电针结合健身强腰操治疗228例腰椎间盘突出症

陈华

摘 要 目的：探讨电针结合健身强腰操治疗腰椎间盘突出症的临床疗效。方法：采用多中心随机对照方法，将453例腰椎间盘突出症患者按简单随机数字表法分为两组，治疗组228例，对照组225例，均行电针治疗，治疗组增加健身强腰操锻炼。观察两组治疗后疗效情况并进行远期复发率比较。结果：治疗组治愈82例，显效127例，无效19例，总有效率92.00%。对照组治愈74例，显效112例，无效39例，总有效率82.66%，组间差异有统计学意义（P<0.05）。结论：电针结合健身强腰操治疗腰椎间盘突出症的效果令人满意。

关键词 腰椎间盘突出症 电针 健身强腰操

中图分类号：R245.9+7/R681.5+3 文献标识码：A 文章编号：1006-1533（2016）02-0030-03

Electro-acupuncture combined with jianshen qiangyao exercise in the treatment of 228 cases of lumbar disc herniation

CHEN Hua

（Jinzhe Community Health Service Center of Qingpu District， Shanghai 201718， China）

ABSTRACT Objective： To investigate the clinical efficacy of the electro-acupuncture combined with jianshen qiangyao exercise in the treatment of the lumbar disc herniation. Methods： With the multi center randomized controlled method， 453 cases of the lumbar disc herniation were divided into a treatment group with 228 cases and a control group with 225 ones by the simple random number table method. Both of them were treated with the electro-acupuncture and the treatment group was additionally treated with jianshen qiangyao exercise. The clinical efficacy was observed and the long-term recurrence rates were compared between the two groups after the treatment. Results： In the treatment groups， 82 cases were cured， 127 cases had the marked effect， 19 cases were ineffective and the total effective rate was 92.00%. In the control group， 74 cases were cured， 112 cases were markedly improved， 39 cases invalid and the total effective rate was 82.66%. The differences between two groups had the statistical significance （P<0.05）. Conclusion： The electro-acupuncture combined with jianshen qiangyao exercise has the positive effect in the treatment of the lumbar disc herniation.

KEYWORDS lumbar disc herniation； electro-acupuncture； jianshen qiangyao exercise

腰椎间盘突出症为临床常见病与多发病，以腰腿痛为主要临床表现，治疗方法各异，但以非手术疗法较易为患者接受。电针治疗腰椎间盘突出症为上海市中医适宜技术推广项目，临床疗效确切。本文采用加强腰背肌、腹肌训练的健身强腰操结合电针治疗腰椎间盘突出症，取得较好疗效，现报道如下。

1 资料与方法

1.1 一般资料

收集中心及下属卫生站点门诊腰椎间盘突出症患者453例，均符合《上海市中医病症诊疗常规》[1]的诊断标准。按简单随机数字表将患者分为治疗组228例，其中男128例，女100例，年龄24～64岁，平均41.4岁，病程2d～10年，平均1.3年；对照组225例，其中男121例，女104例，年龄25～63岁，平均39.5岁，病程3d～10年，平均1.2年。两组患者年龄、性别、病程差异均无统计学意义（P>0.05）。

1.1.1 纳入标准

①符合腰椎间盘突出症诊断标准的轻中度患者；②年龄25～60 岁，性别不限；③在接受本法治疗期间停用其他疗法；④自愿加入本试验，并签定知情同意书者。……