针灸联合拔罐治疗腰椎间盘突出症随机平行对照研究

[目的]观察针灸联合拔罐治疗腰椎间盘突出症疗效。[方法]使用随机平行对照方法,将68例门诊患者按掷骰子法随机分为两组。对照组34例牵引,微电脑腰椎自动牵引床牵引骨盆间隙,据体重选择牵引重量,据耐受情况选择牵引力,30min/次,1次/d。治疗组34例针灸,取肾俞、腰眼、环跳、殷门、委中、阳陵泉、阿是穴、风市、昆仑等穴,取俯卧位或侧卧位,75%酒精常规消毒,较快速度进针,直刺1~3寸,提插捻转平补平泻手法直至得气,以感觉到腰部及臀部的得气感应向足部传达为最佳;连接G6805电针治疗仪,选取连续波形,依据耐受度选刺激强度,同时加TDP照射,留针30min;起针后拔罐,留罐5~10min;较重者1次/d;症状缓解后,隔日1次。连续治疗10d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈11例,显效15例,有效7例,无效1例,总有效率97.06%。对照组痊愈4例,显效13例,有效10例,无效7例,总有效率79.41%。治疗组疗效优于对照组(P0.05)。[结论]针灸联合拔罐治疗腰椎间盘突出症效果显著,值得推广。

Acupuncture Combined Random Parallel Control Study Cutem Therapy Lumbar ntervertebral Disc Protrusion

[ Objective ] to observe the acupuncture combined cutem the curative effect of treating lumbar intervertebral disc protrusion. [ Methods ] using random parallel control method, 68 cases of clinic patients were randomly divided into two groups according to roll the dice method. Control group of 34 cases of traction therapy, microcomputer automatic lumbar traction bed traction pelvic clearance, according to the weight to choose traction weight, according to select the traction resistance, 30 rain/times, 1 / d. Treatment group （ 34 cases acupuncture, shen shu, beneficiary, gb 30, Yin door, bilateral, gb 34, is point o, wind, kunlun, such as holes, take a prone position or lateral position, regular disinfection, 75% alcohol faster into the needle, stab 1 - 3 inch, lift plug twisting or fiat of fiat until qi, to feel the waist and hips to QiGan should convey to the foot is the best ; Connection G6805 cupping therapy apparatus, selection of continuous waveform, based on the tolerance level chosen stimulus intensity, plus TDP irradiation at the same time, retaining needle for 30 rain. After needle per cutem, leave a jar of 5 -- 10 min. JiaoChongZhe l/d; After symptoms, once a day. Continuous treatment of 10 d to 1 course of treatment. Observation of clinical symptoms and adverse reactions. As a course treatment, judge curative effect. [ Results ] in treatment group recovered 11 cases, 15 cases were markedly effective, effective 7 cases, 1 had no effect, the total effective rate was 97.06%. The control group recovered in 4 cases, 13 cases had marked effect, 10 cases were effective, 7 had no effect, the total effective rate was 79.41%. The treatment group curative effect is better than that of control group （ P〈0.05 ） . [ Conclusion ] the effective acupuncture combined cutem therapy lumbar intervertebral disc protrusion, worthy of promotion.