循经针刺配合腰背肌锻炼治疗腰椎间盘突出症疗效观察

Clinical Observations of Applying Acupuncture Along Meridians Plus Lumbar Dorsal Muscle Exercise in the Treatment of Lumbar Disc Herniation

目的:比较循经针刺配合腰背肌锻炼与常规针刺与腰背肌锻炼治疗腰椎间盘突出症的疗效差异。方法:将140例患者随机分为观察组和对照组,每组70例。观察组采用循经针刺配合腰背肌锻炼;对照组予以常规针刺配合腰背肌锻炼。两组均每周治疗5次,5次为1疗程,治疗4个疗程。观察两组治疗前后疼痛视觉模拟量表(VAS)评分、下腰痛临床症状(JOA)评分,3个月、半年组间复发率作比较。结果:观察组痊愈率及有效率优于对照组;两组治疗后疼痛VAS评分、JOA评分均较治疗前明显改善(均P<0.01),观察组治疗后以上评分较对照组改善更明显(均P<0.05);3个月、半年组间复发率观察组较对照组更低。结论:循经针刺配合腰背肌功能锻炼腰椎间盘突出症疗效较显著,且复发率更低。

Objective：To compare the therapeutic effects of acupuncture along the meridians plus low back muscle exercise and regular acupuncture for lumbar disc herniation.Methods：140 patients were randomly divided into observation group and controlled group,70 cases in each group.The observation group was treated by meridian acupuncture plus lumbar dorsal muscle exercise,while the controlled group only received routine acupuncture.The two groups were treated 5 times a week,5 times as a course of treatment,4 courses of treatment.The pain analogue scale（VAS） scores,clinical symptoms（JOA） scores of low back pain were observed before and after treatment in the two groups,and the recurrence rates in 3 months and six months were compared.Results：The recovery rate and efficiency of the observation group were better than those in the controlled group.The pain VAS score and JOA score of the two groups were significantly improved after treatment（all P〈0.01）.The scores of the observation group were better than those in the controlled group（all P〈0.05）,and the recurrence rate in the 3 months and half year group was lower than that of the controlled group.Conclusion：Meridian acupuncture plus lumbar dorsal muscle function exercise is effective in the treatment of lumbar disc herniation,and the recurrence rate is lower.