CAJ | 학술논문

目的：观察夹脊穴深刺改善腰椎间盘突出症的临床疗效。方法：采用夹脊穴深刺治疗腰椎间盘突出症60例，针刺用针灸针（0.35mm×75mm）直刺或斜刺腰夹脊穴，配穴加用秩边、环跳、阳陵泉、承山、太溪等穴位，留针30min，每周3次隔日1次，共治疗12次。用视觉模拟量表（Visual Analogue Scale，VAS）观察疼痛改善率的变化；填写腰痛生活质量调查问卷，观察患者治疗前后生活自理改善情况；同时配合腰椎MRI纪录针刺的位置。以证明夹脊穴深刺既安全可靠，又疗效突出。结果：夹脊穴深刺能明显改善患者的症状体征，视觉模拟量表评分提示改善疼痛较为明显（P<0.05）；患者从第1次到到第12次治疗后， VAS疼痛评分均较治疗前改善（P<0.05）；腰痛生活质量调查问卷提示能明显提高患者生活自理程度（P<0.05）。结论：夹脊穴深刺能明显改善腰椎间盘突出症患者的疼痛症状。
목적：관찰협척혈심자개선요추간반돌출증적림상료효。방법：채용협척혈심자치료요추간반돌출증60례，침자용침구침（0.35mm×75mm）직자혹사자요협척혈，배혈가용질변、배도、양릉천、승산、태계등혈위，류침30min，매주3차격일1차，공치료12차。용시각모의량표（Visual Analogue Scale，VAS）관찰동통개선솔적변화；전사요통생활질량조사문권，관찰환자치료전후생활자리개선정황；동시배합요추MRI기록침자적위치。이증명협척혈심자기안전가고，우료효돌출。결과：협척혈심자능명현개선환자적증상체정，시각모의량표평분제시개선동통교위명현（P<0.05）；환자종제1차도도제12차치료후， VAS동통평분균교치료전개선（P<0.05）；요통생활질량조사문권제시능명현제고환자생활자리정도（P<0.05）。결론：협척혈심자능명현개선요추간반돌출증환자적동통증상。
Objective:The clinical curative effect of Jiaji point acupuncture was observed on treating lumbar disc disease. Methods:Treating 60 cases of lumbar disc disease by Jiaji point acupuncture, acupuncture with needle 0.35mm×75mm straight or oblique thorn waist Jiaji point, add Zhibian (BL 54), Huantiao (GB 30), Yanglingquan, Chengshan, Taixi, retaining needle 30 min, three times a week, a treatment for 12 times. With visual analogue scale (VAS), then observe the changes of pain period. Fill in the quality of life questionnaire lumbago, the life care oneself before and after treatment were observed. At the same time cooperate with lumbar MRI records the location of the needles. To prove that Jiaji point to be both safe and reliable, and curative effect is prominent. Results:Jiaji point acupuncture can obviously improve the patient's symptoms and signs, visual analog scale score suggests pain improved more significantly (P<0.05);Patients from the 1st to the 12th time after treatment, the VAS pain score improved (P<0.05);Lumbago quality of life questionnaire hint oneself can significantly improve (P<0.05). Conclusion:Jiaji point acupuncture can obviously improve the pain symptoms in patients with lumbar disc disease.