循经点穴手法结合激光综合治疗腰椎间盘突出症临床疗效观察

目的] 评价循经点穴手法结合激光综合治疗腰椎间盘突出症临床疗效及复发率。方法] 将400例腰椎间盘突出症患者采用随机数字表法随机分为两组，每组各200例，试验组采用循经点穴推拿手法结合激光治疗，对照组采用传统推拿手法治疗，10 d为1个疗程，共治疗3个疗程，并于治疗前、治疗中每10 d及试验结束后6个月分别对两组进行腰椎活动度及下腰痛评分量表（JOA）的比较，30 d后评价临床疗效，并于治疗结束6个月后观察腰椎间盘突出症复发率。结果] 试验组临床疗效总有效率为93.8%，治愈显效率为88.5%，对照组总有效率为75.8%，治愈显效率为70.0%，两组比较，试验组均优于对照组（P<0.05），两组治疗期间均未发现明显不良反应。两组治疗结束后及6个月随访情况显示，腰椎活动度较治疗前显著改善，JOA比治疗前显著上升，且试验组均优于对照组（P<0.05）。结论] 循经点穴推拿手法结合激光综合治疗方案在腰椎间盘突出症方面，与传统推拿手法相比，可明显提高临床疗效，增加腰椎活动性，疗效稳定，复发率低。

Clinical efficacy of meridian acupuncture massage combined laser treatment for lumbar disc herniation

Objective] To evaluate the meridian acupuncture massage combined laser comprehensive treatment of lumbar disc herniation clinical efficacy and recurrence rate.Methods] The 400 patients with lumbar disc herniation were randomly divided into two groups,the test group with meridian acupuncture massage combined laser comprehensive treatment, the control group with traditional massage therapy. Three courses for the total treatment, every course was 10 days. Before treatment, every 10 days in the treatment and six months after the end of the test there were carried out on two groups of lumbar mobility comparison and low back pain rating scale (JOA). The clinical efficacy were evaluated at 30 days and six months after the end of treatment.Results] The total effective rate was 93.8% for the test group, and markedly effective rate was 88.5%. In the control group, the total efficiency was 75.8%, markedly effective rate was 70.0%. The test group was better than that in control group (P<0.05). No adverse effects were found in two groups during the treatment. After the treatment and 6 months later in the test group, there was a significant improvement of lumbar mobility before treatment, a significant increase of JOA before treatment, and the test group was better than the control group (P<0.05).Conclusion] The meridian acupuncture massage combined laser comprehensive treatment in lumbar disc herniation, compared with the traditional massage, could significantly improve the clinical efficacy, lumbar activity, efficacy stability and reduce recurrence rate.