Liu Lan, Liu Lei-geng, Lü Ming, Ran Wei-jun
Department of Acupuncture and Moxibustion, Dazhou Second People's Hospital of Sichuan Province, Dazhou, China.
Zhongguo Zhen Jiu. 2009 Aug;29(8):626-8.
To search for an effective therapy for prolapse of lumbar intervertebral disc of yang deficiency and cold coagulation type.
One hundred and twenty-six cases were randomly divided into a combined electroacupuncture and Chinese herb group (n=49), an electroacupuncture group (n=42) and a Chinese herb group (n=35). The combined electroacupuncture and Chinese herb group was treated with electroacupuncture at Dachangshu (BL 25), Guanyuanshu (BL 26), Xiaochangshu (BL 27) and Yaoyangguan (GV 3) and oral administration of Chinese herbs for cold-removing and yang-invigorating. The electroacupuncture group was treated with the same electroacupuncture treatment alone and the Chinese herb group with the same self Chinese herbs alone. The therapeutic effects were observed after treatment for 20 days, and the recurrence rates were followed up at 180 days after the last treatment among the three groups.
The cured-markedly effective rate was 79.6% in the combined electroacupuncture and Chinese herb group, 54.8% in the electroacupuncture group and 51.4% in the Chinese herb group, the combined electroacupuncture and Chinese herb group being significantly better than both the electroacupuncture group and the Chinese herb group (both P<0.05) and the therapeutic effect of both the electroacupuncture group and the Chinese herb group being similar (P>0.05). The recurrence rate after 180 days was 15.4% in the combined electroacupuncture and Chinese herb group, 83.3% in the electroacupuncture group and 80.0% in the Chinese herb group, with more obvious decrease in the combined electroacupuncture and Chinese herb group (both P<0.01).
Electroacupuncture combined with Chinese herbs is a better therapy for prolapse of lumbar intervertebral disc of yang deficiency and cold coagulation type.
探寻阳虚寒凝型腰椎间盘突出症的有效治疗方法。
将126例患者随机分为电针联合中药组（n = 49）、电针组（n = 42）和中药组（n = 35）。电针联合中药组采用针刺大肠俞（BL 25）、关元俞（BL 26）、小肠俞（BL 27）和腰阳关（GV 3）并口服温阳散寒中药进行治疗。电针组仅采用相同的电针治疗，中药组仅采用相同的自拟中药治疗。治疗20天后观察疗效，三组于末次治疗后180天随访复发率。
电针联合中药组的痊愈显效率为79.6%，电针组为54.8%，中药组为51.4%，电针联合中药组明显优于电针组和中药组（均P<0.05），电针组和中药组疗效相近（P>0.05）。180天后电针联合中药组的复发率为15.4%，电针组为83.3%，中药组为80.0%，电针联合中药组降低更明显（均P<0.01）。
电针联合中药是治疗阳虚寒凝型腰椎间盘突出症的较好方法。
