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[1]王權(quán)亮,梁爽.搓飛針刺手法聯(lián)合常規(guī)針刺手法治療腰椎間盤突出癥的臨床[J].中醫(yī)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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搓飛針刺手法聯(lián)合常規(guī)針刺手法治療腰椎間盤突出癥的臨床()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期數(shù):
2019年03期
頁碼:
9-13
欄目:
臨床研究
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:
王權(quán)亮1; 梁爽2
(1.河南省中醫(yī)藥研究院附屬醫(yī)院,河南 鄭州 450004; 2.河南中醫(yī)藥大學(xué),河南 鄭州 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
關(guān)鍵詞:
腰椎;  椎間盤移位;  針刺療法;  穴; 環(huán)跳;  搓針手法;  飛針手法;  臨床試驗(yàn)
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:觀察搓飛針刺手法聯(lián)合常規(guī)針刺手法治療腰椎間盤突出癥的臨床療效。方法:將符合要求的120例腰椎間盤突出癥患者隨機(jī)分為聯(lián)合針刺組與常規(guī)針刺組,每組60例。常規(guī)針刺組采用單純常規(guī)針刺手法針刺L2～L5華佗夾脊穴(雙側(cè))、腎俞穴(雙側(cè))、命門穴、大腸俞穴(雙側(cè))、委中穴(患側(cè))、陽陵泉穴(患側(cè))和承山穴(患側(cè))治療,聯(lián)合針刺組采用搓飛針刺手法針刺環(huán)跳穴聯(lián)合常規(guī)針刺手法(取穴同常規(guī)針刺組)治療; 2組均每天治療1次,7次為1個(gè)療程,療程間隔1 d,共2個(gè)療程。分別于治療前和治療2個(gè)療程后,記錄并比較2組患者腰腿疼痛視覺模擬量表(visual analogue scale,VAS)評(píng)分、改良日本骨科學(xué)會(huì)(Japanese Orthopedic Association,JOA)腰痛評(píng)分,并于治療2個(gè)療程后比較2組患者的綜合療效。結(jié)果:①腰腿疼痛VAS評(píng)分。治療前2組患者腰腿疼痛VAS評(píng)分比較,差異無統(tǒng)計(jì)學(xué)意義[(7.23±3.28)分,(7.22±2.03)分,t=0.020,P=0.984]; 治療2個(gè)療程后,2組患者腰腿疼痛VAS評(píng)分均較治療前降低[(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],聯(lián)合針刺組腰腿疼痛VAS評(píng)分低于常規(guī)針刺組(t=3.843,P=0.000)。②改良JOA腰痛評(píng)分。治療前2組患者改良JOA腰痛評(píng)分比較,差異無統(tǒng)計(jì)學(xué)意義[(17.49±4.61)分,(18.12±4.66)分,t=0.744,P=0.456]; 治療2個(gè)療程后,2組患者改良JOA腰痛評(píng)分均較治療前降低[(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],聯(lián)合針刺組改良JOA腰痛評(píng)分低于常規(guī)針刺組(t=3.531,P=0.004)。③綜合療效。治療2個(gè)療程后,聯(lián)合針刺組治愈25例、顯效14例、有效18例、無效3例,常規(guī)針刺組治愈15例、顯效12例、有效19例、無效14例,聯(lián)合針刺組的綜合療效優(yōu)于常規(guī)針刺組(Z=-2.749,P=0.006)。結(jié)論:采用搓飛針刺手法聯(lián)合常規(guī)針刺手法與單純常規(guī)針刺手法治療腰椎間盤突出癥,均能緩解腰腿疼痛和促進(jìn)腰椎功能恢復(fù),但前者的療效優(yōu)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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(收稿日期:2018-09-17 本文編輯:時(shí)紅磊)
更新日期/Last Update: 2019-03-30