目的 观察电针配合隔物灸治疗血瘀型腰椎间盘突出症的临床疗效.方法 将60例确诊为腰椎间盘突出症(血瘀型)的患者随机分为对照组和治疗组,每组30例.对照组采用单纯电针治疗,治疗组采用电针联合隔药灸治疗,每日1次,10次为1个疗程.治疗2个疗程后,比较治疗前后患者腰椎功能(JOA)评分,依据《中医病证诊断疗效标准》对患者临床疗效进行评定.结果 治疗组与对照组均能明显改善患者腰椎功能(P<0.01),但治疗组改善较对照组更明显(P<0.05).治疗组总有效率为96.7%,对照组为83.3%,两组总有效率比较差异有统计学意义(P<0.05).结论 电针配合隔物灸是治疗血瘀型腰椎间盘突出症较佳的治疗方法,其疗效优于单纯电针治疗.%Objective To investigate the clinical efficacy of electroacupuncture plus indirect moxibustion treating lumbar intervertebral disc herniation of blood stasis type. Method Sixty patients diagnosed with lumbar intervertebral disc herniation (blood stasis type) were randomized to treatment and control groups, 30 cases each. The treatment group received electroacupuncture plus medicine separated moxibustion and the control group, electroacupuncture alone. treatment was given once daily, 10times as a course. Pre- and post-treatment JOA lumbar scores were compared in the patients after two courses of treatment. The clinical therapeutic effects were evaluated in the patients using the TCM Criteria of the Diagnosis of and Therapeutic Effect on Diseases. Result Lumbar function was improved significantly in both treatment and control groups of patients (P<0.01) but improved more significantly in the treatment group than in the control group (P<0.05). The total efficacy rate was 96.7% in the treatment group and 83.3% in the control group. There was a statistically significant difference in the total efficacy rate between the two groups (P<0.05). Conclusion Electroacupuncture plus indirect moxibustion is a better way to treat lumbar intervertebral disc herniation of blood stasis type. Its therapeutic effect is better than that of electroacupuncture alone.
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