动针通督刺络法治疗腰椎间盘突出症效果观察

Effect observation of using Dongzhen Tongdu blood-letting puncture in treatment of lumbar disc herniation

目的观察动针通督刺络法治疗腰椎间盘突出症的临床效果。方法将100例援助塞舌尔期间收治的腰椎间盘突出症患者随机分为两组各50例,观察组采用动针通督刺络法治疗,对照组采用单纯针刺治疗,均隔日治疗1次,15次为1个疗程。于治疗前、第1次治疗后即刻及治疗1个疗程后行视觉模拟评分(VAS),于治疗前、治疗1个疗程后行日本骨伤科学会JOA下背痛评分,并评价临床疗效。结果治疗前两组VAS、JOA评分均无统计学意义(P均>0.05);观察组第1次治疗后即刻及治疗1个疗程后VAS与治疗前及对照组同时点比较均降低(P<0.05或0.01),对照组治疗1个疗程后VAS较治疗前降低(P<0.05);两组治疗1个疗程后JOA评分均较治疗前降低(P均<0.01),且观察组低于照组(P<0.05)。观察组临床疗效总有效率98%、治愈率40%,对照组分别为86%、22%,P<0.05、0.01。结论动针通督刺络法治疗腰椎间盘突出症见效快、疗效好。

Objective To observe the clinical effect of using Dongzhen Tongdu blood-letting puncture in treatment of lumbar disc herniation. Methods Totally 100 Seychelles patients with lumbar disc herniation were randomly divided into two groups： the observation group and control group. Patients in the observation group received Dongzhen Tongdu blood-letting puncture,while patients in the control group received conventional acupuncture. The treatment was given once every two days for 15 times in one session. The data of visual analogue scale（ VAS） were taken before and after first time and one session treatment. The data of JOA score was taken before and after one session treatment. We also evaluated clinical curative effect.Results No statistical significance was found in VAS or JOA score between two groups before treatment（ all P 0. 05）. In the observation group,the VAS score after treatment immediately and after one session was decreased as compared with that before treatment as well as that of the control group at the same time（ P 0. 05 or P 0. 01）. In the control group,the VAS score after one session was reduced as compared with that before treatment（ P 0. 05）. After one session,the JOA score of two groups both reduced as compared with that before treatment（ all P 0. 01）,and the JOA reduced much more in the observation group（ P 0. 05）. In the observation group,the total effective rate was 98% and the clinical curative rate was40%,for the control group,they were 86% and 22%,respectively（ P 0. 05 or P 0. 01）. Conclusion Dongzhen Tongdu blood-letting puncture could achieve a quicker and more significant clinical efficacy in treatment of lumbar disc herniation.