针灸临床杂志
針灸臨床雜誌
침구림상잡지
JOURNAL OF CLINICAL ACUPUNCTURE AND MOXIBUSTION
2013年
11期
18-21
,共4页
椎间盘移位%腰椎%刺血疗法%委中穴%针头留置
椎間盤移位%腰椎%刺血療法%委中穴%針頭留置
추간반이위%요추%자혈요법%위중혈%침두류치
Intervertebral disc displacement%Lumbar vertebrace%Pricking -blood therapy%Weizhong point%Keeping syringes needle
目的：比较针头留置委中刺血法与委中刺血拔罐法治疗腰椎间盘突出症的疗效差异，并探讨其镇痛作用机制。方法：将60例患者随机分为针头留置组和刺血拔罐组，每组30例。针头留置组在常规针刺的基础上取委中穴刺血并留置针头引血外出，刺血拔罐组在常规针刺的基础上在委中穴刺血后拔罐，以上治疗常规针刺1次/日，委中刺血1次/5日。治疗10日后观察两组的临床疗效，并从视觉模拟量表（ VAS）评分、直腿抬高试验、步行距离三个方面评定镇痛效应。结果：针头留置组愈显率为73．3％（22/30），刺血拔罐组愈显率为56．7％（17/30），前者疗效明显优于后者（P＜0．01）。两组VAS评分均较治疗前降低（P＜0．01），直腿抬高诱发疼痛的角度都较前增大（P＜0．01），平地步行时间均较前增长（P＜0．01），针头留置组各项评定指标均优于刺血拔罐组（P＜0．05）。结论：针头留置委中刺血法治疗腰椎间盘突出症疗效优于委中刺血拔罐法。
目的：比較針頭留置委中刺血法與委中刺血拔罐法治療腰椎間盤突齣癥的療效差異，併探討其鎮痛作用機製。方法：將60例患者隨機分為針頭留置組和刺血拔罐組，每組30例。針頭留置組在常規針刺的基礎上取委中穴刺血併留置針頭引血外齣，刺血拔罐組在常規針刺的基礎上在委中穴刺血後拔罐，以上治療常規針刺1次/日，委中刺血1次/5日。治療10日後觀察兩組的臨床療效，併從視覺模擬量錶（ VAS）評分、直腿抬高試驗、步行距離三箇方麵評定鎮痛效應。結果：針頭留置組愈顯率為73．3％（22/30），刺血拔罐組愈顯率為56．7％（17/30），前者療效明顯優于後者（P＜0．01）。兩組VAS評分均較治療前降低（P＜0．01），直腿抬高誘髮疼痛的角度都較前增大（P＜0．01），平地步行時間均較前增長（P＜0．01），針頭留置組各項評定指標均優于刺血拔罐組（P＜0．05）。結論：針頭留置委中刺血法治療腰椎間盤突齣癥療效優于委中刺血拔罐法。
목적：비교침두류치위중자혈법여위중자혈발관법치료요추간반돌출증적료효차이，병탐토기진통작용궤제。방법：장60례환자수궤분위침두류치조화자혈발관조，매조30례。침두류치조재상규침자적기출상취위중혈자혈병류치침두인혈외출，자혈발관조재상규침자적기출상재위중혈자혈후발관，이상치료상규침자1차/일，위중자혈1차/5일。치료10일후관찰량조적림상료효，병종시각모의량표（ VAS）평분、직퇴태고시험、보행거리삼개방면평정진통효응。결과：침두류치조유현솔위73．3％（22/30），자혈발관조유현솔위56．7％（17/30），전자료효명현우우후자（P＜0．01）。량조VAS평분균교치료전강저（P＜0．01），직퇴태고유발동통적각도도교전증대（P＜0．01），평지보행시간균교전증장（P＜0．01），침두류치조각항평정지표균우우자혈발관조（P＜0．05）。결론：침두류치위중자혈법치료요추간반돌출증료효우우위중자혈발관법。
Objective:To compare the efficacy difference in the treatment of lumbar disc herniation ( LDH) be-tween the blood-pricking treatment with remaining syringes needle at Weizhong ( BL40 ) and being cupped after the blood-pricking at the same point at once ,and to explore the analgesic mechanism .Methods:The sixty ca-ses were randomized into the therapy group (30 cases) and the control group(30 cases).The two groups were given the conventional acupuncture therapy .In addition, in the therapy group, the syringe needle remained for several minutes after the blood -pricking at Weizhong ( BL40 ) until the blood stopped pumping frome the veins . Additionally ,in the control group , the cupping therapy was used after the blood -pricking at Weizhong ( BL40 ) for 5-10 mintutes.Before and after treatment,the three measures including visal analogue scal (VAS), angle of stright leg raising ( ASLR ) , walking time were adopted to determine analgesic effect and clinical efficacy . Results:In the therapy group,the curative and effective rate was 70.3%(22/30),which was apparently superi-or to 56.7%(17/30) in the control group(P<0.01).Compared the treament before and after treatment ,the VAS was blower than before(P<0.01),ASLR was higher(P<0.01),walking time was longer(P<0.01)in the two groups .The three measures in the therapy group were apparently superior to the control group ( P <0.05 ) .Conclusion:The blood-letting therapy with keeping syringes needle has a better therapeutic effect on lumbar disc herniation , which is superior to the traditional blood -letting cupping medication at Weizhong ( BL40 ) point .
