Feng Hua, Zhang Ya-Feng, Ding Min
Acupuncture and Moxibustion Department, Wuxi Affiliated Hospital of Nanjing University of CM, Wuxi 214001, Jiangsu Province, China.
Zhongguo Zhen Jiu. 2012 Feb;32(2):129-32.
To compare the differences of therapeutic effect in lower limb sensation disorder after lumbar disc herniation operation treated with plum-blossom needle along meridians and Methylcobalamin with oral administration, and explore the best time for plum-blossom needle intervention.
Eighty cases of lower limb sensation disorder caused by nucleus pulposus discectomy of lumbar disc herniation were randomly divided into a plum-blossom needle group (40 cases) and a western medication group (40 cases). In plum-blossom needle group, tapping with plum-blossom needle along meridians was received, the meridians located at sensation areas which were dominated by relevant segmental nerve root in operation were selected: the lower limb section of the Spleen Meridian of Foot-Taiyin was selected for operation at L3/L4; the lower limb section of the Gall Bladder Meridian of Foot-Shaoyang was selected for operation at L4 /L5; the lower limb section of the Bladder Meridian of Foot-Taiyang was selected for operation at L5/S1; once treatment was applied every 3 days, and 20 times treatments were applied totally. In western medication group, Methylcobalamin was orally taken for 500 microg, 3 times a day. The recovery of lower limb sensation disorder was evaluated and compared by the comprehensive evaluation method of sensory function of body nerve after 2 months in both groups.
The total effective rate was 90.0% (36/40) in plum-blossom needle group, superior to that of 60.0% (24/40) in western medication group (P < 0.05). In plum-blossom needle group, the effect for the cases which received treatment within one month after operation was superior to that received treatment during 1-3 months after operation (P < 0.05); and there was no significant differences between the cases which received the treatment during 1-3 months after operation and more than 3 months after operation (P > 0.05).
The therapeutic effect of lower limb sensation disorder after lumbar disc herniation operation treated with plum-blossom needle along meridians is superior to that of Methylcobalamin with oral administration; the plum-blossom needle intervention within one month after operation can receive the best effect.
比较梅花针循经叩刺与口服甲钴胺治疗腰椎间盘突出症手术后下肢感觉障碍的疗效差异，探讨梅花针干预的最佳时机。
将80例因腰椎间盘突出症行髓核摘除术导致下肢感觉障碍的患者随机分为梅花针组（40例）和西药组（40例）。梅花针组采用梅花针循经叩刺，选取手术中受相应节段神经根支配的感觉区所在经络：L3/L4手术选取足太阴脾经下肢段；L4/L5手术选取足少阳胆经下肢段；L5/S1手术选取足太阳膀胱经下肢段；每3天治疗1次，共治疗20次疗程。西药组口服甲钴胺500μg，每日3次。两组均于2个月后采用人体神经感觉功能综合评定方法评估并比较下肢感觉障碍的恢复情况。
梅花针组总有效率为90.0%（36/40），优于西药组的60.0%（24/40）（P<0.05）。梅花针组术后1个月内接受治疗的患者疗效优于术后13个月接受治疗的患者（P<0.05）；术后13个月接受治疗的患者与术后3个月以上接受治疗的患者疗效差异无统计学意义（P>0.05）。
梅花针循经叩刺治疗腰椎间盘突出症手术后下肢感觉障碍的疗效优于口服甲钴胺；术后1个月内进行梅花针干预效果最佳。
