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循经点刺放血结合电针治疗腰椎间盘突出症的临床观察

[Clinical observation on pricking blood along meridians combined with electroacupuncture for treatment of prolapse of lumbar intervertebral disc].

作者信息

Qiu Xiao-Hu, Xie Xiao-Kun, Liu Xue-Ni

机构信息

Department of Acupuncture and Moxibustion, Longyan People's Hospital of Fujian Province, Longyan 364000, China.

出版信息

Zhongguo Zhen Jiu. 2010 Dec;30(12):985-8.

PMID:21290834
Abstract

OBJECTIVE

To observe the therapeutic effects on pricking blood along meridians combined with electroacupuncture for treatment of prolapse of lumbar intervertebral disc.

METHODS

One hundred cases were randomly divided into an observation group (50 cases) and a control group (50 cases). The observation group was treated with pricking blood along meridians combined with electroacupuncture. The main points for pricking blood were collaterals with blood stasis around Weizhong (BL 40) on the affected side, and collaterals with blood stasis on corresponding meridians such as Foot Shaoyang Meridian, Foot Taiyang Meridian and Foot Yangming Meridian according to body parts syndrome differentiation could also be used. The points for electroacupuncture included Ashi point (1 cun away from the spinal space of segmental lesions), Dachangshu (BL 25), Guanyuanshu (BL 26), Zhibian (BL 54), Huantiao (GB 30) and so on. The control group was only treated with electroacupuncture and treatment was same as the observation group. The therapeutic effects and scores of Visual Analogue Scale (VAS) of two groups were compared.

RESULTS

The cured rate of observation group (68.0%, 34/50) was higher than that of control group (46.0%, 23/50, P < 0.05). The cured and markedly effective rate of observation group (92.0%, 46/50) was also higher than that of control group (74.0%, 37/50, P < 0.05). The scores of VAS after treatment in both groups decreased obviously (both P < 0.01), and the decreasing degree of VAS in observation group was more obvious than that in control group (P < 0.01).

CONCLUSION

Pricking blood along meridians combined with electroacupuncture has outstanding effect for treatment of prolapse of lumbar intervertebral disc.

摘要

目的

观察循经点刺放血结合电针治疗腰椎间盘突出症的疗效。

方法

将100例患者随机分为观察组(50例)和对照组(50例)。观察组采用循经点刺放血结合电针治疗。点刺放血的主要部位为患侧委中(BL 40)周围的瘀血络脉,也可根据部位辨证选用足少阳经、足太阳经、足阳明经等相应经络上的瘀血络脉。电针穴位包括阿是穴(病变节段棘突旁开1寸)、大肠俞(BL 25)、关元俞(BL 26)、秩边(BL 54)、环跳(GB 30)等。对照组仅采用电针治疗,治疗方法同观察组。比较两组的疗效及视觉模拟评分法(VAS)评分。

结果

观察组治愈率(68.0%,34/50)高于对照组(46.0%,23/50,P<0.05)。观察组治愈显效率(92.0%,46/50)也高于对照组(74.0%,37/50,P<0.05)。两组治疗后VAS评分均明显降低(均P<0.01),且观察组VAS评分降低程度较对照组更明显(P<0.01)。

结论

循经点刺放血结合电针治疗腰椎间盘突出症疗效显著。

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