动气针法治疗中老年腰椎间盘突出症坐骨神经痛33例

李胜吾; 戴国钢; 秦雪飞; 吴佳

动气针法治疗中老年腰椎间盘突出症坐骨神经痛33例

四川省骨科医院颈肩腰腿痛2科，四川成都 610041

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出版历程
- 收稿日期: 2015-10-04
- 修回日期: 2016-01-12
- 刊出日期: 2016-03-10

Clinical Observation of the Activating Qi Acupunture Therapy on 33 cases of Sciatica Caused by Lumbar Intervertebral Disc Herniation in Middle-Aged and Elderly People

摘要

摘要: 目的观察动气针法治疗中老年腰椎间盘突出症所致坐骨神经痛临床疗效。方法将65例符合纳入标准的患者随机分为动气针法组33例和电针组32例。动气针法组选取董氏奇穴灵骨、大白，采用动气针法，每隔5 min行针1 次，留针30 min 。电针组选取阿是穴、腰夹脊、大肠俞、环跳为主穴，根据经络和脏腑辨证选取相应配穴，进针得气后连接电针仪，选择疏密波，频率50/100 Hz，留针30 min。2组均每日治疗1次，5次为1个疗程，共治疗2个疗程。观察腰腿痛临床疗效及腿痛/腰痛视觉模拟(VAS)评分、Roland-Morris腰痛失能问卷（RDQ）评分。结果动气针法组总有效率90.90%，电针组为84.38%，动气针法组总体疗效优于电针组（P＜0.05）。动气针法组在VAS评分及RDQ评分改善方面优于电针组（P＜0.05）。结论动气针法治疗腰椎间盘突出症所致坐骨神经痛疗效明显，值得临床推广应用。
- 动气针法 /
- 中老年 /
- 腰椎间盘突出症 /
- 坐骨神经痛
Abstract: OBJECTIVE To observe the clinical efficacy of the activating qi acupuncture therapy on middle-aged and elderly people with sciatica caused by lumbar intervertebral disc herniation. METHODS 65 cases were randomly divided into the control group (the electric acupuncture group) and the treatment group (the activating qi acupuncture group)， with 32 cases and 33 cases respectively in the two groups. Dong's Linggu and Dabai extra points were applied in the treatment with the method of activating qi every 5 minutes and retaining for 30 minutes. In the control group， Ashi points， Jiaji points， Dachangshu and Huantiao were applied as the main points and matching points were applied according to viscera syndrome differentiation and channels and collaterals. Connect the electro-acupuncture apparatus after getting the sensation of qi and select dilatational wave at 50/100Hz retaining for 30 minutes. The two groups were both treated once a day with 2 courses (5 times a course). RESULTS The total effective rate in the treatment group was 90.90%， while the control group 84.38%. The treatment group was superior to the control group in the improvement of visual analogue scale (VAS) of leg pain and lumbago， scores of Roland-Morris Disability Questionnaire (RMQ) (P<0.05) as well as the total efficacy (P<0.05). CONCLUSION The activating qi acupuncture therapy shows obvious effects on the sciatica caused by lumbar intervertebral disc herniation in middle-aged and elderly people， which is recommended in clinical application.
- activating qi acupuncture therapy /
- middle-aged and elderly people /
- lumbar intervertebral disc herniation /
- sciatica

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参考文献(25)

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