Clinical observation of filiform needle acupuncture combined with rehabilitation therapy in the treatment of lumbar disc herniation
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摘要: 目的 临床上腰椎间盘突出症的治疗以非手术治疗为主,寻找一种有效的治疗方法尤为重要。近年来毫火针在临床上的应用得到了认可,但是毫火针结合康复训练治疗腰椎间盘突出症的报道较少。本研究旨在探讨毫火针结合康复训练治疗腰椎间盘突出症的临床疗效。 方法 将2014年2月—2015年4月蚌埠医学院第二附属医院康复科符合纳入标准的80例腰椎间盘突出症患者随机分为治疗组和对照组。治疗组41例,采用毫火针结合康复训练进行治疗;对照组39例,采用传统针刺疗法进行治疗。治疗2个疗程后统计2组患者治疗的有效率及治疗前后JOA评分变化,进行统计学处理分析,其中计量资料比较采用t检验,率的比较采用χ2检验。 结果 治疗组治疗前JOA评分为(17.17±2.11)分,治疗后为(23.95±2.75)分;对照组治疗前为(16.76±2.72)分,治疗后为(21.82±3.14)分。2组患者治疗2个疗程后JOA评分较治疗前均明显升高,且治疗组治疗后JOA评分明显高于对照组,差异具有统计学意义(P<0.05)。对照组和治疗组治疗总有效率分别76.92%和92.68%,差异具有统计学意义(P<0.05)。 结论 毫火针结合康复训练治疗腰椎间盘突出症临床疗效易于观察,治疗价格低廉,患者痛苦小、易于接受,临床疗效满意,是治疗腰椎间盘突出症行之有效的新方法,值得临床推广及研究。Abstract: Objective To investigate the clinical efficacy of filiform needle acupuncture combined with rehabilitation therapy in the treatment of lumbar disc herniation. Methods Between February 2014 and April 2015,80 cases of lumbar disc herniation in our department were randomly divided into treatment group(41 cases) and control group(39 cases).The treatment group was given filiform needle acupuncture and rehabilitation therapy simultaneously,while the control group was given conventional acupuncture.After 2 periods of treatment,the effective rate and JOA scores before and after treatment in both groups were analyzed statistically.The measurement data were compared with t test,two proportions was compared using χ2 Test. Results Before the treatment,the JOA score of the treatment group was (17.17±2.11) and of the control group was (16.76±2.72);after 2 periods of treatment,were (23.95±2.75) and (21.82±3.14) in the two groups,respectively.The JOA scores were significantly increased in the treatment group after the treatment and significantly higher than that in the control group,the difference was statistically significant(P<0.05).The clinical effective rate of the treatment group was 92.68%,better than that of control group(76.92%),and the difference between of two groups was statistically significant(P<0.05). Conclusion Filiform needle acupuncture combined with rehabilitation therapy in the treatment of lumbar disc herniation is easy to observe,with low cost,little pain and satisfied clinical curative effect.It is a new method for the effective treatment of lumbar disc herniation,and worthy of clinical promotion and research.
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