强刺激环跳穴治疗腰突下肢痛
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摘要
目的观察针灸强刺激环跳穴治疗腰突下肢痛的临床疗效。方法将66例符合纳入标准的患者随机分为治疗组、对照组1和对照组2,各22例。通过比较各组之间数字疼痛评分(NPRS)、腿痛Oswestry功能障碍指数评分(ODI)治疗前后的差异,判断3组临床疗效。结果 3组之间NPRS、ODI均较疗前显著改善(P <0.05),且治疗组改善程度优于其他2组(P <0.05);3组的总有效率分别为90.91%、77.27%和54.55%,差异有统计学意义(P <0.05)。结论针灸强刺激环跳穴治疗腰突下肢痛的疗效较其他2组更好。
Objective To observe the effect of acupuncture on the treatment of lower limb pain of lumbar intervertebral disc prolapse. Methods 66 patients who met the inclusion criteria were randomly divided into 3 groups: treatment group, control group 1 and control group 2, 22 cases in each group. By comparing the differences of NPRS and ODI before and after treatment, the clinical efficacy of the 3 groups was judged. Results NPRS and ODI of the 3 groups were significantly improved compared with those before treatment(P < 0.05), and the improvement degree of the treatment group was better than the other two groups(P < 0.05). The total effective rates of the 3 groups were 90.91%, 77.27% and 54.55%, respectively, with statistically significant differences(P < 0.05). Conclusion The clinical curative effect of acupuncture on the treatment of lumbago and lower limb pain was better than the other two groups.
Objective To observe the effect of acupuncture on the treatment of lower limb pain of lumbar intervertebral disc prolapse. Methods 66 patients who met the inclusion criteria were randomly divided into 3 groups: treatment group, control group 1 and control group 2, 22 cases in each group. By comparing the differences of NPRS and ODI before and after treatment, the clinical efficacy of the 3 groups was judged. Results NPRS and ODI of the 3 groups were significantly improved compared with those before treatment(P < 0.05), and the improvement degree of the treatment group was better than the other two groups(P < 0.05). The total effective rates of the 3 groups were 90.91%, 77.27% and 54.55%, respectively, with statistically significant differences(P < 0.05). Conclusion The clinical curative effect of acupuncture on the treatment of lumbago and lower limb pain was better than the other two groups.
引文
[1]白洁净.环跳穴针感对腰突症下肢痛即刻效应的影响[D].南京:南京中医药大学, 2015.
[2]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社, 1994:202.
[3]蒲红春.扬刺环跳穴治疗坐骨神经痛41例疗效观察[J].湖南中医杂志, 2013, 29(1):87-88.
[4]谈辉.针灸治疗腰椎间盘突出所致坐骨神经痛临床疗效的系统评价[D].成都:成都中医药大学, 2012.
[5]孙传兴.临床疾病诊断依据治愈好转标准[M]. 2版.北京:人民军医出版社, 1999:230-233.
[6]曹文珠.自拟木瓜芍药汤配合针灸治疗腰椎病变临床疗效分析[J].当代医学, 2016, 22(34):183-184.
[7]黄伟东.针灸治疗76例坐骨神经痛的临床疗效[J].当代医药论丛, 2014, 12(1):178-179.
[8]姜志钊,李毅中.腰椎间盘突出所致坐骨神经痛发病机制[J].国际骨科学杂志, 2010, 31(2):102-104.
[9]陈伟坤.针刺治疗坐骨神经痛的临床研究[D].广州:广州中医药大学, 2010.
[10]邱玲,张冲,张吉,等.针刺治疗坐骨神经痛的方法与机理探讨[J].辽宁中医杂志, 2007, 34(6):818-820.
[11]邱瑜.针灸治疗坐骨神经痛87例临床疗效观察[J].中国医药指南, 2013, 11(27):490-491.
[12]耿笑微,朱薇,许蕊凤,等.腰椎退变性疾病患者行腰椎融合术后居家康复行为及影响因素的前瞻性纵向研究[J].中国全科医学, 2012, 15(25):2892-2895.
[13]陆永军.针灸配合中药辨证治疗腰椎病的疗效分析[J].现代诊断与治疗, 2015, 26(22):5098-5100.
[14]陈琪琦.环跳穴及坐骨点埋线结合针刺治疗坐骨神经痛的临床研究[D].广州:广州中医药大学, 2014:30.
[15]邱玲,胡小丽,赵学宇,等.针刺坐骨神经干治疗腰椎间盘突出症所致坐骨神经痛的疗效观察[J].针刺研究,2016, 41(5):447-450, 473.
[16]蔡国伟,傅怀丹.神经根干同刺治疗坐骨神经痛40例疗效观察[J].针灸临床杂志, 1995(2):28-29.
[17]陈美仁,王萍,成钢,等.针灸治疗坐骨神经痛30例临床观察[J].中医杂志, 2007(3):238-240.
[18]李鑫.放射性针感对针刺环跳穴治疗腰椎间盘突出症临床疗效的影响[D].长沙:湖南中医药大学, 2011:14.
[19]韩济生.中枢神经肤之问的相互作用[J].生物学通报,1996, 31(2):1.
[20]杨艳杰,吴庆,张晓冬.针刺环跳穴治疗腰腿痛疗效观察[J].中国实用医药, 2010, 5(22):25-26.
[21]陈伟坤.针刺治疗坐骨神经痛的临床研究[D].广州:广州中医药大学, 2010.
[2]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社, 1994:202.
[3]蒲红春.扬刺环跳穴治疗坐骨神经痛41例疗效观察[J].湖南中医杂志, 2013, 29(1):87-88.
[4]谈辉.针灸治疗腰椎间盘突出所致坐骨神经痛临床疗效的系统评价[D].成都:成都中医药大学, 2012.
[5]孙传兴.临床疾病诊断依据治愈好转标准[M]. 2版.北京:人民军医出版社, 1999:230-233.
[6]曹文珠.自拟木瓜芍药汤配合针灸治疗腰椎病变临床疗效分析[J].当代医学, 2016, 22(34):183-184.
[7]黄伟东.针灸治疗76例坐骨神经痛的临床疗效[J].当代医药论丛, 2014, 12(1):178-179.
[8]姜志钊,李毅中.腰椎间盘突出所致坐骨神经痛发病机制[J].国际骨科学杂志, 2010, 31(2):102-104.
[9]陈伟坤.针刺治疗坐骨神经痛的临床研究[D].广州:广州中医药大学, 2010.
[10]邱玲,张冲,张吉,等.针刺治疗坐骨神经痛的方法与机理探讨[J].辽宁中医杂志, 2007, 34(6):818-820.
[11]邱瑜.针灸治疗坐骨神经痛87例临床疗效观察[J].中国医药指南, 2013, 11(27):490-491.
[12]耿笑微,朱薇,许蕊凤,等.腰椎退变性疾病患者行腰椎融合术后居家康复行为及影响因素的前瞻性纵向研究[J].中国全科医学, 2012, 15(25):2892-2895.
[13]陆永军.针灸配合中药辨证治疗腰椎病的疗效分析[J].现代诊断与治疗, 2015, 26(22):5098-5100.
[14]陈琪琦.环跳穴及坐骨点埋线结合针刺治疗坐骨神经痛的临床研究[D].广州:广州中医药大学, 2014:30.
[15]邱玲,胡小丽,赵学宇,等.针刺坐骨神经干治疗腰椎间盘突出症所致坐骨神经痛的疗效观察[J].针刺研究,2016, 41(5):447-450, 473.
[16]蔡国伟,傅怀丹.神经根干同刺治疗坐骨神经痛40例疗效观察[J].针灸临床杂志, 1995(2):28-29.
[17]陈美仁,王萍,成钢,等.针灸治疗坐骨神经痛30例临床观察[J].中医杂志, 2007(3):238-240.
[18]李鑫.放射性针感对针刺环跳穴治疗腰椎间盘突出症临床疗效的影响[D].长沙:湖南中医药大学, 2011:14.
[19]韩济生.中枢神经肤之问的相互作用[J].生物学通报,1996, 31(2):1.
[20]杨艳杰,吴庆,张晓冬.针刺环跳穴治疗腰腿痛疗效观察[J].中国实用医药, 2010, 5(22):25-26.
[21]陈伟坤.针刺治疗坐骨神经痛的临床研究[D].广州:广州中医药大学, 2010.