电针阿是穴治疗下腰痛临床观察

Effect observation of electro acupuncture at Ashi acupoints for treatment of low back pain

关键词:  下腰痛  电针疗法  阿是穴  疗效观察

Key words:  low back pain  electro acupuncture therapy  Ashi acupoints  clinical effect observation

摘要:

[目的]观察和评价电针阿是穴治疗下腰痛的临床疗效以及安全性。[方法]采用随机对照的试验设计方法，将符合纳入标准的104例下腰痛患者，按照随机数字表法随机分为治疗组和对照组各52例。对照组采用传统针刺，取穴大肠俞双、腰夹脊双、环跳患侧、委中患侧、阳陵泉患侧、悬钟患侧、丘墟患侧；治疗组采用传统针刺法基础上，电针阿是穴及其对应点组穴；留针30 min，每天1次，10 d为1疗程，共计2个疗程，以J0A下腰痛评价表、简式SF-MPQ疼痛问卷、Prolo功能和经济结果评定量表为评价指标，治疗2个疗程后进行疗效评价，治疗结束3个月后进行随访评价，将结果进行统计学分析。[结果]治疗组总有效率为分别为90.38%和76.92%，治疗组和对照组综合疗效比较差异有显著性（P<0.05）；治疗组与对照组在腰椎疾患综合评分标准（JOA），PRI疼痛评分比较，差异有显著性（P<0.05）；视觉模拟量表评分（VAS）、疼痛评分PPI比较以及Prolo经济和功能结果评定量表评分比较差异有显著性（P<0.01）。后期随访两组综合疗效比较差异有显著性（P<0.05）。[结论]电针阿是穴可明显减轻下腰痛患者的疼痛，其疗效优于传统针刺治疗，且远期疗效显著，是一种安全而有效的治疗方法，值得推广应用。

Abstract:

[Objective] To observe and evaluate the electro acupuncture at Ashi point for treatment of low back pain clinical efficacy and safety.[Methods] Using randomized, controlled experiment design methods. 104 patients with low back pain were randomly divided into treatment group and control group according to random number table method, 52 cases in treatment group and control group. the control group treated by the traditional acupuncture,acupoints selected dachangshu (BL25),yaojiaji(EX-B2), huantiao(GB30),weizhong(BL40),yanglingquan(GB34), qiuxu(GB40), xuanzhong (GB39), treatment group adopted on the basis of the traditional acupuncture method, electro acupuncture Ashi points and their corresponding groups of acupoints;the needle for 30 minutes, once a day, 10 days for a course of treatment, a total of 2 courses, according to the JOA low back pain evaluation table, brief pain questionnaire SF-MPQ, prolo functional and economic results assessment table as the evaluation index, after 2 courses of treatment for efficacy evaluation, three months after the end of treatment and follow-up evaluation. The results were statistically analyzed.[Results] The total effective rate in the observation group 90.38%, control group, the total efficiency of 76.92%, the treatment group and the control group in the clinical curative effect, there was significant difference (P<0.05); treatment group and the control group in the lumbar spine disorders comprehensive score (JOA), PRI pain scores were compared statistically significant (P<0.05);visual analogue scale (VAS), pain PPI score comparison and prolo economic and functional results rating scale was used to compare a very significant difference (P<0.01) form. There were significant differences in the overall efficacy of the two groups (P<0.05).[Conclusion] Electro acupuncture Ashi points can significantly reduce the pain of patients with low back pain, its effect is better than the traditional acupuncture treatment and curative effect is a safe and effective treatment method, it is worth popularization and application.