火针治疗腰椎间盘突出症疗效观察

目的:观察火针治疗腰椎间盘突出症的临床疗效.方法:将60例患者随机分为火针组和电针组,各30例.火针组予火针配合常规针刺治疗,火针点刺病变节段及其上下节段的夹脊穴和阿是穴,常规针刺肾俞、秩边、环跳等穴;电针组予电针治疗,取穴同火针组.比较两组患者治疗前和治疗2周后简明McGill疼痛分级评分、视觉模拟定级评分(VAS)和现有痛强度(PPI).结果:两组治疗后简明McGill疼痛分级评分、VAS评分、PPI评分均较治疗前明显下降(均P＜0.01),其中简明McGill疼痛分级评分中的情感项评分、VAS评分、PPI评分,火针组较电针组评分下降明显(P%0.05,P%0.01).结论:火针疗法和电针疗法都能有效地缓解腰椎间盘突出症患者的疼痛,两者比较,火针疗法优于电针疗法.

Observation on therapeutic effect of fire-needle therapy on lumbar intervertebral disc herniation

Objective To observe the therapeutic effect of fire-needle therapy on lumbar intervertebral disc herniation. Methods Sixty cases were randomly divided into a fire-needle group and an electroacupuncture group, 30 cases in each group. The fire-needle group was treated with fire-needle therapy and routine acupuncture, I. E., the fire-needle was given to the points on the lesion segments, and Jiaji (EX-B 2) and Ashi points above and bellow the segments, and routine acupuncture was given at Shenshu (BL 23), Zhibian (BL 54), Huantiao (GB 30), etc. ; the electroacupuncture group was treated with electroacupuncture at the points as those in the fire-needle group. The scores of McGill Pain Rating Scale, Visual Analogous Scale (VAS) and present pain intensity (PPD were compared before and after treatment for 2 weeks in the two groups. Results After treatment, all of the scores of McGill Pain Rating Scale, VAS and PPI were significantly decreased (all P＜0. 01); the scores of emotion in the McGill Pain Rating Scale, VAS and PPI in the fire-needle group were significantly decreased as compared with those of the electroacupuncture group (P＜0. 05, P＜0. 01). Conclusion Both fire-needle therapy and electroacupuncture can effectively relieve pain in the patients with lumbar intervertebral disc herniation, but the former is better than the latter.