世界中医药2018，Vol.13Issue(4)：966-969,4.DOI:10.3969/j.issn.1673-7202.2018.04.043
腰三针治疗腰椎间盘突出症患者的磁共振成像
MRI Observation of Three Special Acupoints at Waist Treatment in Patients with Protrusion of the Lumbar Intervertebral Disc
摘要
Abstract
Objective:To observe the therapeutic effects of three special acupoints at waist on lumbar intervertebral disc protru -sion,and to study the value in the process of MRI in evaluating the curative effect.Methods:A total of 60 cases of patients with lumbar intervertebral disc protrusion admitted in our hospital during January 2016 to January 2017 were included in the study,and randomly divided into the control group and the observation group,with 30 cases in each group.The patients of the control group were acupunctured Jiaji(EX-B2)and Huantiao(GB 30)(affected side),Zhibian(BL 54)(affected side),ashi acupoint,30 min/times,1 time/day,5 times per week;the observation group was treated combined with three special acupoints at waist on the basis treatment of the control group.The treatment frequency was the same with the control group.Both the two groups of patients had 10 times as a course of treatment,two course of treatment.The changes of simple McGill pain score,Oswestry disability index (ODI),low back pain score(JOA)indicators of two groups before and after the treatment were observed.At the same time,ImageJ software was used to measure lumbar MRI T2 weighted images of erector spinae and psoas major cross-sectional area in the L3~5 vertebral level.Results:1)After treatment,the simple McGill pain scores and ODI scores in the two groups was with significant re-duction,and the decline in observation group was more significantly than the control group(P<0.05).2)In the two groups after treatment,JOA scores were significantly increased,and the observation group was superior to that of the control group(P<0.05). 3)After treatment,the cross-sectional area of erector spinae and psoas major in the two groups increased,and the observation group with greater increase amplitude(P<0.05).4)McGill pain scores and ODI were negatively related with psoas major,erector spi-nae at vertebral area.JOA was positively related to psoas major and erector spinae at vertebral area.Conclusion:Three special acu-points at waist can obviously increase the cross-sectional area of erector spinae and psoas major in the lumbar intervertebral disc protrusion,effectively relieve the clinical symptoms of patients with lumbar disc prolapse and improve the function of the patients.关键词
腰椎间盘突出症/腰三针/竖脊肌/腰大肌/横截面积/疗效/McGill/功能障碍指数/JOA下腰痛评分Key words
Protrusion of the lumbar intervertebral disc/Three special acupoints at waist/Erector spinae/Psoas major/Cross-sectional area/Curative effect/McGill/ODI/JOA分类
医药卫生引用本文复制引用
胡君,刘宇,李志超,黄伟,刘耕心..腰三针治疗腰椎间盘突出症患者的磁共振成像[J].世界中医药,2018,13(4):966-969,4.基金项目
湖北省卫生厅科研项目(JX6B24) （JX6B24）
