导气针法配合电针治疗腰突症术后顽固性腰痛疗效观察及红外热像变化

摘要

Objective To observe the clinical efficacy of qi-guiding needling plus electroacupuncture in treating intractable low back pain after lumbar disc herniation surgery and the change of infrared thermal image.Method Totally 172 patients with intractable low back pain after lumbar disc herniation surgery were randomized into a treatment group and a control group, 86 cases in each group. The treatment group was intervened by qi-guiding needling plus electroacupuncture, while the control group was by electroacupuncture alone. The infrared thermal image of the affected low back area was observed before and after intervention, and the clinical efficacies were compared between the two groups.Result The change of infrared thermal image of the affected low back area in the treatment group after intervention was significantly different from that in the control group (P<0.01). The total effective rate and the recovery-markedly-effective rate were respectively 87.2% and 66.3% in the treatment group, versus 74.4% and 37.2% in the control group, and the differences were statistically significant (P<0.05,P<0.01).Conclusion Qi-guiding needling plus electroacupuncture can mitigate the intractable low back pain after lumbar disc herniation surgery.%目的：观察导气针法配合电针治疗腰椎间盘突出症术后顽固性腰痛的临床疗效及红外热像变化。方法将172例腰椎间盘突出症术后出现顽固性腰痛患者随机分为治疗组和对照组,每组86例。治疗组采用导气针法配合电针治疗,对照组采用单纯电针治疗。观察两组治疗前后腰痛部位红外热像变化情况,比较两组临床疗效。结果治疗组治疗前后腰痛部位红外热像图温度差值与对照组比较,差异具有统计学意义(P＜0.01)。治疗组总有效率和愈显率分别为87.2%和66.3%,对照组分别为74.4%和37.2%,两组比较差异均具有统计学意义(P＜0.05,P＜0.01)。结论导气针法配合电针能缓解腰突症术后患者顽固性腰痛。