浮针疗法采取不同进针点治疗腰椎间盘突出症的镇痛效果及疗效分析

Efficacy of the Fu acupuncture on lumbar disc herniation and pain

目的:探讨浮针疗法采取不同进针点治疗腰椎间盘突出症的镇痛效果及临床疗效。方法:选取我院2016年6月-2018年6月期间收治的80例腰椎间盘突出症患者为研究对象,按随机数字表法分为A组与B组(各40例),A组于距离腰部压痛点外侧水平位置6cm处进针,B组于距离腰部压痛点外侧水平位置10cm处进针,比较两组镇痛效果及临床疗效。结果:治疗后,B组治愈率(27.50%)高于A组(7.50%)(P<0.05),但两组临床总有效率分别为75.00%、77.50%,差异无统计学意义(P>0.05);治疗前,两组视觉模拟评分法(Visual Analogue Scale,VAS)的评分差异无统计学意义(P>0.05);治疗后,两组的VAS评分均较治疗前显著降低(P<0.05),但治疗后两组间VAS评分比较差异无统计学意义(P>0.05);治疗前,两组腰椎日本骨科学会评分系统(Japanese Orthopaedic Association Scores,JOA)分数差异无统计学意义(P>0.05);治疗后,两组JOA评分均高于治疗前(P<0.05),但治疗后两组间JOA评分比较差异无统计学意义(P>0.05)。结论:浮针在距离腰部压痛点外侧水平位置6cm或10cm处进针疗效均显著,在两者任一点进针的镇痛效应相同,且均能有效改善腰椎功能障碍,提示浮针是治疗腰椎间盘突出症的一种有效方法。

Objective:To investigate efficacy of the Fu acupuncture (浮针疗法) and pain on lumbar disc herniation.Methods:From June 2016 to June 2018,80 cases were divided into two groups,40 cases in each.The group A was given a needle at a distance of 6 cm from the lateral position of the lumbar pain point,and group B was given a needle at a distance of 10 cm from the lateral position of the lumbar pain point.The analgesic effect and clinical efficacy in two groups were compared.Results:After treatment,the cure rate in group B (27.50%) was higher than 7.50% in group A (P<0.05).The total clinical efficiency in two groups was 75.00% and 77.50% respectively, and the difference was not statistically significant (P>0.05).Before treatment,there was no significant difference in VAS score between the two groups (P>0.05).After treatment,the VAS scores in the two groups were significantly lower than those before treatment (P<0.05),but there was no significant difference between the two groups after treatment (P>0.05).Before treatment,there was no significant difference in JOA score between the two groups (P>0.05).After treatment,the JOA scores in the two groups were higher than before treatment (P<0.05);and there was no significant difference between the two groups after treatment (P>0.05).Conclusion:The Fu acupuncture at a distance of 6 cm and 10 cm from the lateral position of the lumbar pain point all showed good effects,and were effective on pain,can improve Lumbar dysfunction.