[1]杨戈 马中华△ 高丙南 董虎 邹华涛 马延峰.针刀辨因论治腰椎间盘突出症的临床研究[J].中国中医骨伤科杂志,2018,26(06):41-43.
　YANG Ge MA Zhonghua GAO Bingnan DONG Hu ZOU Huatao MA Yanfeng.Clinical Study of Needle Knife Differentiation of Etiology in Treatment of Lumbar Disc Herniation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(06):41-43.
点击复制

针刀辨因论治腰椎间盘突出症的临床研究()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年06期
页码:
41-43
栏目:
临床论著
出版日期:
2018-06-02

文章信息/Info

Title:
Clinical Study of Needle Knife Differentiation of Etiology in Treatment of Lumbar Disc Herniation
文章编号:
1005-0205(2018)06-0041-03
作者:
杨戈1 马中华1△ 高丙南2 董虎1 邹华涛1 马延峰1
1河南省省立医院(郑州,450000) 2河南省胸科医院 △通信作者 E-mail:18937109013@163.com
Author(s):
YANG Ge1 MA Zhonghua1△ GAO Bingnan2 DONG Hu1 ZOU Huatao1 MA Yanfeng1
1 Henan Provincial Hospical, Zhengzhou 450000, China; 2 Henan Thoracic Hospital, Zhengzhou 450000, China.
关键词:
辨因论治;  针刀;  腰椎间盘突出症;  疗效
Keywords:
Keywords: differentiation of etiology;  needle knife;  lumbar disc herniation;  effect
分类号:
R681.5
文献标志码:
A
摘要:
目的:观察针刀辨因论治腰椎间盘突出症的临床疗效。方法:将64例腰椎间盘突出症患者随机分为电针组和针刀组,每组32例。针刀组根据临床患者不同的病因,进行针刀治疗,每周2次,2周为1个疗程,电针组以腰椎相应夹脊穴为主,同时根据不同的症型配穴加减,每天1次,2周为1个疗程。两组患者均治疗1个疗程之后进行疗效评定。疗效评定标准以患者JOA评分的改善率为主。结果:与电针组总有效率为71.9%比较,针刀组总有效率为93.7%,差异有统计学意义(P<0.05)。两组患者治疗前后JOA评分差值比较差异有统计学意义(P<0.05)。结论:针刀辨因论治腰椎间盘突出症能明显改善病人的临床症状,并且对不同病因的腰椎间盘突出症患者都有肯定疗效,且其临床治愈率及疗效均优于电针疗法。
Abstract:
Abstract Objective: To investigate the clinical efficacy of needle knife differentiation of etiology in treatment of lumbar disc herniation. Methods: Sixty four lumbar disc herniation patients were randomly divided into needle knife group and acupuncture group, 32 cases in each group.The needle knife group was treated with needle knife lysis by different clinical causes, twice a week, 2 weeks for one course. The acupuncture group was treated with acupuncture Jiaji acupoints along the lumbar vertebra mainly, as well as the adjunct acupoints according to different causes,once a day and 2 weeks for one course. The efficacy was assessed in two groups after one course of treatment, which mainly included the improvement rate of JOA Scores. Results: The total effectiveness rate was 93.7% in the needle knife group, which had significant difference with the 71.9% in the acupuncture control group(P<0.05).There was obvious difference in JOA difference value before and after the treatment of two groups(P<0.05).Conclusion: The needle knife based on differentiation of etiology could effectively improve the clinical symptoms in lumbar disc herniation patients for different causes, moreover, it is superior to the acupuncture therapy in clinical cure rate and long-term efficacy.

参考文献/References:

[1] 王洪伟,李长青,周跃.腰椎间盘突出症疼痛发生机制的研究进展[J].中国矫形外科杂志,2011,19(7):568-571.
[2] 周文芳,夏玉军.腰椎间盘突出症术后残余症状的疗效观察[J].世界最新医学信息文摘,2017,17(104):74-75.
[3] 李林,袁坤,张立恒,等.电针夹脊穴治疗腰椎间盘突出症临床随机对照试验系统评价[J].中国中医骨伤科杂志,2012,20(12):13-17.
[4] 朱汉章.针刀医学原理[M].北京:人民卫生出版社,2002:104-105,126-153,414.
[5] 丁方平,王人彦,张玉柱,等.小针刀配合手法松解治疗膝骨关节炎的临床研究[J].中华中医药杂志,2014,29(4):1275-1277.
[6] 杨戈.针刀辨因论治[M].北京:中国中医药出版社,2016:77-79.
[7] 中华医学会.临床诊疗指南-骨科分册[M].北京:人民卫生出版社,2009,1:97-99.
[8] 王启才.针灸治疗学[M].北京:中国中医药出版社,2017,1.
[9] Hida S,Naito M,Kudo M,et al.Intraoperative Measurements of Nerve Root Blood Flow during Discectomy for Lumbar Disc Herniation[J].Spine,2003,28(1):85-90.
[10] 周光辉,薛爱国,梁逸仙,等.电针联合COX-2抑制剂治疗腰椎间盘突出症的疗效评价及对IL-6和IL-8表达的影响[J].针灸临床杂志,2016,32(10):38-40.
[11] 张卫东,李俊莲,高小勇,等.“调神温经通督”综合治疗腰椎间盘突出症的优势分析[J],时珍国医药,2015,26(4):944-946.
[12] 王美琴.针刀干预对腰椎间盘突出症模型大鼠背根神经节微循环影响的实验研究[D].北京:北京中医药大学,2016.
[13] 何智菲,郭长青,张义,等.针刀干预对腰椎间盘突出疼痛模型大鼠背根神经节IL-1、IL-6和TNF-α的影响[J].针灸临床杂志,2016,32(3):73-76.
[14] 刘金钟,许明,苏占国,等.针刀治疗腰椎间盘突出症机理探讨[J],江西中医,2011,42(103):38-40.

更新日期/Last Update: 2018-06-02