贺氏针灸三通法治疗腰椎间盘突出症的临床研究

Clinical Study on the Treatment of Lumbar Disc Herniation by He’s Santong Method of Acupuncture

目的:观察贺氏针灸三通法治疗腰椎间盘突出症的有效性、安全性。方法:将纳入的120例腰椎间盘突出症受试者,按照1∶1的比例随机分配为治疗组与对照组。治疗组予贺氏针灸三通法及口服空白安慰剂胶囊,对照组予安慰针刺及口服芬必得胶囊,进行为期15 d的临床干预,分别在基线期、入组15 d及3个月后评价JOA下腰痛评分、VAS疼痛评分及McGill疼痛问卷等。采用评价者施盲及盲法统计,对贺氏针灸三通法治疗腰椎间盘突出症进行临床疗效评价。结果:治疗15 d及随访3个月后,治疗组与对照组在JOA,McGill,VAS评分方面与治疗前差异均有统计学意义(P<0.05);治疗15 d后,治疗组在JOA,McGill,VAS评分方面与对照组相比差异有统计学意义(P<0.05);随访3个月后治疗组在JOA,McGill,VAS评分方面与对照组相比差异有统计学意义(P<0.01);治疗结束时治疗组总有效率为93.3%,对照组总有效率为86.7%,治疗组疗效优于对照组,差异有统计学意义(P<0.05)。结论:贺氏针灸三通法是治疗腰椎间盘突出症的有效方法,且远期疗效肯定。

Objective:To evaluate the effect and safety of He’s Santong method of lumbar disc herniation.Methods:Protrusion will be incorporated into the subjects of 120 cases of lumbar intervertebral disc protrusion,according to the proportion of 1∶1 were randomly assigned to treatment group and control group.In the treatment group to He’s Santong method and oral placebo capsules,blank control group to comfort acupuncture and oral Fen Bide capsule,clinical intervention for 15 d,respectively at baseline period,after 15 d and 3 months,evaluation JOA low back pain score, VAS pain score and McGill pain questionnaire,etc.Results:After 15 d of treatment and 3 months of follow-up,there were statistical differences in JOA, McGill,VAS scores between the treatment group and the control group(P<0.05).Comparison between groups:after 15 d of treatment,the JOA,McGill,VAS score in the treatment group was statistically different from that in the control group(P<0.05).After 3 months of follow-up,the JOA、 McGill、 VAS scores in the treatment group were significantly different from those in the control group(P<0.01).Comparison of clinical efficacy between the two groups:at the end of treatment,the total effective rate of the treatment group was 93.3%,and the effective rate of the control group was 86.7%.The therapeutic effect of the treatment group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:He’s Santong method of acupuncture is an effective method to treat lumbar disc herniation,and the long-term effect is positive.