循经体外冲击波联合针刺补泻“五输穴”治疗血瘀型腰椎间盘突出症的疗效观察

Efficacy observation of extracorporeal shock wave along the meridians combined with acupuncture reinforcement-reduction manipulation in“five-shu points”in treatment of patients with blood stasis type of lumbar disk herniation

目的 观察循经体外冲击波联合针刺补泻“五输穴”治疗血瘀型腰椎间盘突出症的临床疗效。方法 将40例腰椎间盘突出症患者随机分为对照组和观察组,每组20例。对照组采用体外冲击波治疗;观察组采用循经体外冲击波联合针刺补泻“五输穴”治疗。比较2组患者疼痛数字分级法(NRS)评分、日本骨科协会(JOA)评分、临床疗效、不良反应发生率、复发率。结果 治疗后,2组NRS评分均较治疗前降低,且观察组NRS评分低于对照组,差异有统计学意义(P<0.05)。2组治疗后JOA评分均较治疗前升高,差异有统计学意义(P<0.05);第2、3次治疗后,观察组JOA评分高于对照组,差异有统计学意义(P<0.05)。观察组显愈率为85.00%,高于对照组的50.00%,差异有统计学意义(P<0.05)。2组不良反应均为疼痛剧烈,其中对照组1例,观察组2例,差异无统计学意义(P>0.05)。随访发现2组均无复发病例。结论 循经体外冲击波联合针刺补泻“五输穴”能显著减轻腰椎间盘突出症患者的疼痛,促进腰椎功能恢复。

Objective To observe the clinical efficacy of extracorporeal shock wave along the meridians combined with acupuncture reinforcement-reduction manipulation in "five-shu points" in treatment of patients with blood stasis type of lumbar disk herniation. Methods A total of 40 patients with lumbar disc herniation were randomly divided into control group and observation group, with 20 cases in each group. The control group was treated with extracorporeal shock wave, while the observation group was treated with extracorporeal shock wave along the meridians combined with acupuncture reinforcement-reduction manipulation in "five-shu points". Numerical Rating Scale(NRS) score, Japanese Orthopedic Association(JOA) score, clinical efficacy, incidence of adverse reactions and recurrence rate were compared between the two groups. Results The NRS scores of both groups decreased significantly after treatment, and the NRS score of the observation group was significantly lower than that of the control group(P<0.05). The JOA score of both groups after treatment was significantly increased than that before treatment( P < 0. 05);after the second and third treatments,the JOA scores of the observation group were significantly higher than that of the control group( P < 0. 05).The apparent healing rate of the observation group was 85. 00%,which was significantly higher than50. 00% of the control group( P < 0. 05). The adverse reaction of both groups was severe pain,including 1 case in the control group and 2 cases in the observation group,and there was no significant difference between two groups( P > 0. 05). No recurrence cases were found in both groups during follow-up. Conclusion Extracorporeal shock wave along the meridians combined with acupuncture reinforcement-reduction manipulation in " five-shu points" can significantly alleviate the pain of patients with lumbar disc herniation and promote the recovery of lumbar function.