CAJ | 학술논문

目的：比较分析电针和药物结合与单纯药物治疗腰椎间盘突出症的临床疗效。方法：选取2011年1月至2013年1月期间在我科因腰椎间盘突出采取保守治疗的60例患者，随机分成电针与药物结合组（A组）和单纯药物组（B组），每组各30例。针药结合组穴位主穴取腰部华佗夹脊穴；配穴取阿是穴、环跳、绝骨、委中、秩边等，每次30 min，每日1次，7天为一疗程。同时口服布洛芬每次20 mg，每天2次；口服维生素B1，每次1粒，每天3次。单纯药物组仅口服上述药物。治疗两周后，观察评测两组患者治疗前后的临床疗效、VAS疼痛评分及活动能力评分情况。结果：A组（93．33％）患者临床疗效总有效率高于B组（43．33％），差异有统计学意义（P＜0．05）。 A、B两组患者治疗后VAS评分均低于治疗前，（P＜0．05）；治疗后比较，A组VAS评分（3．04±0．53）低于B组（4．82±0．62）（P＜0．05）。 A、B两组患者治疗后活动能力评分均低于治疗前，差异有统计学意义（ P＜0．05）；治疗后比较，A组活动能力评分（1．25±0．24）低于B组（1．85±0．27），差异有统计学意义（P＜0．05）。结论：针药结合较单纯药物治疗腰椎间盘突出疗效更加确切，值得临床推广应用。
목적：비교분석전침화약물결합여단순약물치료요추간반돌출증적림상료효。방법：선취2011년1월지2013년1월기간재아과인요추간반돌출채취보수치료적60례환자，수궤분성전침여약물결합조（A조）화단순약물조（B조），매조각30례。침약결합조혈위주혈취요부화타협척혈；배혈취아시혈、배도、절골、위중、질변등，매차30 min，매일1차，7천위일료정。동시구복포락분매차20 mg，매천2차；구복유생소B1，매차1립，매천3차。단순약물조부구복상술약물。치료량주후，관찰평측량조환자치료전후적림상료효、VAS동통평분급활동능력평분정황。결과：A조（93．33％）환자림상료효총유효솔고우B조（43．33％），차이유통계학의의（P＜0．05）。 A、B량조환자치료후VAS평분균저우치료전，（P＜0．05）；치료후비교，A조VAS평분（3．04±0．53）저우B조（4．82±0．62）（P＜0．05）。 A、B량조환자치료후활동능력평분균저우치료전，차이유통계학의의（ P＜0．05）；치료후비교，A조활동능력평분（1．25±0．24）저우B조（1．85±0．27），차이유통계학의의（P＜0．05）。결론：침약결합교단순약물치료요추간반돌출료효경가학절，치득림상추엄응용。
Objective:To investigate the efficacy of electroacupuncture therapy and medication treatment for treating lumbar disc herniation.Methods:Sixty cases of lumbar disc herniation were randomly divided into elec-troacupuncture combined with medication group ( A group with 30 cases) and medication group ( B group with 30 cases) .A group was treated with electroacupuncture at Jiaji, Ashi, Huantiao, Juegu, Weizhong and Zhibi-an etc.Treatment was given 30 min of each time, once daily, 7 days as a course.And patients in A group also took the same oral drugs as patients in B group.B group was treated with oral administration of ibuprofen (2 times a day, 20mg each time) and vitamin B1(3 times a day, one granule each time).The clinically therapeu-tic efficacy, VAS pain scores and locomotor activity scores were observed and evaluated before and after treat-ment.Results:The clinically therapeutic efficacy in groups A (93.33%) was significantly higher than those of group B (43.33%) .The difference was statistically significant ( P<0.05) .In groups A and B, the VAS pain scores before treatment were respectively lower than those after treatment.After treatment, the VAS pain scores in group A (3.04 ±0.53) was significantly lower than those of group B (4.82 ±0.62)(P<0.05).The loco-motor activity scores significantly decreased in the two groups after treatment compared with those before treat-ment (P<0.05).After treatment, the locomotor activity scores in group A (1.25 ±0.24)were significantly lower than those of group B (1.85 ±0.27),and there was a significant difference (P<0.05).Conclusion:For treating lumbar disc herniation, electroacupuncture combined with medication is better than simple medica-tion treatment, and it is worth clinical application.