针灸“通督温阳”法结合中频脉冲电疗治疗腰椎间盘突出症30例

摘要

目的：针灸“通督温阳”法结合中频脉冲治疗腰椎间盘突出症的临床疗效观察。方法：将60例腰椎间盘突出症患者随机分成治疗组和对照组各30例。治疗组用针灸“通督温阳”法结合中频脉冲电疗治疗。对照组用中频脉冲电疗治疗。两组均每周治疗5次，连续治疗两周为一疗程。采用VAS及JOA腰痛评分、表面肌电图进行数据监测，其中表面肌电图观察其平均肌电值（ AEMG）和中位频率斜率（MFs）。结果：治疗组总有效率93．3％，对照组总有效率76．7％，两组比较差异有统计学意义（P ＜0．05）。两组治疗后VAS积分、JOA评分均较治疗前改善（ P＜0．05），治疗组改善更明显，与对照组比较差异有统计学意义（ P＜0．05）。两组治疗后AEMG均较治疗前提高（ P＜0．05）， MFs均较治疗前下降（ P＜0．05），治疗组对AEMG和MFs改善程度优于对照组（ P＜0．05）。结论：针灸“通督温阳”法结合中频脉冲治疗腰椎间盘突出症疗效显著。%Objective:To observe the clinical effect of Tongdu Wenyang acupuncture combined with medium -frequency pulse on protrusion of lumbar intervertebral disc .Methods:60 cases with lumbar disc herniation were randomly divided into a treatment group and a control group ,with 30 cases in each group .The treatment group received Tongdu Wenyang acupuncture combined with medium -frequency pulse treatment .The control group received medium-frequency pulse treatment .In two groups the treatment was 5 times a week, continuously two weeks'treatment as one course .Use the data of VAS and JOA low back pain score and the surface electromyo-graphy monitoring .The surface electromyography observed the average electrical values ( AEMG) and the median frequency of slope(MFs).Results:In the treatment group the total effectiveness was 93.3%,and in the control group the total effectiveness was 76 .7%.The differences between two groups had a statistical significance ( P<0 .05 ) .VAS score and JOA score were improved after treatment in two groups ( P <0 .05 ) .The treatment group was improved more obviously ,and the differences compared with the control group had a statistical signifi-cance(P<0.05).AEMG was increased after treatment in two groups (P<0.05),and the MFs was decreased after treatment in two groups ( P<0 .05 ) .In the treatment group the AEMG and MFs were more obviously im-proved than those in the control group ( P<0.05) .Conclusion:The treatment of Tongdu Wenyang acupuncture combined with medium -frequency pulse has a significant efficacy in the treatment of lumbar disc herniation .