齐刺滞针经筋刺法治疗腰椎间盘突出症30例疗效观察

目的 探究齐刺滞针经筋刺法在缓解腰椎间盘突出症的疼痛及改善症状体征方面的效果。 方法 选取2014年8月—2018年8月在蚌埠医学院第二附属医院就诊的90例腰椎间盘突出症患者，采用抽签方法随机分为3组，每组30例，3组分别采用齐刺滞针经筋刺法，常规滞针经筋刺法，齐刺经筋刺法进行治疗。连续治疗2周后，采用视觉模拟评分法(VAS)及日本骨科协会下腰痛评分法(Japanese orthopaedic association scores，JOA)比较3组患者的疼痛缓解情况和临床治疗效果。 结果 治疗结束后，VAS评分:齐刺滞针经筋刺法组为(0.30±0.60)分，常规滞针经筋刺法组为(1.43±0.82)分，齐刺经筋刺法组为(1.60±0.77)分，均低于治疗前(均P＜0.01)，齐刺滞针经筋刺法组患者VAS评分明显低于其他2组(均P＜0.05)；JOA评分:齐刺滞针经筋刺组为(27.73±2.24)分、常规滞针经筋刺法组为(23.33±3.37)分，齐刺经筋刺法组为(24.10±2.71)分，均高于治疗前(均P＜0.01)，齐刺滞针经筋刺法组患者JOA评分明显高于其他2组(均P＜0.05)；3组的临床控制率分别为90.0%、60.0%、60.0%，齐刺滞针经筋疗法的临床控制率明显高于其他2组(均P＜0.05)。 结论 齐刺滞针经筋刺法较传统针灸更能有效缓解腰椎间盘突出症患者的疼痛，改善患者的症状体征，提高临床控制率，提高患者生活质量。 

The clinical research of lumbar intervertebral disc herniation treated by multi-needling and sticking of needle in muscle meridian focus

Objective To observe and investigate the clinical efficacy of multi-needle sticking in rows acupuncture in protrusion of lumbar intervertebral disc. Methods A total of 90 patients of protrusion of lumbar intervertebral disc who were treated in the Second Affiliated Hospital of Bengbu Medical College from August 2014 to August 2018 were included in the experiment and were randomly and equally divided into 3 groups, with 30 cases in each group. Ninety patients of protrusion of lumbar intervertebral disc were included in the experiment and were randomly and equally divided into 3 groups, with the multi-needle sticking in rows acupuncture as treatment group, and conventional sticking acupuncture and multi-needling acupuncture as controls respectively. The clinical therapeutic effect was assessed by evaluating the clinical symptom, physical sign and symptom pain by VAS (visual analogue scale/score) and JOA (Japanese ortho-paedic association scores) before and after 2 weeks of continuous treatments. The datum were compared among three groups. Results After treatment, the VAS of three groups decreased significantly than that before treatment, with 0.30±0.60 in the multi-needle sticking in rows acupuncture group, 1.43±0.82 in conventional sticking acupuncture group and 1.60±0.77 in multi-needling acupuncture group(all P＜0.01). The VAS of the multi-needle sticking in rows acupuncture group was significantly lower than that in the other groups after treatment(all P＜0.05). In addition, the JOA scores of the multi-needle sticking in rows acupuncture group were 27.73±2.24, which was significantly higher than that in conventional sticking acupuncture group with 23.33±3.37 and multi-needling acupuncture group with 24.10±2.71(all P＜0.01). The JOA scores of all groups after treatments increased significantly than that before treatment(all P＜0.05). With regard to the total therapeutic efficacy, the multi-needle sticking in rows acupuncture group with 90.0% therapeutic efficacy rate was more effective than conventional sticking acupuncture group and multi-needling acupuncture with the therapeutic efficacy rates of 60.0% and 60.0% respectively (all P＜0.05). Conclusion The multi-needle sticking in rows acupuncture with higher therapeutic efficiency in protrusion of lumbar intervertebral disc can effectively relieve the clinical symptom, alleviate uncomfortableness and improve the life quality of patients. Therefore, the popularization of the multi-needle sticking in rows acupuncture will benefit greatly for protrusion of lumbar intervertebral disc patients in clinic.