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1、影像监控下针刀治疗腰椎间盘突出症（血瘀证）临床研究唐峰，吕武宾，邓军，姜兴鹏（重庆三峡医药高等专科学校，重庆，万州，404000）中文摘要目的观察影像监控下针刀治疗腰椎间盘突出症（血瘀证）临床疗效。方法80例腰椎间盘突出症（血瘀证）患者，其中男性46例，女性34例。随机分为治疗组（针刀治疗）和对•照组（常规针灸治疗），疗程治疗时间为4周。临床观察时间分别于治疗前、疗程治疗2周后、疗程治疗结束后，采用J0A腰痛疾患疗效评定标准和中医证候分级量化标准対患者症状及体征进行评分。结果本临床研究过程中无一例不良反应和安全事故发生，通过対治疗组和对照组进行证候疗效评价比较，治疗组治疗2周后临床治愈率
2、为35%、显效率为37.5%、有效率为22.5%；对照组治疗2周后临床治愈率为15%、显效率为35%、有效率为35%。治疗组疗程治疗结朿后临床治愈率为47.5%、显效率为35%、有效率为15%；対照组疗程治疗结束后治愈率为27.5%＞显效率为37.5%、有效率为22.5%。通过对两组患者疗程治疗2周后和疗程治疗结束J0A腰痛疾患总评分进行组内和组间比校，p值均＜0.05,治疗组在治疗疼痛、改善症状和恢复功能方面明显优于对照组°结论影像监控下针刀治疗腰椎间盘突出症（血瘀证）疗效显著，安全可靠。关键词腰椎间盘突出症；血瘀证；针刀；针灸；侧扳手法；牵引ABSTRACTPurpose:Watch
3、videomonitoringacupotomologyundertreatmentprolapseof1umbarintervertebraldisc（bloodstasissyndrome）clinicalcurativeeffect..Method:80casesoflumbarintervertebraldischernia/tionbloodstasissyndromepatients.46casesofmen,34casesofwomen.Randomlydividedintothetreatmentgroup（accupotomology）andthecontrolgrou
4、p（conventionalacupuncturetreatment）,treatmenttimeof4weeks.Clinicalobservationtimebefore,respectivelyinthetreatmentdurationtreatmenttwoweeksafter,treatmentended,UsingJOA1umbagodisorderscurativeeffectevaluationstandardofsymptomsandsignsbeevaluated・ResuIts：Thisclinicalstudyhasnotoccurredduringaadver
5、sereactionsandsafetyaccidents,Throughthetreatmentgroupandcontrolgroupeffectassessmentcomparison,Treatmenttreatmenttwoweeksaftertreatmentgroupclinicalcureratefor35%,significantefficiency37.5%andeffectivefor22.5.Thecontrolgrouptreatmenttwoweeksafterclinicalcurerateof15%,significantefficiency,effect
6、ivenessis35%and35%.treatmentgroupaftertreatmentforclinicalcureratesignificantefficiency,effectivenessoffor35%47.5%,15%.Thecontrolgroupcurerate,significantefficiency,effectivenessoffor37.5%,22.5%27.5%・Throughthetwogroupsofpatientsafter2weeksaftertreatmentandscoreandJOA1umbagodisorderstotalscoreset
7、betweengroups,withinandcomparison.P＜0.05,thetreatmentgroupinthetreatmentofpain,improvesymptomsandrestorefunctionobviouslybetterthanthecontrolgroup・Conclusion：Videomonitoringacupotomologyundertrcatmcntprolapseoflumbarin
