CAJ | 학술논문

目的：探讨中医针灸结合牵引治疗在腰椎间盘突出症患者治疗过程中的应用效果。方法以我院2012年1月～2013年7月间收治的各类腰椎间盘突出症患者100例为研究对象，随机分为A组和B组，所有患者均进行包括牵引治疗在内的常规治疗方案，A组患者增加中医针灸治疗内容。比较两组患者疼痛水平、短期临床治疗效果及长期随访预后水平之间的差异。结果 A组患者治疗1、2及4周时，疼痛水平评分分别为（6.57±1.17）、（4.33±1.21）和（2.97±1.04），B组患者分别为（7.32±1.02）、（5.47±1.18）和（4.73±1.46），A组患者疼痛水平得分低于对照组。A组患者临床治疗优良率为90.00%，对照组为72.00%， A组患者临床治疗优良率高于对照组（x2=5.26，P＜0.05），在患者预后水平的比较中，观察组患者预后水平评价优于对照组，其差异有统计学意义（P＜0.05）。结论中医针灸可以在腰椎间盘突出症的治疗中发挥积极作用，其不仅可以快速缓解患者疼痛症状、亦可提高患者临床治疗效果和预后水平。
목적：탐토중의침구결합견인치료재요추간반돌출증환자치료과정중적응용효과。방법이아원2012년1월～2013년7월간수치적각류요추간반돌출증환자100례위연구대상，수궤분위A조화B조，소유환자균진행포괄견인치료재내적상규치료방안，A조환자증가중의침구치료내용。비교량조환자동통수평、단기림상치료효과급장기수방예후수평지간적차이。결과 A조환자치료1、2급4주시，동통수평평분분별위（6.57±1.17）、（4.33±1.21）화（2.97±1.04），B조환자분별위（7.32±1.02）、（5.47±1.18）화（4.73±1.46），A조환자동통수평득분저우대조조。A조환자림상치료우량솔위90.00%，대조조위72.00%， A조환자림상치료우량솔고우대조조（x2=5.26，P＜0.05），재환자예후수평적비교중，관찰조환자예후수평평개우우대조조，기차이유통계학의의（P＜0.05）。결론중의침구가이재요추간반돌출증적치료중발휘적겁작용，기불부가이쾌속완해환자동통증상、역가제고환자림상치료효과화예후수평。
Objective To analysis the effect of combined Chinese acupuncture and moxibustion in the treatment of lumbar disc disease. Methods 100 cases of patients in our hospital from January 2012 to July 2013 with all kinds of lumbar intervertebral disc protrusion were researched and randomly divided into A group and B group. All patients were performed, including traction treatment, routine treatment,patients of group A increase of traditional Chinese acupuncture content as observation group, group B as control group and compare two groups of patients' pain levels, short-term clinical treatment effect and prognosis of long-term follow-up level differences. Results All patients were treated for one week, two weeks, and four weeks, observing group level of pain score, the observation group[ (6.57 ±1.17), (4.33 ± 1.21) and (2.97 ±1.04)]was lower than the control group[ (7.32 ±1.02), (5.47±1.18) and (4.73 ±1.46)]. To observe clinical treatment,the observation group(90.00%)of patients was higher than the control group(72.00%)(x2 = 5.26, P<0.05), When compared of the prognosis level of two proups, the observation group was superior than the control group, the difference was statistically significant (P<0.05). Conclusions The Chinese acupuncture can play a positive role in the treatment of lumbar disc prolapse, it not only can quickly relieve patients' pain symptoms, can also improve the level of clinical treatment effect and prognosis of patients.