李月中　杨东梅

[摘要] 目的 观察针灸配合中药治疗腰椎间盘突出症的疗效以及疼痛改善情况。 方法 选取2008年1月～2014年1月我院理疗科治疗的600例腰椎间盘突出症患者作为研究对象，根据治疗方法不同进行分组，其中300例应用中药治疗作为对照组，其余300例应用针灸联合中药治疗作为观察组，比较两组治疗2个疗程后的疗效以及两组患者治疗前、治疗1个疗程、2个疗程后的VAS评分的变化情况。 结果 对照组治疗后痊愈率40.00%、观察组治疗后痊愈率60.00%，两组痊愈率组间比较差异不显著，但观察组治疗2个疗程后的总有效率达95.00%，显著高于对照组的总有效率70.00%，组间比较，差异有统计学意义（P<0.05），治疗1个、2个疗程后，两组患者疼痛改善程度的VAS评分分别较治疗前明显降低，且观察组治疗1个、2个疗程后的VAS评分也显著低于对照组。 结论 针灸配合中药治疗腰椎间盘突出症可以提高疗效，明显减轻患者的疼痛，显著改善临床症状和体征，值得推广和应用。

[关键词] 腰椎间盘突出症；针灸；中药；VAS评分

[中图分类号] R681.53 [文献标识码] B [文章编号] 1673-9701（2015）32-0138-03

[Abstract] Objective To observe the clinical effect of acupuncture combined with Chinese herbal medicine in treatment of lumbar disc herniation and the improvement of pain. Methods From January 2008 to January 2014， 600 patients with lumbar disc herniation in our hospital were treated as the research object， were divided into two groups， 300 cases were treated with Chinese Medicine as control group， and the other 300 cases were treated with acupuncture combined with Chinese medicine as observation group， the effect was compared between two groups after treatment， VAS score was compared between two groups after treatment one course，two courses. Results The cure rate of the control group was 40.0% after treatment， the observation group was 60.00%， the cure rate was not significant between two groups， but the total effective rate of the observation group was 95.00%， significantly higher than that of the control group（70.00%）， the difference was significant（P<0.05）. After treatment one course，two courses， the VAS score of two groups significant reduced compared with before treatment，and the VAS score of the observation group was significantly lower than that of the control group（P<0.05）. Conclusion Acupuncture combined with Chinese herbal medicine in treatment of lumbar disc herniation can improve curative effect， significantly reduce the pain of patients， significantly improve the clinical symptoms and signs， it is worth promoting and application.

[Key words] Lumbar disc herniation； Acupuncture； Traditional Chinese medicine； VAS score

腰椎间盘突出症是骨科的常见病、多发病，是引起腰腿疼痛的常见病因，该病还可继发腰椎椎管狭窄症，除了引起腰及下肢放射性疼痛，还可以引起腰腿根性坐骨神经痛或麻木等，严重影响患者的生活质量[1]。中医认为腰椎间盘突出症属于“腰腿痛或痹症”的范畴，其发病病因病机较复杂[2]。目前腰椎间盘突出症的方治疗主要分为非手术治疗（保守治疗）和手术治疗两种，但手术治疗虽然能在短时间内缓解患者的疼痛，但远期疗效并不理想，且有严格的手术适应证[3]。非手术治疗中针灸、中药均为常用治疗方法，目前也已经广泛应用于腰椎间盘突出症的治疗中，并取得较好的疗效。本研究旨在探讨针灸配合中药治疗腰椎间盘突出症的临床疗效，现报道如下。……