经络辨证取穴针刺治疗腰椎间盘突出症临床研究

【作者】 徐文嵩；

【导师】 周鸿飞；

【作者基本信息】 辽宁中医药大学 ， 中医学针灸， 2011， 硕士

【摘要】 目的:1、观察经络辨证取穴针刺治疗腰椎间盘突出症的临床疗效。2、观察此取穴方法与临床常规取穴在疗效上的差别。方法:将符合纳入标准的55例腰椎间盘突出症患者随机分成两组,治疗组30例以经络辨证取穴为主,对照组25例以常规取穴进行针刺,两组穴位得气后行相同的平补平泻手法,针刺后留针30min,间隔10min行针1次,每周均治疗6天,休息1天,3周为一个疗程,共观察1个疗程。临床疗效评价采用“下腰痛评分标准”(JOA评分),疗效标准采用国家中医药管理局《中医病症诊断疗效标准》进行评定。结果:治疗组在总有效率和治愈率上与对照组比较均具有显著差别(P<0.05)。结论:采用经络辨证取穴针刺治疗腰椎间盘突出症具有很好的疗效,比普通取穴针刺临床疗效更加显著,可以获得更好的临床治愈的目的。更多还原

【Abstract】 Objective: 1、To observe the therapeutic effect of needling by differentiation of meridian syndromes to treat Lumbar intervertebral disk protrusion (LIDP).2、observe the difference of obtaining acupucture point in this way and the clinical convention method on the therapeutic effect.Methods: 55 chosen LIDP patients,coincident with standards,were randomly divided into 2 groups:30 patients in Treatment Group which obtaining acupucture point by the differentiation of meridian syndromes and 25 patients in Control Group which obtaining acupucture point by the clinical convention.After gainning the pneuma,the acupucture point of 2 group use the same needing manoeuvre.The patients of two groups were all keeping the needle 30 minutes after needing and manipulating needle 1 time every interval 10 minutes. Treating 6 days every week,and recessing 1 days.3 weeks were a course of treatment and observing a course of treatment. The clinic symptoms of two groups was evaluated by“lower back pain assessment standard”(JOA evaluation sheet).The standard of the curative effect was evaluated by“diagnostic efficacy standards for diseases in Traditional Chinese Medicine”of State Administration of Traditional Chinese Medicine.Results: There were the significant difference between the treatment group and the control group on the total effective rate and the clinical healing rate(P<0.05).Conclusion: To treat the LIDP by the the method of needling by differentiation of meridian syndromes have the significant clinical effect,better than adopting the common methods,and can obtain the better purpose of the clinical cure.更多还原