基于“肝主筋”取穴治疗腰椎间盘突出症临床观察

Clinical Observation on Treating Lumbar Disc Herniation by Acupoint Selection Based on ″Liver Governing Tendon″

目的:观察基于"肝主筋"理论取穴治疗腰椎间盘突出症的临床疗效。方法:将腰椎间盘突出症患者168例随机分为治疗组和对照组,每组84例。治疗组以肝经穴位为主,对照组常规取穴,1次/d,10次为1个疗程,治疗2个疗程后观察2组患者治疗前后下腰痛评分(JOA)、VAS评分,并比较2组临床疗效及治疗结束后随访3个月的复发率。结果:2组治疗后JOA、VAS评分均较治疗前明显改善(P<0.05);有效率治疗组为92.85%,对照组为80.72%,2组比较差异有统计学意义(P<0.05);治疗结束第3个月随访时复发率治疗组为8.97%,对照组为22.38%,2组比较差异有统计学意义(P<0.05)。结论:基于"肝主筋"取穴组近期与远期疗效均优于对照组的常规取穴治疗。

Objective： To observe clinical effects of acupoint selection based on the theory of ＂liver governing tendon＂ in treating lumbar disc herniation （LDH）. Methods： All 168 patients were randomized into the treatment group and the control group, 84 cases each group. The treatment group accepted acupoint selection from liver merid- ian mainly, and the control group conventional acupoint selection, once each day, ten times were one course of the treatment, JOA, VAS of both groups were observed before and after treating after treating for two courses of the treatment, clinical effects of both groups and the relapse rate in the three-month follow-up were compared. Results： JOA and VAS scales in both groups after treating improved notably compared with these scales before treating （P〈 0.05）; the effective rate of the treatment group was 92.85% by the end of the treatment, higher than 80.72% of the control group, and the difference had statistical meaning （P〈0.05）; the relapse rate of the treatment group was 8.97% in the three-month follow-ups, lower than 22.38% of the control group, and the difference had statistical meaning （P〈0.05）. Conclusion： Short-term effects and long-term effects of acupoint selection group based on the theory of ＂liver governing tendon＂ are superior to the effects of conventional acupoint selection therapy of the control group.