(P<0.05)。结论针灸配合梅特兰手法是一种治疗腰椎间盘突出症(血瘀证)的有效方法。

Objective To observe the clinical efficacy of acupuncture-moxibustion plus MEI Te-lan＇s manipulations in treating lumbar intervertebral disc herniation（LIDH） due to blood stagnation. Method Totally 248 LIDH patients due to blood stagnation were randomized into a treatment group of 123 cases and a control group of 125 cases. The treatment group was intervened by acupuncture-moxibustion plus MEI Te-lan＇s manipulations, while the control group was by acupuncture-moxibustion plus tuina at lower back. The short-form Mc Gill Pain Questionnaire（SF-MPQ） and Oswestry disability index（ODI） were observed before and after intervention, and the clinical efficacies were compared between the two groups. Result The total effective rate and recovery-markedly effective rate were respectively 80.5% and 52.0% in the treatment group, versus 72.8% and 20.0% in the control group. There was a significant difference in comparing the recovery-markedly effective rate between the two groups（P〈0.05）. In the treatment group, the Pain Rating Index（PRI） score, Visual Analogue Scale（VAS） score, Present Pain Intensity（PPI） score, and ODI score were significantly changed after 3-day, 6-day, and 20-day treatment compared to the scores before treatment（P〈0.05）. After 20-day treatment, the PRI, VAS, PPI, and ODI scores of the treatment group were significantly different from that of the control group（P〈0.05）. Conclusion Acupuncture-moxibustion plus MEI Te-lan＇s manipulations is an effective method in treating LIDH due to blood stagnation.