温针灸腰部夹脊穴治疗寒湿型腰椎间盘突出症40例

Warm Acupuncture and Moxibustion at Lumbar Jiajiin the Treatment of Cold-dampness Type Lumbar Disc Herniation for 40 Cases

目的观察温针灸腰部夹脊穴治疗寒湿型腰椎间盘突出症的疗效。方法将2016年1月—2017年1月门诊及病房80例患者随机分为治疗组和对照组。治疗组40例采用温针灸腰部夹脊穴加普通针刺、电针肾俞、腰阳关等腧穴;对照组40例采用卧床休息、口服非甾体类抗炎药、静点甘露醇及地塞米松等常规保守疗法治疗。结果 2组总有效率无统计学方面的差异(P>0.05),但治疗组的治愈、显效率明显优于对照组(P<0.05)。结论:(1)上述2种方法治疗寒湿型腰椎间盘突出症均有疗效;(2)温针灸腰部夹脊穴治疗寒湿型腰椎间盘突出症效果理想,复发率低。

Objective To observe the curative effect of warm ac upuncture and moxibustion at lumbar Jiaji in the treatment of cold-dampness type lumbar disc herniation.Methods 80 cases of outpatient and ward patients from January 2016 to January 2017 were randomly divided into the treatment group and the control group.The treatment group of 40 cases was treated with warm acupuncture and moxibustion at lumbar Jiaji and common acupuncture,electroacupuncture acupoints Shenshu,Yaoyangguan etc.The control group of 40 cases was treated with conventional conservative therapy including bed rest,oral nonsteroidal anti-inflammatory drugs,static mannitol and dexamethasone.Results The total effective rate of the two groups was not statistically significant（P〉0.05）,but the cure rate of the treatment group was obviously better than that of the control group（P〈0.05）.Conclusion The two methods in the treatment of cold-dampness type lumbar disc herniation has curative effect.The warm acupuncture and moxibustion at lumbar Jiaji in the treatment of cold-dampness type lumbar disc herniation has ideal effect and low recurrence rate.