恢刺夹脊穴结合SET训练治疗腰椎间盘突出症的临床观察

Clinical Observation on the Treatment of Lumbar Intervertebral Disc Herniation by Lateral Needling Jiaji( EX-B 2) Combined with SET Training

目的:通过观察和评价恢刺夹脊穴结合SET训练对腰椎间盘突出症的治疗效果,并与常规针刺治疗进行比较,寻求一种将现代康复理念与中医特色理论有机结合形成治疗腰椎间盘突出症的特色中医康复技术。方法:选取2016年5月至2018年5月湖南中医药大学附一院收治的腰椎间盘突出症患者60例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组30例。观察组运用恢刺夹脊穴结合SET训练进行治疗1次/d,6次/周,连续治疗2周,对照组运用常规针刺进行治疗,30 min/次,1次/d,6次/周,连续治疗2周。采用VAS疼痛评分、腰痛症状积分表、表面肌电图对治疗前后的情况进行比较。结果:1) 2组VAS计分、腰痛症状积分治疗前与治疗后比较,均不同程度降低(P <0. 05,P <0. 01),且观察组优于对照组; 2) 2组治疗前后表面肌电在A、B、C、D电极RMS值比较,差异均无统计学意义(p> 0. 05),2组治疗前后自身比较表面肌电在E、F电极RMS值均有升高(P <0. 01),且观察组优于对照组(P <0. 01); 3)整体临床疗效比较:观察组优于对照组(P <0. 01)。结论:恢刺夹脊穴结合SET训练能明显减轻腰突症患者疼痛及症状积分,提高临床疗效。激活并强化腰腹部核心肌群肌力,加强脊柱稳定性。

Objective: To observe and evaluate the therapeutic effects of lateral needling Jiaji( EX-B 2) combined with SET training on lumbar intervertebral disc herniation,and to compare it with the effects of conventional acupuncture treatment,so as to seek a characteristic Chinese medicine rehabilitation technology for lumbar intervertebral disc herniation,which combines modern rehabilitation concept technology with traditional Chinese medicine characteristic theory and technology. Methods: A total of 60 patients with lumbar intervertebral disc herniation were included from the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine from May 2016 to May 2018,and randomly divided into the observation group and the control group,with 30 cases in each group. The observation group was treated once a day,6 times a week,for 2 weeks with lateral needling Jiaji( EX-B 2) combined with SET training. The control group was treated with routine acupuncture for 30 minutes,once a day,6 times a week,for 2 weeks. VAS pain score,low back pain symptom score table and surface electromyography( SEMG) were used to compare the situation before and after treatment. Results: 1) The VAS score,low back pain symptom score of the 2 groups were lower than before( P < 0. 05,P < 0. 01),and the observation group was better than that in the control group. 2) There was no statistically significant difference in RMS value of A,B,C and D electrodes in SEMG between the 2 groups before and after treatment( P > 0. 05). The RMS value of E and F electrodes in SEMG of the 2 groups was higher than before( P < 0. 01),and the value in the observation group was better than that in the control group( P < 0. 01). 3) Comparison of the overall clinical efficacy: the treatment group was better than the control group( P < 0. 01). Conclusion: Lateral needling Jiaji( EX-B 2) combined with SET training can significantly reduce the pain and symptom scores of patients with lumbar protrusion,improve the clinical efficacy,activate and strengthen the muscle strength of the lumbar and abdominal core muscles and enhance the stability of the spine.