针灸腰段华佗夹脊穴治疗腰椎间盘突出症术后复发45例临床观察

[目的]观察针灸腰段华佗夹脊穴治疗腰椎间盘突出症术后复发疗效。[方法]使用前瞻性设计方法,对45例门诊患者针灸腰段华佗夹脊穴。取穴:第一腰椎至第五腰椎棘突下旁开0.5~1寸双侧腰华佗夹脊穴(共10个穴位)为主穴,根据病情配合其他穴位,如环跳、殷门、委中、阳陵泉、足三里、悬钟、太冲、合谷等穴位。针法:穴位皮肤常规消毒,使用直径0.35mm×60mm一次性针灸针垂直快速进针,针刺深度因患者胖瘦不同而定,平均针刺深度约50mm。其余穴位常规针法操作,针刺后留针。灸法:选取4~6个腰华佗夹脊穴予以灸法,将直径约1.8cm纯艾条截成长约3cm艾柱,患者腰部有温热感为佳,15min/柱。1次/d,连续治疗5d为1疗程,间隔2d进行下1疗程。观测临床症状、不良反应。治疗3疗程,判定疗效。[结果]治愈24例,有效20例,无效1例,总有效率97.80%。[结论]针灸腰段华佗夹脊穴治疗腰椎间盘突出症术后复发,疗效满意,无副作用,值得推广。

Acupuncture and Moxibustion Lumbar Hua Tuo JiaJi Points for Treatment Lumbar Disc Herniation Postoperative Recurrence 45 Cases Clinical Observation

[ Objective ] To observe lumbar Jiaji Points with acupuncture and moxibustion treatment efficacy of lumbar disc herniation postoperative recurrence. E Methods ] Using a prospective design method, acupuncture and Moxibustion lumbar Jiaji Points for 45 outpatients. Acupoints ： from the first to the fifth lumbar spinous open 0.5 to 1 inch Jiaji Points （ total 10 points ） as the main points, then according to the condition selection other acupoints, such as the Huantiao, Yinmen, Veizhong, Yanglingquan, Zusanli, Taichong, hegu etc. Acupuncture：acupoint skin disinfection routinely, using 0.35mm ＊ 60ram diameter disposable acupuncture needles vertical rapidly penetrate the skin, needle depth due to different patients, an average acupuncture depth about 50mm. The remaining acupoints operation routinely.Moxibustion：Select four to six lumbar Jiaji Points to be moxibnstion, patient waist warm feeling better. 1 times / d, 5d is a continuous course of treatment, interval 2d to next course treatment. Observing clinical symptoms, adverse reactions. Treatment of 3 courses, to determine efficacy. [ Results ] 24 cases cured, 20 cases effective, one case ineffective, the total efficiency of 97.8%. [ Conclusion ] Lumbar Jiaji Points acupuncture and moxibustion treatment of lumbar disc herniation postoperative recurrence, results were satisfactory, no side effects, it is worth promoting.