【作者】 区轩明；

【导师】 郭元琦；

【作者基本信息】 广州中医药大学 ， 针灸推拿学， 2007， 硕士

【摘要】 目的：观察薄氏腹针对腰椎间盘突出症的临床疗效。方法：严格按照纳入标准和排除标准，将60例腰椎间盘突出症患者随机分为腹针组与对照组各30例，腹针组只接受腹针治疗，对照组只接受传统针刺治疗。腹针组取水分、气海、关元、双侧气穴为主穴，合并坐骨神经痛配健侧的气旁、患侧的外陵、下风湿点、下风湿下点。对照组以肾俞、气海俞、秩边、环跳、阿是穴为主穴，太阳经痛配殷门、委中、承山；少阳疼痛配阳陵泉、阳交、绝骨。每天治疗1次，每周5次，共10次。治疗后，采用国家中医药管理局《中医病症诊断疗效标准》制定的临床疗效标准进行评定；并根据Fairbank JC的“腰痛病情计分表”和McGILL疼痛询问量表(MPQ)进行量化评定。结果：两组治疗后及3个月随访的腰痛病情计分及“MPQ”计分均较治疗前明显改善(P＜0.01)，但组间比较无差异。临床疗效方面，腹针组治愈20例，有效8例，无效2例，治愈率为66.7％，有效率为93.3％；对照组治愈12例，有效16例，无效2例，治愈率为40％，有效率为93.3％，腹针组治愈率优于对照组。结论：两种方法治疗腰椎间盘突出症都取得良好的临床疗效，都能改善腰椎间盘突出症患者的腰痛病情及疼痛情况，且腹针疗法的临床治愈率优于传统针刺疗法。更多还原

【Abstract】 Objective: To observe the clinical effects of Bo’ s abdominal acupuncture to lumbar disc herniation.Method: 60 patients with lumbar disc herniation were randomly assigned to a treatment group (30 cases) treated by abdominal acupuncture and a control group (30 cases) treated by traditional acupuncture strictly according to the adoption standard and the elimination standard. Main acupoints of abdominal needle group were Shuifen(Ren 9), Qiihai(Ren 6), Guanyuan(Ren 4). Bilateral Qixue (K. 3). Qipang, as well as Wailing (St. 26), low rheumatoid point, Under low rheumatoid point of the affected side, were added to patients with sciatica. Main acupoints of the control group were Shenshu (U. B. 23), Qihaishu(U. B. 24), Zhibian(U. B. 54), Huantiao(G. B. 30)and Ahi points. If the pain radiated along the route of Urinary Bladder Channel of Foot-Taiyang, Yinmen(U. B. 37), Weizhong(U. B. 40), Chengshan(U. B. 57) were added. If the pain radiated along the route of Gall bladder Channel of Foot-Shaoyang, Yanglingquan(G. B. 34), Yangjiao(G. B. 35), Juegu(G. B. 39) were added. Treatments were given once a day. There were 10 treatments for two weeks in total. After treatment, clinical efficacy standards set by "diagnostic efficacy standards for diseases in Traditional Chinese Medicine" of State Administration of Traditional Chinese Medicine was used for clinical efficacy evaluation; Fairbank JC’ s "lumbago condition score form" and McGILL’ s Pain Questionnaire (MPQ) were used for quantitative evaluation. Result: Scoring of lumbago condition "MPQ" Guide lines immediately after treatment and 3 months later for abdominal needle group and control group, compared with those before treatment, was obviously improved(P＜0.01), but no difference was shown between groups. For clinical effects of the abdominal needle group, 20 patients were cured. Treatments were effective in 8 cases and ineffective in 2 cases. The cure rate was 66.7% and effective rate was 93.3%. In the control group, 12 patients were cured. Treatments were effective in 16 cases and ineffective in 2 cases. The cure rate was 40% and effective rate was 93.3%. Cure rate of abdominal needle group was better than that of the control group.Conclusion: The two treatments for lumbar disc herniation have both achieved good clinical efficacy, and were able to relieve lumbago and pain of patients, however, clinical cure rate of abdominal acupuncture therapy was higher than that of traditional acupuncture therapy.更多还原