文章摘要
针刺足阳明胃经经穴治疗腰椎间盘突出症的临床研究
Clinical Study on Acupuncture at Acupoints of Foot Yangming Stomach Meridian in the Treatment of Lumbar Disc Herniation
投稿时间:2021-08-24  修订日期:2021-08-24
DOI:
中文关键词: 针刺  足阳明胃经  腰椎间盘突出症  临床疗效
英文关键词: Acupuncture  Foot Yangming stomach meridian  Lumbar Disc Herniation  Clinical efficacy
基金项目:北京市科技计划项目(Z171100001717016)
作者单位邮编
陈臻 北京中医药大学第一附属医院 100700
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中文摘要:
      目的:探讨针刺足阳明胃经经穴治疗腰椎间盘突出症的临床疗效。方法:选取2019 年3 月至 2019 年 12月北京中医药大学东直门医院针灸科收治的腰椎间盘突出症患者 60例,随机分为对照组与观察组,各30例。对照组采用常规针刺法治疗,取肾俞、大肠俞、腰夹脊穴、阿是穴(均为双侧),观察组采用针刺足阳明胃经经穴治疗,取滑肉门、天枢、太乙、气冲、髀关、足三里、公孙、冲阳(均为双侧)。两组针刺手法均平补平泻,每次留针15分钟,每周扎2次,4次为1个疗程,共治疗3个疗程。考察临床疗效,治疗前以及全部疗程结束后对比两组患者的日本骨科协会评估治疗分数(JOA) 、Oswestry功能障碍指数问卷表(ODI)评分和36项健康调查简表(SF-36)评分,分别在治疗前、每次疗程结束后测评视觉模拟评分(VAS)。结果:治疗后,观察组愈显率为83.33%,对照组愈显率为60.00%,观察组愈显率高于对照组(P<0.05),观察组JOA评分、ODI评分和SF-36评分优于对照组(P<0.05)。观察组第1疗程结束后的VAS评分略高于对照组,但是无统计学差异(P>0.05),第3疗程结束后的VAS评分低于对照组(P<0.05)。结论:针刺足阳明胃经经穴治疗腰椎间盘突出症的临床疗效优于常规针刺法,尤其在改善腰椎功能、减少疼痛和提升生活质量方面的效果更佳,但在即时止痛效果上略显不足。
英文摘要:
      Objective: To explore the clinical effect of acupuncture at the acupoints of Foot Yangming stomach meridian in the treatment of lumbar disc herniation.Methods: 60 patients with lumbar disc herniation who were treated in the Acupuncture Department of Dongzhimen Hospital of Beijing University of traditional Chinese medicine from March 2019 to December 2019 were selected, and they were randomly divided into control group and observation group, with 30 cases in each group. The control group was treated with conventional acupuncture, taking Shenshu, Dachangshu, Yaojiaji points and Ashi points (both sides). The observation group was treated with acupuncture at the acupoints of Foot Yangming stomach meridian, taking Slippery Flesh Gate, Tianshu, Taiyi, Qichong, Biguan, Zusanli, Gongsun and Chongyang points (both sides). The acupuncture manipulation of the two groups were flat tonic and flat diarrhea. The needles were kept for 15 minutes each time, pricked twice a week, 4 times as a course of treatment, a total of 3 courses of treatment. The clinical efficacy was investigated. Before treatment and after all courses of treatment, the Japanese Orthopaedic Association Evaluative Treatment Score (JOA), the Oswestry dysfunction index questionnaire (ODI) score, and the (Summary of 36 Health Surveys) SF-36 score of the two groups were compared. The visual analog score (VAS) was evaluated before treatment and after each course of treatment. Results: After treatment, the effective rate of the observation group was 83.33%, and that of the control group was 60.00%, the effective rate of the observation group was higher than that of the control group (P<0.05). The JOA score, ODI score and SF-36 score of the observation group were better than those of the control group (P<0.05). The VAS score of the observation group at the first course after treatment was slightly higher than that of the control group, but there was no significant difference (P>0.05), and the VAS score at the third course after treatment was lower than that of the control group (P<0.05). Conclusion: The clinical effect of acupuncture at the acupoints of Foot Yangming stomach meridian in the treatment of lumbar disc herniation is better than that of conventional acupuncture, especially in terms of improve lumbar function, reduce pain and improve life quality, but the immediate analgesic effect is slightly inadequate.
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