古法针刺治疗腰椎间盘突出症60例临床观察

Clinical observation on 60 cases of lumbar disc herniation treated by ancient method of acupuncture

目的观察古法针刺治疗腰椎间盘突出症的临床疗效。方法将180例腰椎间盘突出症患者采用随机数字表法分为古法针刺组、针刀松解组、塞来昔布组3组,各60例。古法针刺组采用毫针行古法针刺治疗;针刀松解组采用针刀松解相应点的粘连、瘢痕;塞来昔布组口服塞来昔布胶囊治疗,每次0.2 g,每日2次。治疗2周后比较3组的单次治疗平均显效时间、临床疗效,以及治疗前后日本骨科协会评估治疗(JOA)评分、视觉模拟评分法(VAS)评分。结果针刀松解组总有效率为86.67%(52/60),塞来昔布组为85.00%(51/60),古法针刺组为93.34%(56/60),古法针刺组总有效率明显高于其他2组(P<0.05)。古法针刺组单次治疗平均显效时间明显短于针刀松解组及塞来昔布组,差异均有统计学意义(P<0.01);治疗后3组VAS评分均明显降低,JOA评分均明显升高,与同组治疗前比较差异有统计学意义(P<0.05),且古法针刺组作用更明显,与其他2组治疗后比较差异均有统计学意义(P<0.05)。结论古法针刺治疗腰椎间盘突出症临床疗效显著,且操作时间短、患者痛苦小,在改善患者症状及即刻镇痛等方面效果明显,值得临床推广应用。

Objective To observe the clinical efficacy of ancient method of acupuncture in the treatment of lumbar disc herniation(LDH). Methods Totally 180 cases of LDH were divided into 3 groups according to random number table method,including the ancient method of acupuncture group,the needle scalpel relaxing and promoting group and the celecoxib group,with 60 cases in each. In the group of ancient method of acupuncture,the filiform needle was used to manipulate the ancient method of acupuncture treatment;in the needle scalpel relaxing and promoting group,the needle scalpel was used to relax and promote cicatrix adhesion at corresponding points;in the celecoxib group,celecoxib capsules were taken orally to treat,0.2 g once,twice a day. After 2 weeks of treatment,the average effective time,clinical efficacy of the single treatment,Japanese Orthopedic Association(JOA) scores and visual analogue scale(VAS) scores before and after treatment were compared among the three groups.Results The total effective rate of the needle scalpel relaxing and promoting group was 86.67%(52/60),that of the celecoxib group was 85.00%(51/60),and that of the group of ancient method of acupuncture was 93.34%(56/60). The total effective rate of ancient method of acupuncture group was significantly higher than that of the other two groups(P<0.05). The average effective time of single treatment in the ancient method of acupuncture group was significantly shorter than that in the needle scalpel relaxing and promoting group and the celecoxib group,and the differences were statistically significant(P<0.01);after treatment,the VAS scores of the three groups were significantly decreased,and the JOA scores were significantly increased compared with those before treatment in the same group(P<0.05),and the effect of the ancient method of acupuncture group was more significant than that of the other two groups after treatment(P<0.05).Conclusion It has marked clinical efficacy with short manipulation time and less pain for patients to use the ancient method of acupuncture to treat LDH,which has marked effects in improving patients’ symptoms and immediate analgesia.It is worthy of clinical promotion and application.