通络针灸联合中药穴位贴敷治疗腰椎间盘突出症的临床观察.docx

通络针灸联合中药穴位贴敷治疗腰椎间盘突出症的临床观察【摘要】目的观察自拟通络针灸法联合中药穴位贴敷治疗腰椎间盘突出症患者的临床疗效。方法60例腰椎间盘突出症患者采用信封法随机分为试验组和对照组每组30例。对照组采用常规口服止痛药联合一般针刺方法试验组在对照组基础上采用通络针灸法和中药穴位贴敷治疗。观察比较两组患者的临床疗效。结果治疗前两组视觉模拟评分法（VAS）评分及腰椎疾病治疗评分比较差异均无统计学意义（P>0.05）治疗后试验组VAS评分（2.35±0.97）分、腰椎疾病治疗评分（21.59±4.36）分均优于对照组的（4.21±1.27）、（17.15±3.18）分差异均具有统计学意义（P【关键词】通络针灸法；穴位贴敷；腰椎间盘突出症DOI：10.14163/ki.11-5547/r.2017.09.062ClinicalobservationonTongluoacupuncturecombinedwithpointapplicationtherapyoftraditionalChinesemedicineinthetreatmentofprotrusionoflumbarintervertebraldiscZHAIZhen-zhong.WardTwoFushunCityHospitalofTraditionalChineseMedicineFushun113008China【Abstract】ObjectiveToobservetheclinicalcurativeeffectofself-designedTongluoacupuncturecombinedwithpointapplicationtherapyoftraditionalChinesemedicineinthetreatmentofpatientswithprotrusionoflumbarintervertebraldisc.MethodsAtotalof60patientswithprotrusionoflumbarintervertebraldiscweredividedbyenvelopemethodintoexperimentalgroupandcontrolgroupwith30casesineachgroup.ThecontrolgroupreceivedregularoralanalgesicscombinedwithgeneralacupuncturemethodandtheexperimentalgroupreceivedTongluoacupuncturecombinedwithpointapplicationtherapyoftraditionalChinesemedicineonthebasisofthecontrolgroup.Clinicalcurativeeffectwasobservedandcomparedintwogroups.ResultsBeforetreatmentbothgroupshadnostatisticallysignificantdifferenceinvisualanaloguescale（VAS）scoreandlumbardiseasestreatmentscore（P>0.05）.AftertreatmenttheexperimentalgrouphadbetterVASscoreas（2.35±0.97）pointslumbardiseasestreatmentscoreas（21.59±4.36）pointsthan（4.21±1.27）and（17.15±3.18）pointsinthecontrolgroupandtheirdifferencehadstatisticalsignificance（P【Keywords】Tongluoacupuncture；Pointapplicationtherapy；Protrusionoflumbarintervertebraldisc由于椎间盘自身生理机构的特点容易出现退行性改变因此腰椎间盘突出症是骨科的常见病和多