刃针联合通督调带治疗腰椎间盘突出症80例临床观察
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作者单位:

1. 北京市海淀区中医医院,北京 100086;2. 中国中医科学院针灸研究所,北京 100700;3. 北京中医药大学针灸推拿学院,北京 100029

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R246.2

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* 基金项目: 北京中医药大学校级自主选题项目(2011-JYBZZ-JS068)
收稿日期: 2017 - 08- 20
作者简介: 姜忠敏(1981-),男,黑龙江北安人,在职硕士研究生,研究方向:推拿治疗骨关节病的临床疗效和相关机制。
△通信作者:薛卫国,E-mail:snowmanxue@163.com


Comprehensive Treatment of Knife Needle and Regulating Dai Meridion, Recanalizating Du Meridionfor Lumbar Intervertebral Disc Herniation(LIDH):A Clinical Observation on 80 Cases
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Affiliation:

1. Beijing Haidian Hospital of TCM, Beijing 100086 China;2. Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700 China;3. Acupuncture and Tuina College of Beijing University of TCM, Beijing 100029 China

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    摘要:

    目的 观察刃针联合通督调带推拿治疗腰椎间盘突出症的临床疗效。方法 80例腰椎间盘突出症患者随机分为治疗组和对照组各40例,治疗组给予刃针联合通督调带推拿治疗,对照组给予通督调带推拿治疗;按摩治疗隔日1次,每周3次,刃针治疗视病情可间隔5~7d 1次,一般治疗1~5次。两组观察疗程均为四周。观察治疗前后两组患者的临床疗效综合评分、突出指数和治愈时间的变化,比较两组临床疗效。结果 治疗组、对照组在治疗后腰椎间盘突出指数均较治疗前略变小,但组内、组间比较均无统计学差异。治疗组临床疗效综合积分、治愈时间均显著低于对照组,具有统计学意义(P<0.05)。治疗组治愈率(48.64%)、总有效率(97.73%)均优于对照组。结论 刃针联合通督调带推拿法能够有效改善或解除腰椎间盘突出症患者的临床症状,疗效好见效快。

    Abstract:

    Objective To observe clinical effects on lumbar intervertebral disc herniation(LIDH) before and after treatment with knife needle and regulating Dai meridion, recanalizating Du meridion. Methods Eighty patients were located into two groups randomly: treatment group(40 cases) and control group(40 cases). The treatment group was treated with knife needle and tuina by regulating Dai meridion, recanalizating Du meridion. The control group was only treated with tuina by regulating Dai meridion, recanalizating Du meridion. Knife needle treatment was given one time per five or seven days according to patients’ state, generally one to five times. Tuina therapy was given every other day, three times each week. The two groups both were observed for four weeks. The differences of clinical effects colligation scores, sagittal diameter index(SI) and curative times before and after treatment in two groups were analyzed, comparing the clinical curative effects of two groups. Results After the treatments, the SI decreased both in two groups. But there was no significantly statistical difference(P>0.05). The clinical effects colligation scores and curative times of treatment group were remarkably lower than the control group(P<0.05). The cure rate(48.64%), total effective rate(97.73%) of clinical efficacy both were higher than control group. Conclusion Comprehensive treatment of knife needle and tuina by regulating Dai meridion, recanalizating Du meridion could effectively improve or relieve the dysfunctions of patients with LIDH. It was superior to control group in quicker effect, shorter treating time.

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