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不同病期应用不同针刺方法对多发性腰椎间盘突出症患者腰及肢体功能障碍的改善作用 被引量:8

Effect of different acupuncture therapies in improving functional disturbance of waist and limbs in patients with multiple lumbar disc herniation at different s tages
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摘要 目的:探讨不同病期应用不同针灸方式改善腰椎间盘突出症患者疼痛及肢体功能障碍的作用。方法:福建省龙岩市中医院颈椎腰腿痛专科2002-01/2004-12腰椎间盘突出症患者197例。随机分为治疗组(100例)和对照组(97例),分别用针灸为主及推拿、药物疗法进行治疗。结果:治疗组的总有效率为94%,对照组为58%,治疗组明显优于对照组(χ2=10.02,P<0.01);治疗组治疗后的VRS评分为(1.32±0.31)分,直腿抬高角度为(70.00±15.00)°,较治疗前显著改善(t=1.841,t=2.103,P<0.05),对照组治疗后的VRS评分为3.11±0.23)分,(抬高角度为(50.00±20.00)°,治疗组明显优于对照组(t=2.324,t=2.133,P<0.05)。结论:不同病期应用不同针灸方法,可解除患者肌痉挛所致疼痛,而达到明显改善其临床症状的目的。 AIM: To probe into the curative effect of different acupuncture moxibustion i n improving pain and functional disturbance of limbs in patients with multiple l umbar disc herniation(LDH) at different stages. METHODS:Totally 197 patients with LDH were selected from the special departmen t for cervical vertebral,lumbar and leg pain in Longyan Hospital of Traditional Chinese Medicine,Fujian Province from January 2002 to December 2004.They were ra ndomly divided into treatment group(n=100) and control group(n=97).The patients underwent acupuncture moxibustion,manipulation or drug therapy. RESULTS:The total effective rate in the treatment group was 94%,better than t hat in the control group(58%)(χ2=10.02,P< 0.01).The VRS score was (1.32±0.31) points and angle for straight leg raising test was(70.00±15.00)°,which were s ignificantly improved after treatment in the treatment group(t=1.841,t=2.103,P< 0.05),while those in the control group were (3.11±0.23) points and (50.00±20.0 0)°respectively,thus,those in the treatment group were significantly superior t o those in the control group(t=2.324,t=2.133,P< 0.05). CONCLUSION:Different acupuncture moxibustion used at different stages of LDH can relieve muscular spasm induced pain so as to obivously alleviate the clinic al symptoms of LDH.
出处 《中国临床康复》 CSCD 北大核心 2005年第2期184-185,共2页 Chinese Journal of Clinical Rehabilitation
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