伍竟+黄志军+焦琳+唐晓玲

【摘要】 目的：观察CT影像下热敏灸联合针刺治疗腰椎间盘突出的临床疗效。方法：选取经临床诊断及影像学表现证实为腰椎间盘突出症的患者60例，根据患者入院顺序，将其分为对照组和观察组，每组各30例。观察组采用CT影像下热敏灸加针刺法治疗，对照组仅用针刺法治疗，观察并比较患者治疗前后第1、2、4周腰腿疼痛评分情况、临床疗效、患者满意度及CT影像的改变情况。结果：治疗后第1周观察组患者的疼痛评分明显低于对照组（P<0.05）；治疗后第2周以及第4周，两组患者在疼痛评分上比较差异无统计学意义（P>0.05）；治疗后第1周，观察组患者的治愈率明显高于对照组（P<0.05），CT影像学改变总体有效率观察组明显高于对照组（P<0.05），观察组患者的满意度（80.0%）明显高于对照组（66.7%）。结论：CT影像下热敏灸联合针刺治疗腰椎间盘突出治疗效果显著，患者满意度高，是在治疗腰椎间盘突出症上有效、安全的诊疗技术，值得临床推广。

【关键词】 腰椎间盘突出； CT影像； 热敏灸； 针刺

【Abstract】 Objective：To observe the clinical effect of thermal moxibustion combined with acupuncture in the treatment of lumbar disc herniation.Method： 60 patients with lumbar disc herniation were selected by clinical diagnosis and imaging findings.According to the order of admission，they were divided into control group and observation group，30 cases in each group.Observation group was given thermal moxibustion combined with acupuncture under CT imaging，the control group eas only given acupuncture treatment.The leg pain scores，clinical efficacy，patients satisfaction and CT images of two groups before and after treatment，the first，second and fourth weeks the treatment of two groups were compared.Result：The pain scores of the observation group in the first week after treatment were significantly lower than those in the control group（P<0.05）.There were no significant differences in pain scores between the 2 and 4 weeks after treatment（P>0.05）.In the first week after treatment， the cure rate of the observation group was significantly higher than the control group（P<0.05）.CT imaging changes in the overall efficiency of the observation group was significantly higher than the control group（P<0.05）.The satisfaction degree in observation group was 80.0% significantly higher than the control group of 66.7%.Conclusion：CT image of thermal acupuncture combined with acupuncture in the treatment of lumbar disc herniation has significant effect in the treatment of lumbar disc herniation，patients satisfaction are high，it is worthy of clinical promotion.

【Key words】 Lumbar disc herniation； CT image； Thermal moxibustion； Acupuncture

First-authors address：Institute of Traditional Chinese Medicine of Jiangxi Province，Nanchang 330046，China

doi：10.3969/j.issn.1674-4985.2016.34.040

腰椎間盘突出是临床上引起腰腿痛的最常见原因之一，主要好发于老年人，近年来，随着人们工作及生活方式的改变，腰椎间盘突出的发病率不断上升，并呈现出年轻化的趋势，每年需要接受手术治疗的患者约有11%～19%[1-2]，很大程度上影响着患者的生活质量和生命健康。随着医疗技术的不断进步，治疗腰椎间盘突出的方法越来越多，多采取保守治疗，以疏通经络、活血行气等为主，临床治愈率有显著的提高[3-4]。本次研究通过观察CT影像学的改变，对比分析热敏灸联合针刺治疗腰椎间盘突出与单纯针刺治疗的客观疗效，现将研究报告如下。

1 资料与方法

1.1 一般资料 选取2015年1月-2016年2月在本院住院治疗的腰椎间盘突出患者，共计60例，所有入选患者经临床表现、CT影像改变、病史等在临床上已确诊为腰椎间盘突出，其中女35例，男25例；……