不同时间间隔针刺治疗腰椎间盘突出症的疗效对比

Efficacy comparision of lumbar disc herniation treated with acupuncture at different time intervals

目的:观察不同时间间隔针刺治疗腰椎间盘突出症的疗效。方法:将180例腰椎间盘突出症患者随机分为观察1组、观察2组、观察3组,各60例,各组均取L3～L5夹脊穴、环跳、委中等进行针刺治疗,并接KWD-808电针仪,针刺间隔时间分别为每日1次、隔日1次、每3天1次,疗程为3周。观察各组治疗1、2、3周后疼痛视觉模拟评分(VAS)、日本骨科学会下腰痛评定量表(JOA)评分,并进行疗效评价。结果:观察1组与观察2组有效率分别为96.7%(58/60)、95.0%(57/60),差异无统计学意义(P>0.05),均优于观察3组的88.3%(53/60,均P<0.01);各组治疗1、2、3周后VAS评分与治疗前比较均有不同程度的降低(均P<0.01),观察1组与观察2组治疗1、2、3周后VAS评分比较差异无统计学意义(均P>0.05),但较观察3组降低更明显(均P<0.05);各组治疗1、2、3周后JOA评分与治疗前比较均有不同程度的增加(均P<0.01),观察1组与观察2组治疗1、2、3周后JOA评分比较差异无统计学意义(均P>0.05),但在治疗3周后JOA评分高于观察3组(均P<0.05)。结论:每日针刺和隔日针刺在腰椎间盘突出症治疗中疗效相当,优于每3天1次。

Objective To observe the effect of lumbar disc herniation treated with acupuncture at different time intervals.Methods A total of 180 patients of lumbar disc herniation were randomized into an observation group 1,an observation group 2 and an observation group 3,60 cases in each one.All patients were treated with acupuncture at Jiaji L3-L5(EX-B 2),Huantiao(GB 30),Weizhong(BL 40),etc.And then KWD-808 electroacupuncture instrument was connected,time intervals of acupuncture were once every day,once every 2 days and once every 3 days,3 weeks were provided.At 1-week,2-week and 3-week treatment,the visual analogous scale(VAS)and Japanese Orthopedics Association(JOA)scale were observated,and the effects were evaluated.Results The effective rates in the observation group 1 and the observation group 2 were 96.7%(58/60)and 95.0%(57/60),there was no significant different between the two groups(P>0.05),which were superior to 88.3%(53/60)in the observation group 3(both P<0.01).The VAS score in each group decreased to different degrees at 1-week,2-week and 3-week treatment compared with those before treatment(all P<0.01),there was no significant different between the observation group 1 and the observation group 2(all P>0.05)at 1-week,2-week and 3-week treatment,however,they were significantly reduced compared with the observation group 3(all P<0.05).The JOA score in each group increased to different degrees at 1-week,2-week and 3-week treatment compared with those before treatment(all P<0.01),there was no significant different between the observation group 1 and the observation group 2(all P>0.05)at 1-week,2-week and 3-week treatment,however,they were significantly increased compared with the observation group 3 at 3-week treatment(both P<0.05).Conclusion Acupuncture once every day and once every 2 days in the treatment of lumbar disc herniation is equally effective,better than once every 3 days.