重刺“椎间孔穴”治疗低位腰椎间盘突出症的疗效

Effect of Deep Needling at Acupoint“Intervertebral Foramen”on Lower Lumbar Disc Herniation

目的:评价重刺"椎间孔穴"治疗腰椎间盘突出症的临床疗效。方法:将70例腰椎间盘突出症患者随机分为"椎间孔穴"组和传统针刺组,各35例。"椎间孔穴"组采用以重刺患侧椎间孔穴为主加低频电子脉冲治疗;传统针刺组采用传统针刺取穴和手法加低频电子脉冲治疗。以日本整形外科学会(JOA)下腰痛评分系统评价患者的病情改善情况,观察两组第1及2个疗程结束时及治疗后1及3个月的优良率与总有效率。结果:各组第1及2个疗程结束时及治疗后1及3个月JOA评分与治疗前比较差异均有统计学意义(P<0.05);"椎间孔穴"组第1及2个疗程结束时及治疗后1及3个月的优良率和总有效率为54.3%和77.1%,77.1%和91.4%,85.7%和94.3%,88.6%和94.3%,均优于传统针刺组第1及2个疗程结束时及治疗后1及3个月的优良率和总有效率(37.1%和62.3%,57.1%和71.4%,62.3%和74.3%,57.1%和74.4%),两组优良率和有效率组间比较差异有统计学意义(P<0.05)。结论:重刺"椎间孔穴"治疗腰椎间盘突出症疗效优于传统针刺治疗。

Objective：To evaluate the effect of deep needling at acupoint＂intervertebral foramen＂on lower lumbar disc herniation.Methods：Seventy patients with lower lumbar disc herniation were divided randomly into＂intervertebral foramen＂acupoint group and traditional acupuncture group,35 cases in each group.Patients in ＂intervertebral foramen acupoint＂group were treated by acupuncture on＂intervertebral foramen acupoint＂and the traditional acupuncture group was treated by traditional acupuncture.The results were evaluated according to the JOA scoring system at the end of first,second courses and 1 and 3 months after treatment,and the excellent and good rate of patients will be compared between the two groups.Results：Compared with those before treatment,the JOA scores at the end of first,second courses and 1 and 3 months after treatment were statistically significant（P〈0.05）.At the end of first,second courses and 1 and 3 months after treatment,the excellent and good rate in＂intervertebral foramen acupoint＂group were 54.3%and 77.1%,77.1%and91.4%,85.7% and 94.3%,88.6% and 94.3% respectively,while in traditional acupuncture group were 37.1% and62.3%,57.1% and 71.4%,62.3% and 74.3%,57.1% and 74.4%,and the difference between the two groups was statistically significant（P〈 0.05）.Conclusion：The efficacy of deep needling at acupoint＂intervertebral foramen＂is more effective than traditional acupuncture for the treatment of low lumbar disc herniation.