中医针灸理疗治疗腰椎间盘突出症临床观察

Clinical Observation on Acupuncture and Moxibustion Therapy in Treatment of Lumbar Disc Herniation

目的观察中医针灸对腰椎间盘突出症(LDH)患者的临床疗效。方法将100例LDH患者随机分为两组。治疗组患者给予针灸治疗,对照组患者行胸廓-盆骨对抗牵引治疗。观察两组患者治疗后2周、4周的疼痛程度变化。观察患者疼痛治疗的首次起效时间、首次治疗后维持时间、1个疗程累及疼痛时间以及有效镇痛时间。结果治疗组总有效率明显高于对照组(P<0.05)。治疗后2、4周,两组患者评分均明显降低,且治疗组评分降低更为明显,与对照组比较具有统计学差异(P<0.05)。两组患者首次起效时间无明显差异,但是首次治疗后维持时间、1疗程累计疼痛时间、有效镇痛时间以及疼痛消失时间治疗组均优于对照组(P<0.05)。结论中医针灸理疗对腰椎间盘突出症患者具有良好的镇痛效果。

Objective To observe the clinical efficacy of acupuncture and moxibusfion therapy in treatment of lumbar disc herniation （LDH）. Methods 100 cases of LDH patients were randomly divided into observation group and control group, 50 cases in each group. Observation group was given acupuncture treatment, control group was given thorax - pelvis against traction. The changes of pain degree of the two groups after treatment for 2 weeks and 4 weeks were observed. The initial onset time, the maintenance time after initial treatment, the cumulative duration of 1 course and the effective analgesia time of patients were observed. Results There was no significant difference in VAS scores between the two groups before treatment, 2 weeks after and 4 weekw treatment, the scores of the two groups were significantly decreased, and observation group was significantly lower than that of control group with statistical difference （ P 〈 0.05 ）. There was no significant difference between the two groups for the inital onset time. The duration of maintenance, the cumulative duration of treatment, the effective duration of analgesia and the disappearance time of treatment group were better than those of control group, the differences were statistically significant （ P 〈 0. 05 ）. The total effective rate of observation group was 92% , higher than 74% of control group（P 〈 0. 05 ）. Conclusion Acupuncture and moxibustion therapy has good analgesic effect in treatment of LDH.