腰三针联合分经辨证取穴配合揿针留针候气治疗腰椎间盘突出症急性期临床研究

Curative Effect of Acupoints Combined by Staying the Press Needle for Gas on Acute Lumbar Disc Herniation

[目的]观察分经取穴结合揿针留针候气对腰椎间盘突出症急性期的疗效。[方法]共纳入94例2017年1月至2017年12月在广州中医药大学附属中山中医院门诊确诊为腰椎间盘突出症急性期的患者,按随机数表法分为对照组和治疗组各47例,对照组采用常规针刺后配合艾灸箱治疗,治疗组在对照组的基础上增加揿针留针候气治疗,两组治疗30天后行效果评价。[结果]在视觉模拟评分(Visual Analogue Score,VAS)的改善上,两组患者治疗第30天后较治疗前1天降低明显,差异均有统计学意义(P<0.01),且治疗组改善随着时间推移优于对照组,差异有统计学意义(P<0.01);治疗组治疗30天后在日本骨科协会评估治疗分数(Japanese Orthopaedic Association scores,JOA)评分的有效率优于对照组,且差异具有统计学意义(P<0.01);在感觉障碍一项评分中,两组患者治疗第30天后较治疗前1天提高明显,且治疗组改善随着时间推移最终优于对照组,差异有统计学意义(P<0.01)。[结论]腰三针分经辨证取穴配合揿针留针候气对腰椎间盘突出症急性期疗效确切,能够有效改善临床症状。

[Objective]Observe the curative effect of waist-three-needles combined by staying the press needle for gas on acute lumbar disc herniation.[Methods] A total of 94 patients who were diagnosed as lumbar intervertebral disc herniation in our hospital from January 2017 to December 2017 were divided into the control group and the treatment group, with 47 cases in the control group and the treatment group according to the random number table method.The control group was treated with the moxibustion box after the acupuncture treatment; the treatment group increased the press needle treatment on the basis of the control group. [Results] In the improvement of visual analogue score, two groups of patients were reduced significantly after thirtieth days of treatment compared with 1 day before the treatment, the difference was statistically significant（ P〈0.01）, and the improvement of the treatment group was better than the control group with time, the difference was statistically significant（ P〈0.01）; the effective rate of the JOA score in the treatment group was better than that in the treatment group after 30 days of treatment.In the group, the difference was statistically significant（ P〈0.01）; In a score of sensory disorders, two groups of patients were significantly improved after thirtieth days of treatment than the 1 day before the treatment, and the improvement of the treatment group was better than the control group as time went on. The difference was statistically significant（ P〈0.01）. [Conclusion]Waist-three-needles by dialectical acupoints with press needle for gas method for acute lumbar disc herniation curative effect, effectively improve the clinical symptoms, worthy of promotion and application of the medical profession.