【作者】 王彬；

【导师】 侯书伟；

【作者基本信息】 山东中医药大学 ， 针灸推拿学（专业学位）， 2016， 硕士

【摘要】 目的:观察针刺“环下”穴加常规取穴治疗腰椎间盘突出症的临床疗效,并与常规针刺的疗效相比较,探讨其作用机理,以期为针灸治疗腰椎间盘突出症提供一种新的思路。方法:筛选符合纳入标准的腰椎间盘突出症患者62例,使用Doll’s临床病例随机表将62例患者按1:1的比例分为治疗组和观察组,每组各31例(每组各脱落1例,实际每组30例)。治疗组加刺“环下”穴,余与对照组相同,每日一次,连续六次后休息一日为一个疗程,治疗两个疗程。每个疗程结束后进行疗效观察,并在VAS和JOA评分方面对两组进行自身和组间比较。结果:1.疗效结果比较:两个疗程结束后,两组患者均取得了良好的疗效,治疗组的总有效率略高于对照组,但治疗组的愈显率明显高于对照组。2.VAS评分比较:两疗程结束后,两组患者的VAS评分均有所下降,第一、第二疗程VAS评分差值比较显示均具有显著性差异(P<0.05),提示治疗组能够持续、更大程度的减轻患者的疼痛。3.JOA评分比较:两疗程结束后,两组患者的JOA评分均有大幅度提高(P<0.05),提示两种治疗方案都能明显改善腰椎间盘突出症患者的临床症状,第一、第二疗程JOA评分差值比较显示两组具有显著性差异(P<0.05),而且治疗组的两疗程差值均大于对照组,提示治疗组相比对照组在改善患者的症状方面更具优势。结论:两组患者经过两个疗程的治疗都取得了较好的疗效,疼痛程度明显减轻,症状也得到明显缓解,且治疗组优于对照组。结果表明针刺“环下”穴加常规针刺治疗腰椎间盘突出症确有良好的临床疗效,值得推广。更多还原

【Abstract】 Objective: To observe the clinical efficacy of acupuncture treatment of lumbar disc herniation( LDH) by needling “ Huan Xia ” point with conventional acupuncture. Comparing with the conventional acupuncture above mentioned aspects to providing a more efficient, simple and fast method for the treatment of lumbar disc herniation.Methods: 62 patients of LDH were observed who mathed the inclusion criteriathe. All the patients were divided into treatment group andobservation group by using Doll’s clinical case random table with 1:1 radio, 31 cases in each group, Among of cach group 1 case had fallen, so each group had 30 cases. Apart from the “Huan Xia” point was plused in the treatment group, the rest are the same. Each case was treated once a day, rest once time after six days, seven days were a course. To observe the efficacy after two courses and compared the Visual analog scales and the Low back pain function questionnaire scales through self-control study and inter-group comparison.Conclusion: 1. Comparison of efficacy results : After two courses, patients in both groups have achieved good effect, the total effective rate is seem, but the cure rate and effective rate in treatment group was significantly higher. 2. VAS scores: After two courses, both groups’ VAS score has declined, there were significant differences(P <0.05) between two groups after each course, The result shows that the treatment group can reduce the patient’s pain sustained and greater. 3. JOA scores: After two courses, two groups of patients’ JOA scores were greatly improved(P <0.05), prompted each group can significantly improve the clinical symptoms of lumbar disc herniation, JOA score difference comparison of the two groups show a significant difference(P <0.05)after each course, the difference between the two courses of the the treatment group were higher than the control group, suggesting that the treatment group have better efficacy in improving symptoms aspects.更多还原