文献类型：期刊文献

中文题名：郑氏“金钩钓鱼针法”治疗腰椎间盘突出症临床观察

英文题名：ZHENG's gold hook fishing acupuncture for lumbar disc herniation:a clinical observation

作者：朱博雯[1];张星华[1];孙润洁[1];秦晓光[1]

第一作者：朱博雯

机构：[1]甘肃中医药大学针灸推拿学院,兰州730000

第一机构：甘肃中医药大学针灸推拿学院

年份：2016

卷号：36

期号：4

起止页码：355

中文期刊名：中国针灸

外文期刊名：Chinese Acupuncture & Moxibustion

收录：MEDLINE(收录号：27352490);CSTPCD;;Scopus;北大核心:【北大核心2014】；CSCD:【CSCD2015_2016】；PubMed;

基金：国家中医药管理局甘肃郑氏针法学术流派传承工作室项目:2305135901

语种：中文

中文关键词：腰椎间盘突出症;金钩钓鱼针法;郑氏针法;电针;随机对照试验

外文关键词：lumbar disc herniation （hDH）; gold hook fishing acupuncture; ZHENG＇s acupuncture; electroacupuncture （EA） ; RCT

摘要：目的:比较郑氏"金钩钓鱼针法"与电针治疗腰椎间盘突出症的临床疗效差异。方法:将60例腰椎间盘突出症患者随机分为金钩钓鱼组和电针组,每组30例。金钩钓鱼组主穴取腰夹脊、腰阳关、肾俞、大肠俞、关元俞、阿是穴,毫针刺入后在有筋结穴位及阿是穴操作金钩钓鱼针法;电针组取穴同金钩钓鱼组,予以电针治疗。均每日治疗1次,10天为一疗程,3个疗程后通过临床有效率、疼痛视觉模拟量表(VAS)、JOA下腰痛评分表及Oswestry功能障碍指数(ODI)问卷表评定疗效。结果:金钩钓鱼组有效率为93.3%(28/30),优于电针组的86.7%(26/30,P<0.05);两组治疗后疼痛VAS评分、ODI指数及JOA评分较治疗前均有明显改善(均P<0.05),金钩钓鱼组治疗后以上评分较电针组改善更明显(均P<0.05)。结论:郑氏"金钩钓鱼法"能有效改善腰椎间盘突出症患者的症状、体征,降低功能障碍指数,提高生存质量,效果优于电针者。
Objective To compare the clinical efficacy differences between Zheng＇s gold hook fishing acupunc ture and electroacupuncture （EA） for lumbar disc herniation （LDH）. Methods Sixty patients of LDH were ran- domly allocated to a gold hook fishing acupuncture group and an EA group, 30 cases in each one. lumbar Jiaji （EX- g 2）, Yaoyangguan （GV 3）, Shenshu （BL 23）, Dachangshu （BI, 25）, Guanyuanshu （BL 26） and ashi points were selected in the gold book fishing acupuncture group; after the needles were inserted, the manipulation of gold hook fishing acupuncture was applied at tendon junction points and ashi points. The identical acupoints were selected in the EA group and patients were treated with EA. The treatment was botb given once a day; ten days of treatment were taken as one session, and totally 3 sessions were given. The clinical effective rate, visual analogue scale （VAS）, low back pain score and （）swestry disability index （ODD were used for efficacy evaluation. Results The effective rate was 93.3% （28/30） in the gold hook fishing acupuncture group, which was superior to 86.7% （26/30） in the EA group （P〈0.05）. The VAS, low back pain score and ODI were both significantly improved after treatment （all P〈0.05）, which were more significant in the gold hook fishing acupuncture group （all P〈 0.05）. Conclusion ZHENG＇s gold hook fishing acupuncture could effectively improve tbe symptoms and sings of LDH, reduce the disability index and improve the quality of life, which is superior to EA.