针刺后溪穴治疗腰痛60例的临床效果观察

60 cases clinical observation of acupuncture to Houxi point for low back pain treatment

目的观察针刺后溪穴结合椎间盘夹脊穴深刺治疗腰椎间盘突出症引起疼痛的疗效。方法将6 0例患者随机分为两组,分别为观察组(3 0例)和对照组(3 0例)。观察组采取病变椎间盘夹脊穴处深刺,针上套罐,1 0 min起罐,用神灯在针刺部位加热20 min,后采用快针法强刺激双手后溪穴。1次/d,治疗5 d。对照组采用单纯夹脊穴深刺、拔罐、神灯加热的方式治疗。结果观察组及对照组各自治疗前与治疗后相比较,VAPS疼痛评分差异有统计学意义(P<0.05),治疗5 d后,观察组与对照组比较差异有统计学意义(P<0.05),治疗后两组评分差异有统计学意义(P<0.05),对照组与观察组在总的有效率上差异无统计学意义(P>0.05)。结论针刺夹脊穴与后溪穴结合治疗腰痛比较单纯针刺夹脊穴有明显的优势。

Objective To observe Houxi point acupuncture combined with intervertebral disc Jiaji point curative effect for the treatment of pain caused by lumbar disc prolapse. Methods 60 patients were randomly divided into observation group（30 cases） and control group （30 cases）. The observation group took the pathological changes of intervertebral disc Jiaji point deep stab, with acupuncture plus cans for 10 minutes, removed cans, with the lamp in acupuncture heat for 20 minutes, then using quick hands Houxi point stitch was strong stimulated, once a day, for five days. Control group took the simple Jiaji point deep stab, with acupuncture plus cans, heating lamp. Results Observastion group and control group were respectively compared before and after treatment, differencein VAPS pain score was statistically significant （P〈0.05）. Treatment after five days in observation group compared with control group was statistically significant （P〈0.05）. After treatment the score difference in two groups was statistically significant （P〈0.05）. Effective rate in both control group and observation group had no difference with statistical significance （P〉0.05）. Conclusion Jiaji point combined with houxi point acupuncture treatment of low back pain has obvious advantages to Jiai point stab only.