經筋刺法聯合骨痹湯治療腰椎間盤突出癥40例臨床觀察

黃必德 楊椰

[摘要] 目的 探討經筋刺法聯合骨痹湯治療腰椎間盤突出癥的臨床療效。 方法 將2015年8月～2016年4月入組的80例患者隨機分為兩組，每組40例，對照組采用骨痹湯內服，治療組采用骨痹湯內服后再配合經筋刺法治療，分別比較兩組患者治療前后的臨床療效、疼痛積分。 結果 治療組的臨床總有效率（90.0%）明顯高于對照組的（72.5%），差異有統計學意義（P<0.05）;兩組治療前后疼痛積分明顯降低，組內相比較及治療后組間相比差異有統計學意義（P<0.05）。 結論 在內服中藥骨痹湯基礎上配合經筋刺法治療腰椎間盤突出癥患者，能明顯提高其臨床療效，且方法簡便廉驗，值得在基層地區進行臨床推廣使用。

[關鍵詞] 經筋刺法;腰椎間盤突出癥;中藥內服;骨痹湯

[中圖分類號] R274.9 ? ? ? ? ?[文獻標識碼] B ? ? ? ? ?[文章編號] 1673-9701（2020）12-0163-03

[Abstract] Objective To explore the clinical effect of musculature acupuncture and Gubi decoction on lumbar intervertebral disc herniation（LIDH）. Methods Eighty patients enrolled from August 2015 to April 2016 were randomly divided into two groups， with 40 patients in each group. The control group was orally administered with Gubi decoction，and the treatment group was orally administered with Gubi decoction combined with musculature acupuncture. The clinical efficacy， pain score in the two groups were compared. Results The total clinical effective rate in the treatment group was 90.0%， which was significantly higher than 72.5% in the control group，and the difference was statistically significant（P<0.05）. The pain score was significantly reduced after treatment in both groups， and the differences were statistically significant in groups and between the groups（P<0.05）. Conclusion Gubi decoction combined with musculature acupuncture for LIDH can significantly improve the clinical efficacy. It is simple and inexpensive，and is worthy of clinical popularization in grass-roots areas.

[Key words] Musculature acupuncture; Lumbar intervertebral disc herniation; Oral administration of Chinese medicine; Gubi decoction

在機體衰老及外來刺激等因素影響下，腰椎間盤內外組織發生不可逆退行性改變，位于椎間盤核心部位的髓核逐漸從退化的椎間盤脫出，對相應部位的脊神經根形成壓迫，逐步發展成為腰椎間盤突出癥。主要臨床表現有腰部疼痛、對應壓迫的坐骨神經痛，可伴有腰部活動受限、受累神經根支配部位的感覺、運動及反射異常[1]。目前對于該病的治療主要以手術治療及保守治療為主，因腰椎間盤突出手術治療費用大、風險高等因素，大多數患者選擇保守治療為主，即西醫藥物治療、中藥內服、中藥外敷、針灸、推拿等治療。臨床對于腰椎間盤突出癥也多給予保守治療，但治療效果有待提高且治療后患者病情容易反復[2]?！?br>