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不同时间间隔针刺治疗腰椎间盘突出症的疗效对比

钟润芬1 尹旭辉1 曹玉华1 张晓峰1 张亚男1 郭兵1 肖晓玲1

(1.北京市石景山区中医医院针灸科, 北京 100043)

【摘要】目的:观察不同时间间隔针刺治疗腰椎间盘突出症的疗效。方法:将180例腰椎间盘突出症患者随机分为观察1组、观察2组、观察3组, 各60例, 各组均取L3~L5夹脊穴、环跳、委中等进行针刺治疗, 并接KWD-808电针仪, 针刺间隔时间分别为每日1次、隔日1次、每3天1次, 疗程为3周。观察各组治疗1、2、3周后疼痛视觉模拟评分 (VAS) 、日本骨科学会下腰痛评定量表 (JOA) 评分, 并进行疗效评价。结果:观察1组与观察2组有效率分别为96.7% (58/60) 、95.0% (57/60) , 差异无统计学意义 (P>0.05) , 均优于观察3组的88.3% (53/60, 均P<0.01) ;各组治疗1、2、3周后VAS评分与治疗前比较均有不同程度的降低 (均P<0.01) , 观察1组与观察2组治疗1、2、3周后VAS评分比较差异无统计学意义 (均P>0.05) , 但较观察3组降低更明显 (均P<0.05) ;各组治疗1、2、3周后JOA评分与治疗前比较均有不同程度的增加 (均P<0.01) , 观察1组与观察2组治疗1、2、3周后JOA评分比较差异无统计学意义 (均P>0.05) , 但在治疗3周后JOA评分高于观察3组 (均P<0.05) 。结论:每日针刺和隔日针刺在腰椎间盘突出症治疗中疗效相当, 优于每3天1次。

【关键词】 腰椎间盘突出症;针刺疗法;时间间隔;频次;疼痛视觉模拟评分;日本骨科学会下腰痛评定量表;随机对照试验;

【DOI】

【基金资助】 北京市中医药科技发展资金项目:JJ2015-43;

Efficacy comparison of lumbar disc herniation treated with acupuncture at different time intervals

ZHONG Run-fen1 YIN Xu-hui1 CAO Yu-hua1 ZHANG Xiao-feng1 ZHANG Ya-nan1 GUO Bing1 XIAO Xiao-ling1

(1.Department of Acupuncture and Moxibustion, Beijing Shijingshan Hospital of TCM, Beijing, China 100043)

【Abstract】 Objective To observe the effect of lumbar disc herniation treated with acupuncture at different time intervals. Methods A total of 180 patients of lumbar disc herniation were randomized into an observation group 1, an observation group 2 and an observation group 3, 60 cases in each one. All patients were treated with acupuncture at Jiaji L3–L5 (EX-B2), Huantiao (GB30), Weizhong (BL40), etc. And then KWD-808 electroacupuncture instrument was connected, time intervals of acupuncture were once every day, once every 2 days and once every 3 days, 3 weeks were provided. At 1-week, 2-week and 3-week treatment, the visual analogous scale (VAS) and Japanese Orthopedics Association (JOA) scale were observed, and the effects were evaluated. Results The effective rates in the observation group 1 and the observation group 2 were 96.7% (58/60) and 95.0% (57/60), there was no significant different between the two groups (P > 0.05), which were superior to 88.3% (53/60) in the observation group 3 (both P < 0.01). The VAS score in each group decreased to different degrees at 1-week, 2-week and 3-week treatment compared with those before treatment (all P < 0.01), there was no significant different between the observation group 1 and the observation group 2 (all P > 0.05) at 1-week, 2-week and 3-week treatment, however, they were significantly reduced compared with the observation group 3 (all P < 0.05). The JOA score in each group increased to different degrees at 1-week, 2-week and 3-week treatment compared with those before treatment (all P < 0.01), there was no significant different between the observation group 1 and the observation group 2 (all P > 0.05) at 1-week, 2-week and 3-week treatment, however, they were significantly increased compared with the observation group 3 at 3-week treatment (both P < 0.05). Conclusion Acupuncture once every day and once every 2 days in the treatment of lumbar disc herniation is equally effective, better than once every 3 days.

【Keywords】 lumbar disc herniation; acupuncture therapy; time intervals; frequency; visual analogous scale (VAS) ; Japanese Orthopedics Association (JOA) scale; randomized controlled trial (RCT) ;

【DOI】

【Funds】 Funding Project of Beijing Traditional Chinese Medicine Science and Technology Development (JJ2015-43);

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This Article

ISSN:0255-2930

CN:11-2024/R

Vol 39, No. 05, Pages 457-461

May 2019

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Article Outline

Abstract

  • 1 Clinical data
  • 2 Treatment methods
  • 3 Observation of curative effect
  • 4 Discussion
  • References