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Clinical effect of pulse point penetrating needling on lumbar intervertebral disc herniation |
DENG Yue1 WANG Shiguang1 WANG Guiling2 MAO Xuewen1 ZHOU Xiaoping1 YANG Yi1 YAO Jin1 LI Mingna1 |
1.Department of Acupuncture, Shunyi Hospital of Beijing Traditional Chinese Medicine Hospital, Beijing 101300, China;
2.Department of Acupuncture, Beijing Traditional Chinese Medicine Hospital, Beijing 100010, China |
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Abstract Objective To observe clinical effect of pulse point penetrating needling on lumbar intervertebral disc herniation. Methods From June 2017 to April 2018, 80 patients with lumbar intervertebral disc herniation who met the inclusion criteria in outpatient department of acupuncture of Shunyi Hospital of Beijing Traditional Chinese Medicine Hospital were selected and randomly divided into observation group and control group with 40 cases in each group. Observation group was treated with pulse point penetrating needling method, while control group was treated with conventional needling method. Both groups were treated continuously for 4 weeks. Visual analogue scale (VAS) was used to assess the degree of pain before treatment, 2 weeks after treatment, 4 weeks after treatment and at follow-up. JOA scale was used to evaluate the improvement of low back pain. Clinical efficacy of two groups after 4 weeks of treatment was compared. Results VAS scores of two groups at 2, 4 weeks of treatment and follow-up were lower than those before treatment, and the differences were statistically significant (P < 0.05). VAS scores of observation group were lower than those of control group at 2, 4 weeks of treatment and follow-up, and the differences were statistically significant (P < 0.05). JOA scores of two groups at 2, 4 weeks of treatment and follow-up were higher than those before treatment, and the differences were statistically significant (P < 0.05). JOA scores of observation group were higher than that of control group at 2, 4 weeks of treatment and follow-up, and the differences were statistically significant (P < 0.05). After 4 weeks of treatment, the recovery rate of observation group was significantly higher than that of control group, and the difference was statistically significant (P < 0.05). Conclusion Puncture through pulse acupoints can relieve patients′ pain faster and improve the symptoms of low back pain, which is worthy of clinical promotion.
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[1] Cimmino MA,Ferrone C,Cutolo M. Epidemiology of chron-ic musculoskeletal pain [J]. Best Pract Res Clin Rheumatol,2011,25(2):173-183.
[2] Tang S,Mo Z,Zhang R. Acupuncture for lumbar disc herniation:a systematic review and meta-analysis [J]. Acupunct Med,2018,36(2):62-70.
[3] 高小勇,武娜,王丕敏,等.针刺联合腰椎牵引治疗腰椎间盘突出症50例[J].中国中医骨伤科杂志,2018,26(4):54-56.
[4] 冯大源.中医特色疗法在寒湿型腰椎间盘突出症患者中的应用分析[J].中国中医药现代远程教育,2016,14(8):85-87.
[5] Kreiner DS,Hwang SW,Easa JE,et al. An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy [J]. Spine J,2014, 14(1):180-191.
[6] 周谋望,岳寿伟,何成奇,等.“腰椎间盘突出症的康复治疗”中国专家共识[J].中国康复医学杂志,2017,32(2):129-135.
[7] 中国中医药管理局.中医病症诊断疗效标准[M].北京:中国中医药出版社,2016:214.
[8] 中华医学会.临床诊疗指南·疼痛学分册[M].北京:人民卫生出版社,2007.
[9] 刘东旗,申才佳,张敬堂.椎间孔镜TESSYS技术对腰椎间盘突出症伴神经根管狭窄患者疗效、VAS及JOA评分的影响[J].实用临床医药杂志,2017,21(24):70-72.
[10] 徐峰,张同会,蔡贤华,等.经皮椎间孔镜治疗复发性腰椎间盘突出症的临床应用[J].中国矫形外科杂志,2016, 24(13):1179-1183.
[11] 杨海龙,周胜红,张永臣,等.针灸治疗腰椎间盘突出症的机制研究进展[J].上海针灸杂志,2017,36(3):365-370.
[12] 张继伟,黄卿俊.活血化瘀法结合针灸对气滞血瘀型椎间盘源性腰痛的临床研究[J].中医药临床杂志,2017, 10(29):1719-1721.
[13] 方卫军,李章.华经皮椎间孔镜技术治疗腰椎间盘突症的进展[J].中国医药导报,2016,13(32):34-37.
[14] 姚止庵.素问经注节解[M].北京:人民卫生出版社,1983:446.
[15] 姜会梨,冀丽丽,任秀君,等.慢性腰痛针灸处方古今文献研究[J].北京中医药大学学报,2015,38(4):280-283.
[16] 吕国蔚.穴位传入与针刺镇痛的基础与临床研究[J].神经解剖学杂志,2016,32(1):119-123.
[17] 罗明富.免疫+血管+神经交互联系网络及与针刺效应的相关性[J].中国针灸,2015,35(2):155-159.
[18] 李鹏,刘金生,陈湘南,等.腰部脊神经后支的分布与穴位关系探讨[J].中国针灸,2017,33(6):625-628.
[19] Umemoto K,Saito T,Naito M,et al. Anatomical relationship between BL23 and the posterior ramus of the L2 spinal nerve [J]. Acupunct Med,2016,34(2):95-100.
[20] 石学敏.针灸学[M].北京:中国中医药出版社,2007:212. |
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