Treatment of 48 cases of prolapse of lumbar intervertebral disc by acupuncture plus electroacupuncture

为观察电针治疗椎间盘突出症疗程与疗效的关系及对改善椎间盘突出不同临床症状间的差别,根据症状表现仅有腰痛、腿痛及腰痛兼腿痛分为不同治疗组,每组治疗3个疗程.结果疗程与疗效有显著差别(P＜0.01);症状与疗效有差别(P＜0.05).电针治疗腰椎间盘突出临床症状改善,腰痛最明显,腿痛最差,且第2疗程疗效显著.     

Intervention of CT localization plus TCM therapy on prolapse of lumbar intervertebral disc

Purpose To observe the curative effect of interventional therapy by CT localization combined traditional Chinese medicine on prolapse of lumbar intervertebral disc.Method The inpatients of lumbar intervertegroup and control group. Interventional therapy by CT localization combined TCM was used in the treatment group while in the control group TCM therapy was taken only. The treatment lasted for 10 days in both groups.Results The curative effect was 94.3% in the treatment group while 76.8% in the control one (P<0.05), which had statistical meaning.Conclusion Interventional therapy by CT localization combined TCM on prolapse of lumbar intervertebral disc had better effect and shorter treatment course. Author: LUO Zhi-hong (1968-), male, attending physician Translator: SHEN Wei-na     

Treatment of 60 Cases of Prolapse of Lumbar Intervertebral Disc by Electroacupuncture

目的观察电针治疗腰椎间盘突出症的临床疗效.方法运用电针辨证施治治疗腰椎间盘突出症患者60例,并临床随访6个月.结果近期显效40例,好转13例,总有效率为88.3%;远期疗效其中显效45例,好转10例,总有效率为91.7%.结论电针治疗腰椎间盘突出症近远期疗效好,疗效稳定,且方法安全有效,无毒副作用.     

Treatment of protrusion of cervical intervertebral disc with Tuina therapy plus acupuncture

In application of the bone-setting Tuina therapy plus acupuncture on Jiaji (Ex-B 2), Tianzong (SI 11). Jianyu (LU 15), Quchi (LI 11), Waiguan (TE 5) and Hegu (LI 4) in the treatment of 8 cases of protrusion of cervical intervertebral disc, all the symptoms disappeared and the movements were free after treatments in the patients. Author: Cheng Xiao (1955-) male, attending physician Translator: Huang Guo-qi     

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).     

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。     

Treatment of protrusion of cervical intervertebral disc by Tuina

采用滚、按、一指禅、拔伸、斜扳、拿五经、扫散法等手法,治疗颈椎间盘突出症患者25例,结果治愈10例,显效14例,好转1例.     

Tuina therapy for prolapsed lumbar intervertebral disc

反复下腰痛和下肢反射性坐骨神经痛是腰椎间盘突出症的两大症状.根据病史、症状、体征以及影像学(包括CT、MRI等)结果,可以确诊.需与以腰痛为主要表现的疾病,以腰痛伴坐骨神经痛为主要表现的疾病和以坐骨神经痛为主要表现的疾病相鉴别.推拿保守治疗多以足太阳膀胱经、足少阳胆经及督脉为主,取相应的夹脊穴、肾俞、大肠俞、腰阳关、环跳、委中、承山、阳陵泉及阿是穴等以一指禅推法、滚法、扳法、按法、揉法和拿法等进行治疗.     

Treatment of 97 cases of prolapse of lumbar intervertebral disc by manipulations of bone setting plus acupuncture

先应用改良斜扳法和旋转定位扳法对腰椎间盘突出症患者进行手法复位,然后取水沟和委中为主穴,进行针剌治疗.共治疗97例患者,治愈58例,好转35例,无效4例,总有效率95.9%.     

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。     

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.     

推拿治疗腰椎间盘突出症150 例

目的:观察推拿治疗腰椎间盘突出症的临床疗效.方法:对150 例腰椎间盘突出症门诊患者采用推拿治疗,并对其临床疗效进行回顾性的分析和总结.结果:临床痊愈43 例,显效67 例,有效34 例,无效6 例,总有效率为96.0% .结论:推拿对腰椎间盘突出症具有较好的疗效.     

圆利针结合推拿治疗腰椎间盘突出症临床研究

目的探寻治疗腰椎间盘突出症的较佳疗法。方法将116例腰椎间盘突出症患者随机分为治疗组(圆利针 推拿组)和对照组(毫针 推拿组)各58例,对治疗前后症状的改善情况进行对照观察。结果治疗组有效率为98.2%,对照组为82.8%,两组疗效比较(P<0.01)。结论圆利针结合推拿治疗腰椎间盘突出症能取得更好的疗效。     

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).     

Comprehensive treatment of prolapse of lumbar intervertebral disc

为探讨治疗腰椎间盘突出症的最佳方法,对腰椎盘突出症采用推拿配合针灸来治疗.本法治愈率高,疗程短,效果满意.推拿能舒经活血,针灸能温经散寒,活血散瘀,两者配合,提高疗效.     

腰椎间盘突出症的诊治误区及对策

通过回顾腰椎间盘突出症的定义及病因病理,指出由于把症状体征、影像资料孤立看待,以及对相关疾病的鉴别不清才导致临床诊治的误区。探讨腰椎间盘突出症临床误诊误治的原因及对策,认为只有把临床症状体征和影像资料结合分析才能作出正确诊断和治疗。     

Acupuncture treatment of 32 cases of lumbar intervertebral disc protrusion

Yaoyangguan (GV 3), Shiqizhui (Ex-B 8) and Yanglingquan (GB 34) were selected as main points and a three-part needle insertion technique was used to treat 32 cases of lumbar intervertebral disc protrusion. The curative rate was 96.9%. Deep puncture is the key to the treatment. Author: Chen Feng(1962-), male, junior consultant doctor Translator: Wang Si-you     

Clinical Observation on Treatment of Lumbar Intervertebral Disc Herniation with Electroacupuncture on Jiaji （Ex-B 2） Points plus Traction： A Clinical Report of 30 Cases

目的探讨夹脊电针配合三维牵引治疗腰椎间盘突出症的临床疗效.方法将90例腰椎间盘突出症患者随机分为3组,分别采用三维牵引、夹脊电针和综合治疗(夹脊电针加三维牵引),采用临床症状积分和临床疗效进行治疗前后比较.结果治疗4星期后综合组在临床症状积分和临床疗效均优于其他两组.结论夹脊电针配合三维牵引治疗腰椎间盘突出症的疗效肯定.     

中、西医疗法治疗腰椎间盘突出症对照研究

目的：比较中医、西医、中西医结合疗法治疗腰椎间盘突出引起的急性腰腿痛的疗效、安全性和耐受性。方法：将90例患者随机分成西医组、中医组及中西医组，每组30例，分别接受西医药物及局部理疗、中医药物及针刺拔罐、中西医方法联合治疗，并于治疗开始后第7天和第30天对患者的疼痛、活动度、肌紧张等指标进行监测。结果：治疗7天后中西医组在腰骶痛和下肢放射痛VAS评分两方面指标改善优于中医组，但无统计学差异；中西医组在腰骶痛和下肢放射痛VAS评分、直腿抬高试验、脊柱活动度（Schober试验和指尖-地面距离）等方面指标改善明显优于西医组（P〈0．05）。治疗30天后3组疗效比较差异无统计学意义。3组患者对治疗均耐受良好，未发现严重不良反应。结论：中西医结合疗法治疗腰椎间盘突出引起的急性腰腿痛在缓解疼痛、改善活动度方面起效快、疗效肯定。     

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。