针灸“烧山火”法治疗腰椎间盘突出症的临床研究

【作者】 刘永涛；

【导师】 罗明；

【作者基本信息】 南京中医药大学 ， 针灸学， 2004， 硕士

【摘要】 腰椎间盘突出症是临床常见的骨伤科疾病，发病率大约4％—7％，占门诊腰腿痛的15％。其中有60％以上可以经非手术疗法治愈，需手术治疗者仅占5％—10％，患者以青壮年为多见。以往的研究表明，非手术疗法，如：针灸、推拿、牵引、中药、骶管封闭等对腰椎间盘突出症有着良好的疗效。 本证以“腰痛”为主诉。疼痛是患者暂时丧失劳动能力的主要原因。本研究在前人基础之上，进一步探索针刺结合复式手法对本病的疗效。 本研究以江苏省中医院针灸科2002年6月到2004年3月间就诊的腰椎间盘突出症病人为研究对象，共40例，随机分为治疗组与对照组，以针灸治疗为主，治疗组施以“烧山火”手法，对照组施以“平补平泻”法，治疗前后对症状进行积分，通过自身前后对照和对照组对照，对结果进行统计分析。结果表明，两组治疗均有效，但治疗组优于对照组。统计分析显示，有明显差异。其中，治疗组在腰痛、诱发痛方面的疗效比对照组有优势。 因此，可以认为针灸中“烧山火”手法，对于腰椎间盘突出症是一种切实可行的治疗方法。更多还原

【Abstract】 The lumbar intervertebral disc prolapse(LIDP) is most common and its incidence of disease is about 4%-7%.The article reviewed systematically the research results of both antiquity and modern times on pathology, pathogeny, diagonsis and treatment of LIDP. A systematical induction and analysis on it was gained, specially with a research on the treatment, such as acupuncture, Chinese massage and traction.In this study, we chose and treated 40 LIDP patients from Acupuncture and Moxibustion Dept. of Jiangsu Province Hospital of Chinese Traditional Medicine, and then they were randomly separated into two groups: One is called treatment group, the other is called comparison group. There were 20 patients in each group. In treatment group,20 patients were treated by acupuncture, named "Shao shan huo", and the group were treated by pure acupuncture.The results were observed in clinic. The results of observation had shown that the treatment group was better than the comparison group in general effective rate. Statistical analysis had showed that they had obvious statistical discrepancy , and the treatment group had advantages to the comparison group on the treatment of lumbago, solicitant pain.All of these make us clear the acupuncture, Shao shan huo, on LIDP. is a feasible comprehensive treatment method.更多还原