针刀辨因论治腰椎间盘突出症的临床研究

Clinical Study of Needle Knife Differentiation of Etiology in Treatment of Lumbar Disc Herniation

目的:观察针刀辨因论治腰椎间盘突出症的临床疗效。方法:将64例腰椎间盘突出症患者随机分为电针组和针刀组,每组32例。针刀组根据临床患者不同的病因,进行针刀治疗,每周2次,2周为1个疗程,电针组以腰椎相应夹脊穴为主,同时根据不同的症型配穴加减,每天1次,2周为1个疗程。两组患者均治疗1个疗程之后进行疗效评定。疗效评定标准以患者JOA评分的改善率为主。结果:与电针组总有效率为71.9%比较,针刀组总有效率为93.7%,差异有统计学意义(P<0.05)。两组患者治疗前后JOA评分差值比较差异有统计学意义(P<0.05)。结论:针刀辨因论治腰椎间盘突出症能明显改善病人的临床症状,并且对不同病因的腰椎间盘突出症患者都有肯定疗效,且其临床治愈率及疗效均优于电针疗法。

Objective：To investigate the clinical efficacy of needle knife differentiation of etiology in treatment of lumbar disc herniation.Methods：Sixty four lumbar disc herniation patients were randomly divided into needle knife group and acupuncture group,32 cases in each group.The needle knife group was treated with needle knife lysis by different clinical causes,twice a week,2 weeks for one course.The acupuncture group was treated with acupuncture Jiaji acupoints along the lumbar vertebra mainly,as well as the adjunct acupoints according to different causes,once a day and 2 weeks for one course.The efficacy was assessed in two groups after one course of treatment,which mainly included the improvement rate of JOA Scores.Results：The total effectiveness rate was 93.7% in the needle knife group,which had significant difference with the 71.9%in the acupuncture control group（P〈0.05）.There was obvious difference in JOA difference value before and after the treatment of two groups（P〈0.05）.Conclusion：The needle knife based on differentiation of etiology could effectively improve the clinical symptoms in lumbar disc herniation patients for different causes,moreover,it is superior to the acupuncture therapy in clinical cure rate and long-term efficacy.