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1、·提要目的：旨在比较针刺腰夹脊穴与腰背俞穴治疗腰椎间盘突出症(LDH)的疗效差异，为尽快地缓解临床症状、体征，以达到镇痛治痛之目的选择最佳治疗方案。方法：将患者随机分为观察组与对照组：观察组取穴双侧L2～5夹脊穴，对照组取穴双侧肾俞、气海俞、大肠俞、关元俞；配穴皆取腰骶部阿是穴、委中及昆仑。进行两个疗程的单纯针刺治疗，以视觉模拟评分标准及腰腿痛综合评分标准进行量化评定。结果：①两组患者各30例，第1疗程，观察组治愈18例，显效7例，有效3例，无效2例，治愈率60％，有效率93.7％；对照组治愈9例，显效
2、5例，有效10例，无效6例，治愈率30％％，有效率80％，疗效以观察组为优(P﹤0.05)。第2疗程，观察组治愈19例，显效7例，有效2例，无效2例，治愈率63.3％，有效率93.7％；对照组治愈14例，显效7例，有效6例，无效3例，治愈率46.7％，有效率90％，疗效无显著性差异(P﹥0.05)。②以视觉模拟评分标准与腰腿痛综合评分标准分析两组疼痛、综合积分的变化：第1疗程，观察组在疼痛程度、症状、体征等各项评定指标方面明显优于对照组(P﹤0.01)；第2疗程无显著性差异(P﹥0.05)。两组自身前后
3、对照，均能显著性地降低各项指标(P﹤0.05)。结论：腰夹脊穴组与腰背俞穴组治疗腰椎间盘突出症，对患者的疼痛程度、症状、体征及日常生活活动等各项相关指标均有显著性改善，皆有较好疗效，但腰夹脊穴组在对疼痛的缓解、症状体征的改善等各方面较腰背俞穴组见效更快。关键词腰椎间盘突出症；腰夹脊穴；腰背俞穴；针刺···TheclinicalobservationontreatingLumberdischerniationbymainacupunctureonjiajipointsSpeciality:Acu-mox&
4、massageAuthor:XieHonggangTutor:ZhangYongchenAbstractObjective:TocomparetheefficacyofacupuncturebetweenthewaistJiajiandbackshupointsinthetreatmentoflumbardischerniation(LDH),toselectthebesttreatmentoptionswhichcanamelioratetheclinicalsymptomsandsignsandan
5、algesiaassoonaspossible.Methods:Thepatientswererandomlydividedintoobservationgroupandcontrolgroup:TheobservationgroupacupointonbilateralL2～5Jiajipoints;thecontrolgroupchoosebilateralshenshu,qihaishu,dachangshu,guanyuanshu;acupointsaretakenlumbosacralAshi
6、,weizhongandKunlunacupoints.Twocourseshavesimpleacupuncturetreatment,withvisualanaloguescalestandardsandlocatethecomprehensivequantitativeassessmentratingcriteriatoquantifythetreatment.Results:(1)eachgrouphave30patients,afterthefirstperiodoftreatment,the
7、observationgroupcured18cases,7caseshavemarkedlyeffect,3casesgeteffect,and2caseshaveineffectiveness,thecurerateis60%,theeffectiveratewas93.7%;Thecontrolgroupcured9cases,5caseshavemarkedlyeffect,10casesgeteffect,and6caseshaveineffectiveness,thecurerateis30
8、%,theeffectiverateis80%.Analysetheeffectshowedthattheobservationgroupwassignificantlybetterthancontrolgroup(P﹤0.05).inthesecondperiod,theobservationgroupcured19cases,7caseshavemarkedlyeffect,2casesgeteffect,and2caseshavein
