[1]王权亮,梁爽.搓飞针刺手法联合常规针刺手法治疗腰椎间盘突出症的临床[J].中医正骨,2019,31(03):9-13.
　WANG Quanliang,LIANG Shuang.Needle-twisting and needle-flying acupuncture therapy combined with conventional acupuncture therapy for treatment of lumbar intervertebral disc protrusion:a clinical study[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2019,31(03):9-13.
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搓飞针刺手法联合常规针刺手法治疗腰椎间盘突出症的临床()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期数:
2019年03期
页码:
9-13
栏目:
临床研究
出版日期:
2019-03-20

文章信息/Info

Title:
Needle-twisting and needle-flying acupuncture therapy combined with conventional acupuncture therapy for treatment of lumbar intervertebral disc protrusion:a clinical study
作者:
王权亮1; 梁爽2
(1.河南省中医药研究院附属医院,河南 郑州 450004; 2.河南中医药大学,河南 郑州 450008)
Author(s):
WANG Quanliang1; LIANG Shuang2
1.The Affiliated Hospital of Henan Academy of Traditional Chinese Medicine,Zhengzhou 450004,Henan,China 2.Henan University of Traditional Chinese Medicine,Zhengzhou 450008,Henan,China
关键词:
腰椎;  椎间盘移位;  针刺疗法;  穴; 环跳;  搓针手法;  飞针手法;  临床试验
Keywords:
lumbar vertebrae;  intervertebral disc displacement;  acupuncture therapy;  point GB30(HUANTIAO);  twist or twirl the needle manipulation;  flying needle manipulation;  clinical trial
摘要:
目的:观察搓飞针刺手法联合常规针刺手法治疗腰椎间盘突出症的临床疗效。方法:将符合要求的120例腰椎间盘突出症患者随机分为联合针刺组与常规针刺组,每组60例。常规针刺组采用单纯常规针刺手法针刺L2～L5华佗夹脊穴(双侧)、肾俞穴(双侧)、命门穴、大肠俞穴(双侧)、委中穴(患侧)、阳陵泉穴(患侧)和承山穴(患侧)治疗,联合针刺组采用搓飞针刺手法针刺环跳穴联合常规针刺手法(取穴同常规针刺组)治疗; 2组均每天治疗1次,7次为1个疗程,疗程间隔1 d,共2个疗程。分别于治疗前和治疗2个疗程后,记录并比较2组患者腰腿疼痛视觉模拟量表(visual analogue scale,VAS)评分、改良日本骨科学会(Japanese Orthopedic Association,JOA)腰痛评分,并于治疗2个疗程后比较2组患者的综合疗效。结果:①腰腿疼痛VAS评分。治疗前2组患者腰腿疼痛VAS评分比较,差异无统计学意义[(7.23±3.28)分,(7.22±2.03)分,t=0.020,P=0.984]; 治疗2个疗程后,2组患者腰腿疼痛VAS评分均较治疗前降低[(2.79±1.17)分,(7.23±3.28)分,t=9.875,P=0.000;(3.57±1.05)分,(7.22±2.03)分,t=12.370,P=0.000],联合针刺组腰腿疼痛VAS评分低于常规针刺组(t=3.843,P=0.000)。②改良JOA腰痛评分。治疗前2组患者改良JOA腰痛评分比较,差异无统计学意义[(17.49±4.61)分,(18.12±4.66)分,t=0.744,P=0.456]; 治疗2个疗程后,2组患者改良JOA腰痛评分均较治疗前降低[(3.81±2.60)分,(17.49±4.61)分,t=20.021,P=0.000;(5.69±3.20)分,(18.12±4.66)分,t=17.032,P=0.000],联合针刺组改良JOA腰痛评分低于常规针刺组(t=3.531,P=0.004)。③综合疗效。治疗2个疗程后,联合针刺组治愈25例、显效14例、有效18例、无效3例,常规针刺组治愈15例、显效12例、有效19例、无效14例,联合针刺组的综合疗效优于常规针刺组(Z=-2.749,P=0.006)。结论:采用搓飞针刺手法联合常规针刺手法与单纯常规针刺手法治疗腰椎间盘突出症,均能缓解腰腿疼痛和促进腰椎功能恢复,但前者的疗效优于后者。
Abstract:
Objective:To observe the clinical curative effects of needle-twisting and needle-flying acupuncture therapy combined with conventional acupuncture therapy for treatment of lumbar intervertebral disc protrusion(LIDP).Methods:One hundred and twenty patients with LIDP were enrolled in the study and were randomly divided into combination acupuncture group and conventional acupuncture group,60 cases in each group.The patients in conventional acupuncture group were treated with monotherapy of conventional acupuncture at acupoints including Huatuo Jiaji(EX-B2,bilateral),Shenshu(BL23,bilateral),Mingmen(GV4),Dachangshu(BL25,bilateral),Weizhong(BL40,affected side),Yanglingquan(GB34,affected side)and Chengshan(BL57,affected side)of vertebrae from L2 to L5,while the patients in combination acupuncture group were treated with needle-twisting and needle-flying acupuncture at Point Huantiao(GB30)combined with conventional acupuncture at the same acupoints of conventional acupuncture group.All patients were treated once a day for 2 courses of treatment,7 times for each course with a 1-day rest-insertion between courses.The lumbago-leg pain visual analogue scale(VAS)scores and modified Japanese Orthopedic Association(M-JOA)low back pain scores were recorded and compared between the 2 groups before the treatment and after 2-course treatment respectively,and the total clinical curative effects were compared between the 2 groups after 2-course treatment.Results:There was no statistical difference in lumbago-leg pain VAS scores between the 2 groups before the treatment(7.23+/-3.28 vs 7.22+/-2.03 points,t=0.020,P=0.984).The lumbago-leg pain VAS scores decreased in both of the 2 groups after 2-course treatment compared to pre-treatment(2.79+/-1.17 vs 7.23+/-3.28 points,t=9.875,P=0.000; 3.57+/-1.05 vs 7.22+/-2.03 points,t=12.370,P=0.000),and the lumbago-leg pain VAS scores were lower in combination acupuncture group compared to conventional acupuncture group(t=3.843,P=0.000).There was no statistical difference in M-JOA low back pain scores between the 2 groups before treatment(17.49+/-4.61 vs 18.12+/-4.66 points,t=0.744,P=0.456).The M-JOA low back pain scores decreased in both of the 2 groups after 2-course treatment compared to pre-treatment(3.81+/-2.60 vs 17.49+/-4.61 points,t=20.021,P=0.000; 5.69+/-3.20 vs 18.12+/-4.66 points,t=17.032,P=0.000),and the M-JOA low back pain scores were lower in combination acupuncture group compared to conventional acupuncture group(t=3.531,P=0.004).After 2-course treatment,25 patients were cured,14 good,18 fair and 3 poor in combination acupuncture group,while 15 patients were cured,12 good,19 fair and 14 poor in conventional acupuncture group.The combination acupuncture group surpassed the conventional acupuncture group in the total clinical curative effects(Z=-2.749,P=0.006).Conclusion:Both the combination therapy of needle-twisting and needle-flying acupuncture and conventional acupuncture and the monotherapy of conventional acupuncture can relieve lumbago-leg pain and promote lumbar functional recovery in the treatment of LIDP,however,the former surpasses the latter in clinical curative effects.

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备注/Memo

备注/Memo:
(收稿日期:2018-09-17 本文编辑:时红磊)
更新日期/Last Update: 2019-03-30