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    文章编号：0255—2930(2008)08—0582—03

    审圈分类姆：R246.2 文献标悫码：A

    垡!苎!坚垒!鹜妻塑苎垡兰鲨塾查堡坚i堑壁垒翌!垒辇量竺鳖兰金金墨：塑；：兰i整竺：墨

    循经取穴治疗腰椎间盘突出症对照观察

    唐华生

    (挂林索人鼹医院针灸辩，广嚣挂棒541002)

    [摘要]目的：比较循经针刺与常规针刺治疗腰椎闻盘突出症的临床疗效。方法：将165例腰椎间

    盘突出藏患者随机分为循经钕裁组(治疗缀)85例、常规针刺组(对照组)80倒。分隽1l按胆缀、赡胱

    经分垄循经取穴与常规取穴法进行酵熙治疗，吴治4个疗程，疗程绝束及半年君随访观察其疗效菠

    复发率麓并。结粜：治疗组愈蔑率、复发率分别为88.2%、24.o%，明显优于对照组的72.5%、4l。4%，其差异均有显著性意义(均P
    显著甓予常藐取穴。

    C关键词]椎间盘移位；腰椎；选穴，循经；针灸疗法

    Comparative observation of corresponding channel point selection for treatment of prolapse of lum-

    bar intervertebrai disc

    TA NG Hua—sheng(Department of Acupuncture and Moxibustion。Guilin People’s Hospital，Guilin，Guangxi

    541002，China)

    ABSTRACT：Objective To compare clinical therapeutic effects of acupuncture along channel and routine acupunc-

    ture on prolapse of lumbar intervertebrat disc。Methods One hundred and sixty-five cases were randomly divided in—

    tO an observation group(行=85)and acontrol group(行=80).The observation group were treated with acupuncture

    at corresponding channel points according to types of the Gallbladder Channel and the Bladder Channel，and the con-

    trol group were treated with acupuncture atroutinely selected acupoints.Their therapeutic effects after treatment of

    4courses and their recurrence rates half ayear later were observed.Results The cured and markedly effective rate

    of 88.2%and the recurrence rate of 24。0%.in the observation group were significantly better than 72.5%and

    4l。4%in the control group}with significant differences between the tWO groups(both P
    sponding channel point selection for treatment of prolapse of lumbar intervertebrat disc has significant short-term and

    tong-term therapeutic effects.

    KEY WORDS：Intervertebral Disk Displacement；Lumbar Vertebrae；Point Selection，Meridian；Acup Mox Therapy

    腰椎间盘突出瘫(I，IDP)是指因腰椎间盘变性

    或异常应力等因素引起纤维环松弛或破裂，髓核突

    凄，直接竣闯接刺激、蘧遥裤经缀、马尾季串经所表瑷

    的一种以腰痛伴下肢放射性疼痛、麻木为主症的综

    合征。随着CT、MRl等影像技术在医院的广泛开

    震，疆稚湖盘突出熊诊断嚣趋完善，萁发瘸率鏊渐突

    显，有资料[1 o表明，手术与非手术治疗在LIDP的远

    期疗效观察中并无明显差异，因此人们荫先选择了

    针灸疗法。力探索挺高赞剿对本症弱治疗效栗，笔

    者依据中医认为气滞血瘀、经络闭阻是腰椎间盘突

    如症的基本病理及理气活血、疏通经络的治疗原则，结合臀部、下肢疼痛、麻本部镶经络分布特点，设立

    循经针刺组、常规针刺组，分别对照观察其疗效，现

    总结报道如下。

    作者：唐华譬(1955一)。男，副主任医师。研究方向：针灸治疗内分泌

    失谪、颈腰拣病。

    1临床资料

    1.1一般资料

    本维病镄会都来自2000年6簿一2007年5月

    桂林市人民医院针灸科门诊及骨外科转入患者，共

    165例，均经CT或MRI扫描确诊必腰椎闻擞突出

    惠者 ......