论文部分内容阅读
[目的]观察小针刀联合直刺平补法针刺治疗腰椎间盘突出症疗效。[方法]使用随机平行对照方法,将56例住院患者按随机数字表法分为两组。对照组28例小针刀治疗:患者取俯卧位,充分暴露腰椎间,可适当于患者腹部垫支垫。操作区域充分消毒处理,行1%利多卡因局部麻醉,标准操作进刀,1次/周。治疗组28例直刺平补法针刺。取穴腰阳关穴、委中、秩边、环跳、承扶。穴位常规擦拭消毒处理,直径0.32mm、长40cm毫针,1次/d。小针刀治疗同对照组。均连续治疗4周为1疗程。观测临床症状、不良反应。连续治疗1疗程,判定疗效。[结果]治疗组痊愈17例,显效8例,有效2例,无效1例,总有效率96.43%。对照组痊愈7例,显效5例,有效10例,无效6例,总有效率78.57%。治疗组疗效优于对照组(P<0.05,P<0.01)。[结论]小针刀联合针灸治疗腰椎间盘突出症效果显著,值得推广使用。
[Objective] To observe the curative effect of small needle knife combined with acupuncture on acupuncture on lumbar disc herniation. [Methods] Randomized parallel method was used to divide 56 inpatients into two groups according to random number table. Control group of 28 cases of small needle knife treatment: patients take prone position, fully exposed lumbar intervertebral, may be appropriate in patients with abdominal pad pad. The operating area was fully disinfected, with 1% lidocaine local anesthesia, the standard operation into the knife, 1 / week. 28 cases of treatment group straight piercing acupuncture. Point acupoints waist Yang Guan, appoint, rank edge, ring jump, supporting. Points routine wipe disinfection, diameter 0.32mm, 40cm long needle, 1 / d. Small needle knife treatment with the control group. Continuous treatment for 4 weeks for a course of treatment. Observed clinical symptoms, adverse reactions. Continuous treatment of a course of treatment to determine the efficacy. [Result] The treatment group cured 17 cases, 8 cases markedly effective, 2 cases effective, 1 case ineffective, the total effective rate was 96.43%. The control group recovered in 7 cases, markedly effective in 5 cases, effective in 10 cases, 6 cases, the total effective rate was 78.57%. The treatment group than the control group (P <0.05, P <0.01). [Conclusion] The effect of small needle knife combined with acupuncture on lumbar disc herniation is significant and it is worth popularizing.