温针灸治疗腰腿疼痛随机平行对照研究

Acupuncture Treatment Temperature of Leg Pain Randomized Controlled Study

[目的]观察温针灸治疗腰腿疼痛疗效。[方法]使用随机平行对照方法,将92例住院患者按病志号抽签法简单随机分为两组。对照组46例腰腿痛丸,12g/次,3次/d。治疗组46例温针灸,取穴肾俞、腰阳关、次髎、命门、夹脊穴;气滞血瘀加三阴交、足三里;肝肾阴虚加肝俞、太溪、太冲;消毒后,一次性无菌毫针垂直刺入,深度以耐受为宜,肾俞、环跳、大肠俞、命门温灸,将被切除长度控制为2cm,艾柱点燃后套插到毫针尾端,沿毫针和刺入部位把热量导进深层肌肉组织,15min/次,配合电针温灸,共两壮,〈5min/壮,2次/d,如针刺部位疼痛用拔罐,2次闪罐,留罐3-10min。连续治疗14d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]治疗组疗效优于对照组（P〈0.01）。[结论]温针灸治疗腰腿疼痛疗效满意,无严重不良反应,值得推广。

[Objective] To observe the effect of warming acupuncture and leg pain. [Methods] Random parallel control method, 92 cases of hospitalized patients were randomly divided into two groups craps method is simple. The control group 46 cases of low back pain pills, 12 g/time, 3 times/d. Treatment group of 46 patients warm acupuncture, acupoints Shenshu, Yaoyangguan, Ciliao, Vital, Jiaji; blood stasis plus Sanyinjiao, Zusanli; liver and kidney and liver Yu, too River, Taichong; disinfection, disposable sterile needle inserted perpendicularly into the depth to withstand appropriate, Shenshu, ring jump, colon Yu, Vital moxa, cut length will be controlled to 2 cm, after Ai-chu lit sets needle into the tail end, needle piercing site and along the heat conduction into the deep muscle tissue, with acupuncture moxibustion, a total of two strong, 〈5 min/Zhuang, 2 times/d. After acupuncture treatment to patients tolerate the degree, 15min/times, such as acupuncture cupping site pain, twice the flash tank, leaving the tank 3-10 min. 14d for a course of continuous treatment. Observation of clinical symptoms of adverse reactions. One course of treatment, to determine efficacy. [Results] Treatment group than the control group （P〈0.01）. [Conclusion] warm acupuncture and leg pain results were satisfactory, no serious adverse reactions, should be promoted.