针刺治疗腰椎间盘突出症临床研究概况
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摘要
从传统针法、其他针法、针刺结合其他疗法等3个方面,将近年来针刺治疗腰椎间盘突出症的临床研究概况进行了总结,并且发现目前的研究存在疗效评价标准不统一、样本量较小、针刺刺激量混乱、缺少远期疗效评价等问题。今后的研究应注重解决上述问题,才能更深层次地挖掘针灸的优势,提高临床疗效。
This paper summarizes the clinical research on acupuncture treatment of prolapse of lumbar intervertebral disc in recent years from three aspects,including traditional acupuncture technique,other acupuncture techniques and acupuncture combined with other therapies.And it has found that there are existing problems in current research such as the disunity within criteria for efficacy evaluation,the small sample size,the chaotic stimulation amount of acupuncture,the lack of long-term efficacy evaluation and so on.The future research should focus on solving the above-mentioned problems,to explore deeper on the advantages of acupuncture and improve clinical efficacy.
This paper summarizes the clinical research on acupuncture treatment of prolapse of lumbar intervertebral disc in recent years from three aspects,including traditional acupuncture technique,other acupuncture techniques and acupuncture combined with other therapies.And it has found that there are existing problems in current research such as the disunity within criteria for efficacy evaluation,the small sample size,the chaotic stimulation amount of acupuncture,the lack of long-term efficacy evaluation and so on.The future research should focus on solving the above-mentioned problems,to explore deeper on the advantages of acupuncture and improve clinical efficacy.
引文
[1]李具宝,熊启良,屈尚可,等.近10年针灸治疗腰椎间盘突出症选穴规律的探讨[J].中国针灸,2013,33(7):668-672.
[2]陈孝平,汪建平.外科学[M].8版.北京:人民卫生出版社,2013:753-754.
[3]谢艳艳.腰椎间盘突出症发病机制探讨[J].中医学报,2013,28(9):1388-1389.
[4]王延玲.不同针刺治疗方法对腰椎间盘突出症的疗效观察[J].中国针灸,2013,33(7):605-608.
[5]李伟,崔记敏,金如锋,等.温通针法治疗腰椎间盘突出症远期疗效观察[J].安徽中医药大学学报,2014,33(6):38-41.
[6]朱博雯,张星华,孙润洁,等.郑氏“金钩钓鱼针法”治疗腰椎间盘突出症临床观察[J].中国针灸,2016,36(4):355-358.
[7]王为凤,陈妙根.齐刺配合循经辨证治疗腰椎间盘突出症疗效观察[J].上海针灸杂志,2010,29(10):648-649.
[8]钟敏莹,吴思平.齐刺配合腰椎牵引治疗腰椎间盘突出症的疗效观察[J].广州中医药大学学报,2013,30(1):37-39.
[9]李媛媛,杨白燕.扬刺法治疗腰椎间盘突出所致肢体麻木临床研究[J].中医学报,2014,29(6):843-845.
[10]熊继发.输刺针法为主治疗腰椎间盘突出症疗效观察[J].上海针灸杂志,2012,31(3):166-167.
[11]杨轶杰.矩阵针法结合推拿理筋整复法治疗腰椎间盘突出症62例临床观察[J].西部中医药,2012,25(9):31-32.
[12]单衍丽.电针腰夹脊穴与膀胱经穴为主治疗腰椎间盘突出症疗效观察[J].中国针灸,2011,31(11):987-990.
[13]封迎帅,刘百祥,阳大为.电针环跳、委中穴与常规针刺对腰椎间盘突出症疗效对照研究[J].辽宁中医药大学学报,2015,17(3):116-119.
[14]张计臣,徐贵云.浮针治疗腰椎间盘突出症疗效观察[J].上海针灸杂志,2011,30(7):472-474.
[15]周海东,姜兴鹏,陈伟,等.电针配合浮针针刺法治疗腰椎间盘突出症疗效观察[J].上海针灸杂志,2011,30(5):312-314.
[16]周友龙,张世卿,孙国胜,等.踝三针治疗腰椎间盘突出症根性痛临床观察[J].中国针灸,2006,26(12):847-850.
[17]何建新,林伟容,陈俊琦,等.腹针治疗腰椎间盘突出症疗效观察[J].上海针灸杂志,2012,31(7):501-504.
[18]曹强.温针治疗腰椎间盘突出症疗效观察[J].上海针灸杂志,2011,30(11):753-754.
[19]李峰彬,郑世江.温针灸治疗腰椎间盘突出症疗效观察[J].山西中医,2013,29(3):31-32.
[20]何青,徐丽华,吴文锋,等.针刺配合推拿治疗腰椎间盘突出症的临床研究[J].广州中医药大学学报,2010,27(3):242-245.
[21]齐明,陈以国,尤柱,等.针刺配合推拿足三阳经治疗腰椎间盘突出症48例[J].陕西中医,2014,35(8):1056-1058.
[22]陶善平,罗永宝,汤小雨,等.针刺配合中药离子导入治疗腰椎间盘突出症疗效观察[J].上海针灸杂志,2012,31(9):664-666.
[23]许广喜.刺络放血结合针刺治疗腰椎间盘突出症[J].当代医学,2011,17(17):158-159.
[24]路连香.针刺阳陵泉、后溪穴配合药物治疗腰椎间盘突出症疗效观察[J].上海针灸杂志,2015,34(5):449-451.
[2]陈孝平,汪建平.外科学[M].8版.北京:人民卫生出版社,2013:753-754.
[3]谢艳艳.腰椎间盘突出症发病机制探讨[J].中医学报,2013,28(9):1388-1389.
[4]王延玲.不同针刺治疗方法对腰椎间盘突出症的疗效观察[J].中国针灸,2013,33(7):605-608.
[5]李伟,崔记敏,金如锋,等.温通针法治疗腰椎间盘突出症远期疗效观察[J].安徽中医药大学学报,2014,33(6):38-41.
[6]朱博雯,张星华,孙润洁,等.郑氏“金钩钓鱼针法”治疗腰椎间盘突出症临床观察[J].中国针灸,2016,36(4):355-358.
[7]王为凤,陈妙根.齐刺配合循经辨证治疗腰椎间盘突出症疗效观察[J].上海针灸杂志,2010,29(10):648-649.
[8]钟敏莹,吴思平.齐刺配合腰椎牵引治疗腰椎间盘突出症的疗效观察[J].广州中医药大学学报,2013,30(1):37-39.
[9]李媛媛,杨白燕.扬刺法治疗腰椎间盘突出所致肢体麻木临床研究[J].中医学报,2014,29(6):843-845.
[10]熊继发.输刺针法为主治疗腰椎间盘突出症疗效观察[J].上海针灸杂志,2012,31(3):166-167.
[11]杨轶杰.矩阵针法结合推拿理筋整复法治疗腰椎间盘突出症62例临床观察[J].西部中医药,2012,25(9):31-32.
[12]单衍丽.电针腰夹脊穴与膀胱经穴为主治疗腰椎间盘突出症疗效观察[J].中国针灸,2011,31(11):987-990.
[13]封迎帅,刘百祥,阳大为.电针环跳、委中穴与常规针刺对腰椎间盘突出症疗效对照研究[J].辽宁中医药大学学报,2015,17(3):116-119.
[14]张计臣,徐贵云.浮针治疗腰椎间盘突出症疗效观察[J].上海针灸杂志,2011,30(7):472-474.
[15]周海东,姜兴鹏,陈伟,等.电针配合浮针针刺法治疗腰椎间盘突出症疗效观察[J].上海针灸杂志,2011,30(5):312-314.
[16]周友龙,张世卿,孙国胜,等.踝三针治疗腰椎间盘突出症根性痛临床观察[J].中国针灸,2006,26(12):847-850.
[17]何建新,林伟容,陈俊琦,等.腹针治疗腰椎间盘突出症疗效观察[J].上海针灸杂志,2012,31(7):501-504.
[18]曹强.温针治疗腰椎间盘突出症疗效观察[J].上海针灸杂志,2011,30(11):753-754.
[19]李峰彬,郑世江.温针灸治疗腰椎间盘突出症疗效观察[J].山西中医,2013,29(3):31-32.
[20]何青,徐丽华,吴文锋,等.针刺配合推拿治疗腰椎间盘突出症的临床研究[J].广州中医药大学学报,2010,27(3):242-245.
[21]齐明,陈以国,尤柱,等.针刺配合推拿足三阳经治疗腰椎间盘突出症48例[J].陕西中医,2014,35(8):1056-1058.
[22]陶善平,罗永宝,汤小雨,等.针刺配合中药离子导入治疗腰椎间盘突出症疗效观察[J].上海针灸杂志,2012,31(9):664-666.
[23]许广喜.刺络放血结合针刺治疗腰椎间盘突出症[J].当代医学,2011,17(17):158-159.
[24]路连香.针刺阳陵泉、后溪穴配合药物治疗腰椎间盘突出症疗效观察[J].上海针灸杂志,2015,34(5):449-451.