CT指导下深刺夹脊穴治疗下腰痛临床观察

Clinical Observation on the Deep Acupuncture at Jiaji Point under the Guidance of CT for Low Back Pain

目的:观察CT指导下深刺夹脊穴治疗下腰痛血瘀证的疗效及其对血清P物质水平的影响。方法:选择在本院就诊的下腰痛患者96例,随机分为2组各48例。2组均口服双氯芬酸钠缓释片、布洛芬片,给予麦肯基康复技术。治疗组加用基于CT深刺夹脊穴疗法治疗,对照组加用传统手法针刺夹脊穴,疗程为4周。比较治疗前后疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(OD)I量表评分;检测治疗前后血清P物质水平。结果:治疗后治疗组VAS评分低于对照组,治疗组VAS评分下降幅度大于对照组;治疗组治疗后ODI量表各因子评分均低于对照组;治疗组治疗后血清P物质水平低于对照组,治疗组血清P物质下降幅度多于对照组,差异均有统计学意义(P<0.01);总有效率治疗组95.83%,高于对照组79.17%,差异有统计学意义(P<0.05)。结论:在常规西药和康复治疗的基础上,CT指导下深刺夹脊穴治疗下腰痛血瘀证,可缓解疼痛,促进功能康复,提高临床疗效,降低血清P物质水平可能与其疗效有关。

Objective：To observe the clinical effect of the deep acupuncture at Jiaji point under the guidance of CT for low back pain with blood stasis syndrome and its effect on the level of substance P in serum. Methods：Selected 96 cases of patients with low back pain admitted in our hospital,and divided them into two groups randomly,48 cases in each group. The two groups received oral administration of diclofenac sodium sustained release tablets and ibuprofen tablets and was given Mckenzie rehabilitation therapy. The treatment group was additionally given deep acupuncture at Jiaji point based on CT, while the control group was additionally given traditional acupuncture of Jiaji point. The treatment of both groups lasted for four weeks. Compared the visual analogue scores（VAS）and scores of Oswestry dability index（ODI） scale, and detected levels of substance P in serum before and after treatment. Results：After treatment, VAS score in the treatment group was lower than that in the control group, and the decrease of VAS score in the treatment group was greater than that in the control group. After treatment,each score of the factor in ODI scale in the treatment group was lower than that in the control group. After treatment,the level of substance P in serum in the treatment group was lower than that in the control group,and the decrease of the level of substance P in serum was greater than that in the control group,differences being significant（P〈0.01）. The total effective rate was 95.83% in the treatment group,higher than that of 79.17% in the control group,the difference being significant（P〈0.05）. Conclusion：Based on the acupuncture at Jiaji point under the guidance of CT for low back pain can alleviate pain,promote the recovery of function and improve the clinical curative effect. The reduction in level of substance P in serum may be related to the curative effect.