Clinical study on electroacupuncture for cervical intervertebral disc herniation

Objective： To compare the therapeutic efficacies between electroacupuncture （EA） and medication for cervical intervertebral disc herniation （ClDH）. Methods： Totally 420 patients with CIDH were randomized into two groups by random number table. 210 patients in the EA group were intervened by EA at Dazhui （GV 14）, Dazhu （BL 11） and Houxi （SI 3）, 210 patients in the medication group were treated by oral administration of Meloxicam tablets. Results： The average ranks of both short and long term efficacies in the EA group were significantly lower than that in the medication group （both P〈0.01）; there were significant differences in comparing the total effective rates of both short and long terms between the two groups （both P〈0.01）. It shows that EA group has better therapeutic efficacy than the medication group. Conclusion： EA is better than medication in comparing both short-term and long-term therapeutic efficacies in treating CIDH.     

单穴电针治疗腰椎间盘突出症疗效评价

目的:探寻电针治疗腰椎间盘突出症的有效方法。方法:将全部入组98例患者随机分成治疗组(n=53)与对照组(n=45),分别于局部单穴电针与常规取穴电针治疗,并采用改良ODI量表分别对两组患者腰椎功能进行连续动态观测(共9次)。结果:局部单穴电针与常规取穴电针都可显著改善入组患者腰椎功能,首次治疗后两组ODI评分均较治疗前有显著性差异(P<0.001),但同时间点ODI评分组间比较也分别具有显著性差异(P<0.001),两组总疗效亦具有显著性差异(P<0.001)。结论:局部单穴较常规取穴电针对LIDH具有较好的临床疗效。     

两点神经干取穴治疗腰椎间盘突出症的疗效评价

目的探寻神经干取穴电针治疗腰椎间盘突出症的有效方法。方法将61例单纯L4-5,椎间盘突出症患者随机分为2组,两点神经干取穴电针为治疗组,常规取穴电针为对照组．2组的电针治疗参数一致。比较2组腰椎功能改善情况及临床综合疗效。结果2组患者治疗后腰椎ODI评分较治疗前均有明显改善,治疗组改善情况优于对照组（P〈0．01）;随访临床疗效,治疗组总有效率明显高于对照组（P〈0．05）。结论两点神经干取穴电针治疗腰椎间盘突出症较常规取穴电针具有更好的临床疗效。     

电针治疗腰椎间盘突出症的系统评价

目的运用循证医学方法系统评价电针治疗腰椎间盘突出症的有效性及安全性。方法以针刺、电针和腰椎间盘突出症、腰椎间盘突出、腰椎间盘膨出等为主题词,检索Cochrane腰背痛组,临床试验资料库,Cochrane补充医学资料库,Cochrane图书馆中心数据库,MEDLINE,EMBASE等英文数据库和中国生物光盘数据库(CBM)等中文数据库。手工检索20种中医杂志及有关学术会议论文汇编。鉴定的相关文章附录的参考文献作为补充检索。结果共5个电针治疗腰椎间盘突出症的临床随机对照试验符合纳入标准,均为较高质量研究。纳入人数共547人。整体功能汇总OR2.11(95%CI 1.18 to 3.76)。VAS评分汇总OR-0.70(95%CI-1.00 to-0.41)。肌电图评分汇总OR4.16(95%CI 2.68 to 5.64)。结论目前有限的纳入研究显示电针治疗腰椎间盘突出症安全,对改善疼痛、整体功能及电生理均较对照组有效,但因评价电生理的样本量较少,尚需更多高质量的研究补充。对电针治疗腰椎间盘突出症的生活质量的有效性尚需要更多的研究证实。     

电针治疗腰椎间盘突出症的系统评价

目的运用循证医学方法系统评价电针治疗腰椎间盘突出症的有效性及安全性。方法以针刺、电针和腰椎间盘突出症、腰椎间盘突出、腰椎间盘膨出等为主题词,检索Cochrane腰背痛组,临床试验资料库,Cochrane补充医学资料库,Cochrane图书馆中心数据库,MEDLINE,EMBASE等英文数据库和中国生物光盘数据库（CBM）等中文数据库。手工检索20种中医杂志及有关学术会议论文汇编。鉴定的相关文章附录的参考文献作为补充检索。结果共5个电针治疗腰椎间盘突出症的临床随机对照试验符合纳入标准,均为较高质量研究。纳入人数共547人。整体功能汇总OR2.11（95%CI 1.18 to 3.76）。VAS评分汇总OR-0.70（95%CI-1.00 to-0.41）。肌电图评分汇总OR4.16（95%CI 2.68 to 5.64）。结论目前有限的纳入研究显示电针治疗腰椎间盘突出症安全,对改善疼痛、整体功能及电生理均较对照组有效,但因评价电生理的样本量较少,尚需更多高质量的研究补充。对电针治疗腰椎间盘突出症的生活质量的有效性尚需要更多的研究证实。     

单穴电针疗法治疗腰椎间盘突出症的再认识

目的:探讨腰椎间盘突出症单穴电针疗法的特点和临床应用。方法:从该疗法的选穴与针刺方法、临床适应证和疗效机制等方面进行阐释。结论:该疗法具有"少而精"的选穴特点,对腰椎间盘突出症腰腿痛具有良好的镇痛作用,但其镇痛机制不甚明了,尚需深入研究。     

Clinical Observation on Treatment of Lumbar Intervertebral Disc Herniation with Electroacupuncture plus Tuina： A Report of 120 Cases

取L4、L5、S1夹脊穴和环跳为主穴,根据病变部位配相应穴位,进行电针治疗,然后配合短杠杆微调手法治疗60例腰椎间盘突出症患者,并以牵引治疗60例为对照.治疗3个疗程后,有效率分别为933%和77.8%,两组疗效差异有统计意义(P＜0.05).     

Clinical observation on tuina treatment for cervical intervertebral disc herniation

目的：观察推拿治疗颈椎间盘突出症的临床疗效。方法：87例患者根据就诊顺序随机分为治疗组和对照组。治疗纽39例,采用推拿手法治疗;对照纽48例,采用颈椎牵引结合中频脉冲治疗。两组均每星期治疗3次,治疗10次为一个疗程。结果：治疗组治愈22例,显效13例,好转4例,显效率89．7％,总有效率100．0％;对照纽治愈23例,显效17例,有效7例,无效1例。显效率83．3％,总有效率97．9％。两组显效率及总有效率比较,差异均无统计学意义。治疗组平均治疗17．8次,对照组平均治疗26．6次。结论：推拿治疗颈椎间盘突出症疗效与牵引结合中频脉冲治疗相当,但推拿治疗具有见效快,疗程短的优势。     

腰椎间盘突出症单穴电针疗法社区推广应用研究

目的:观察单穴(腰突穴)电针疗法治疗腰椎间盘突出症的临床疗效及其在社区医疗机构的推广应用。方法:采用三级推广模式,以多中心科研协作为平台,将240例腰椎间盘突出症患者分为A组(三甲医院,80例,脱落3例)、B组(二级医院,80例,脱落8例)和C组(社区卫生服务中心,80例,脱落7例),均采用统一试验方案指导下的单穴(腰突穴)电针治疗,单次电针60 min,隔日治疗1次,每周治疗3次,共治疗2周。观察每次治疗前后各组视觉模拟量表(VAS)评分的变化情况,并评定临床疗效。结果:与单次治疗前比较,各组每次治疗后VAS评分均降低(P<0.05)。除第2、5次治疗外,A组的即时效应高于B组和C组(P<0.05)。A、B、C组的总有效率分别为90.9%(70/77)、93.1%(67/72)、86.3%(63/73),3组之间比较差异无统计学意义(P>0.05)。结论:单穴电针疗法治疗腰椎间盘突出症疗效显著,可快速缓解疼痛,且具有操作简便、易掌握的特点,适合在基层医院推广应用。     

扳牵手法对腰椎间盘突出的疗效研究

目的：观察扳牵手法治疗腰椎键盘突出症的临床效果.方法：选取2009年5月-2010年5月在我科治疗的腰椎键盘突出症患者120例,随机分为研究组和对照组,每组60例,研究组采用扳牵手法治疗,每天一次,观察2周,对照组经患者同意采用手术治疗,观察2周,对比临床疗效,疼痛评分两组均观察1年后复发率.结果：研究组总有效率,疼痛评分明显高于对照组,P〈0.05,具有统计学意义.结论：扳牵手法治疗腰椎间盘突出症疗效显著,易于被患者接受.     

Clinical research on tuina plus hydro-acupuncture for lumbar intervertebral disc herniation

目的：观察推拿结合水针治疗腰椎间盘突出症的疗效。方法：将120例腰椎间盘突出症患者随机分入观察组或对照组,观察组采用推拿结合水针治疗,对照组采用单纯推拿手法治疗。结果：观察组总有效率为93.3％,对照组总有效率为75．0％,两组总有效率差异有统计学意义（P〈0．01）。结论：推拿结合水针治疗腰椎间盘突出症疗效优于单纯推拿手法治疗。     

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 aligned acupuncture for lumbar intervertebral disc herniation

Objective

To observe the clinical effects of aligned needling therapy for lumbar intervertebral disc herniation (LIDH).

Methods

A total of 80 cases with LIDH in conformity with the inclusion criteria were randomly divided into a treatment group or a control group by their visit order, 40 cases in each group. The points from the Governor Vessel, L1-L5 Jiaji (EX-B 2) points, from the first lateral line of the Bladder Meridian, Huantiao (GB 30), Weizhong (BL 40) and Yanglingquan (GB 34) were selected for acupuncture in the treatment group. Shenshu (BL 23), Dachangshu (BL 25), Ashi (Extra) points and Weizhong (BL 40) were used for routine acupuncture in the control group. The clinical effects of the two groups after 2-course treatments and recurrence rates three months later were observed. The pain severity before and after treatments was assessed by visual analog scale (VAS). The improvement of the patient’s pathological situation was evaluated by the performance assessment of lumbar disease treatment from Japanese Orthopedic Association (JOA).

Results

After the treatment for two courses, there was no dropped-out case in the two groups. The curative rates and total effective rates were respectively 32.5% and 92.5% in the treatment group versus respectively 12.5% and 82.5% in the control group. The differences in the curative rates and total effective rates between the two groups were statistically significant (both P<0.01). After the treatment, VAS and JOA scores remarkably declined in the patients of the two groups, with statistical differences in comparison with those of the same group before treatment (both P<0.05). In follow-up check of three months, the recurrence rate was 10.7% in the cured and remarkably effective cases in the treatment group and was 29.4% in the control group. The recurrence rates of the two groups were statistically different (P<0.05).

Conclusion

The aligned needling technique is remarkable in the clinical effects, obvious in the analgesic effects and low in the recurrence rate in the treatment of LIDH.

     

单穴电针对腰椎间盘突出症镇痛作用的对照研究

目的:探寻电针治疗腰椎间盘突出症腰腿痛的有效方法。方法:将98例患者随机分成治疗组(53例)与对照组(45例),两组分别进行局部单穴电针与常规取穴的电针治疗,共治疗8次,并分别采用简化疼痛量表(SF MPQ)对两组患者腰腿痛进行连续动态观测。结果:首次治疗后两组SF MPQ评分均较治疗前有极显著性差异(P<0.001),且每个时间点两组间指标也具有极显著性差异(P<0.001)。结论:局部单穴对腰椎间盘突出症腰腿痛具有较好的镇痛效果。     

中药配合针灸治疗腰椎间盘突出症的临床分析

目的：观察腰椎间盘突出症分别用中药、针灸与中药配合针灸治疗的效果。方法：选取腰椎间盘突出患者135例分成三组,每组各45例,第一组采用中药治疗,第二组采用针灸治疗,第三组采用中药配合针灸治疗。结果：在中药、针灸两组疗效率差异无显著性（P〉0.05）,说明中药、针灸两组治疗方法疗效相同;而中药、针灸与中药合针灸三组疗效差异有显著性（P〈0.05）,说明针药配合治疗方法疗效优于单独采用中药或针灸治疗。结论：针药配合治疗腰椎间盘突出症疗效较好。     

三小定点整脊技术对腰椎间盘突出症临床疗效评价研究

[目的]三小定点整脊技术对腰椎间盘突出症的临床疗效评价。[方法]将90例患有腰椎间盘突出症的患者随机分为两组:即三小定点整脊组和夹脊穴针刺组,分别给予三小定点整脊与夹脊穴针刺治疗,观察腰痛和坐骨神经痛的改善情况。[结果]两组在疗效及症状改善程度上均有较好的表现,且三小定点整脊组优于夹脊穴针刺组。[结论]三小定点整脊技术对腰椎间盘突出症疗效肯定。     

持续牵引下电针治疗腰椎间盘突出症疗效观察

目的:观察持续俯卧位牵引下电针治疗腰椎间盘突出症的临床疗效,为临床治疗该症寻求一种更好的方法.方法:将患者随机分为A组(42例)、B组(39例)和C组(38例).三组针刺方法相同,均取夹脊穴配委中、承山等穴,针刺后加电针,在此基础上,A组采用俯卧位持续牵引同时配合电针方法治疗,B组则先仰卧牵引再行电针治疗,C组单纯进行电针治疗,观察并比较临床疗效.结果:A组有效率为95.2%,优于B组的79.5%与C组的65.8%(P＜0.05,P＜0.01).结论:持续俯卧位牵引下电针为治疗腰椎间盘突出症的较佳方法.     

近10年推拿治疗腰椎间盘突出症临床进展

Lumbar intervertebral disc herniation (LIDH) is a commonly encountered clinical disease.Tuina therapy is one of the important conservative treatments for it.In order to understand the clinical status of tuina therapy for this disease,now the literature in recent 10 years is reviewed as follows.     

Clinical Observation on Treatment of 67 Cases with Lumbar Intervertebral Disc Herniation with Abdomen Acupuncture

目的：对比腹针与体针治疗腰椎间盘突出症的，临床疗效差异。方法：将133例患者随机分为治疗组67例，对照组66例。治疗组采用腹针治疗，对照组采用体针治疗，对治疗前后症状的改善情况进行对照观察。结果：治疗组有效率95．5％，对照组有效率86．4％，两组比较差异有统计学意义（P〈0．05）；两组痊愈患者中治疗1疗程后治疗组痊愈率显著高于对照组（P〈0．05）。结论：腹针治疗腰椎间盘突出症疗效好，疗程短。     

Clinical observation on the treatment of lumbar intervertebral disc protrusion with electroacupuncture,TDP plus Tuina

将128例腰椎间盘突出症患者随机分为电针、TDP照射配合推拿组70例(治疗组)和电针和TDP照射组58例(对照组)进行观察.治疗组治愈率为64.3%,对照组治愈率为31.0%,治疗组好于对照组(P＜0.01);治疗组总有效率为100%,对照组总有效率为91.3%,治疗组疗效明显优于对照组(P＜0.05).