章晓峰　李厥宝　章闻捷

[摘要] 目的 研究電针夹脊穴结合核心稳定训练治疗腰椎间盘突出症的疗效。 方法 选取2017年2～9月来浙江省人民医院的90例腰椎间盘突出症患者，随机分为电针夹脊穴组、核心稳定训练组和电针夹脊穴结合核心稳定训练组（结合组），每组30例，治疗4周。用日本骨科协会（JOA）腰痛评分以及治疗有效率评估治疗效果。 结果 治疗前三组JOA评分差异无统计学意义（F=1.616，P=0.204），治疗后，三组JOA评分与治疗前比较有统计学差异（P<0.05），且三组间治疗后JOA评分有统计学差异（F=35.396，P=0.000）。治疗后，核心训练组和电针夹脊穴组JOA评分无统计学差异（P>0.05），而结合组治疗后JOA评分和另两组比较差异均有统计学意义（P<0.05）。治疗后三组患者疗效有统计学差异（P<0.05），核心训练组和电针夹脊穴组之间疗效比较差异无统计学意义（χ2=0.815，P=0.846），结合组的疗效最佳，其次是电针夹脊穴组和核心训练组。 结论 相比于电针夹脊穴或核心稳定训练的单一治疗，结合两种疗法治疗腰椎间盘突出症疗效更佳，更能改善症状。

[关键词] 腰椎间盘突出症；电针夹脊穴；核心稳定训练；JOA评分

[中图分类号] R246 [文献标识码] B [文章编号] 1673-9701（2018）23-0090-04

Clinical observation of electric-acupuncture of “Jiaji Points” combined with core stability training in treatment with lumbar disc herniation

ZHANG Xiaofeng1，2 LI Juebao2 ZHANG Wenjie2

1.Zhejiang Chinese Medical University，Hangzhou 310053，China；2.Department of Rehabilitation，Zhejiang Provincial Peoples Hospital，Hangzhou 310014，China

[Abstract] Objective To study the curative effect of electric-acupuncture of “Jiaji Points” combined with core stability training in treatment with lumbar disc herniation. Methods 90 patients with lumbar disc herniation， who were treated in Zhejiang Provincial Peoples Hospital from February to September 2017 were selected and randomly divided into three groups including electric-acupuncture of “Jiaji Points” group， core stability training group and electric-acupuncture of “Jiaji Points” combined with core stability training group（combination group）， with 30 patients in each group. The treatment courses took 4 weeks. The curative effects by calculating the low back pain scores of JOA and the effectiveness rates of treatments were evaluated. Results There was no significant difference in the JOA scores of the three groups before treatment（F=1.616， P=0.204）. The JOA scores of the three groups after treatment were significantly different from those before treatment（P<0.05）， and there were significant differences in JOA scores after treatment among the three groups（F=35.396， P=0.000）. There was no significant difference in the scores after treatment between electric-acupuncture of “Jiaji Points” group and core stability training group（P>0.05）， while the JOA score of combination group was significantly different from those of the other two group（P<0.05）. There were significant differences in the curative effect after treatment among the three groups（P<0.05）， while the difference between electric-acupuncture of “Jiaji Points” group and core stability training group was not significant（χ2=0.815， P=0.846）. The combination group had the best effect， followed by the electric-acupuncture of “Jiaji Points” group and core stability training group. Conclusion Compared to the single treatment of electric-acupuncture “Jiaji Points” or core stability training， the combination of two treatments in treatment with lumbar disc herniation has better curative effect， and can improve the symptoms more.

[Key words] Lumbar disc herniation；Electric-acupuncture of “Jiaji Points”；Core stability training；Low back pain scores of JOA

腰椎间盘突出症（lumbar disk herniation，LDH）是腰椎纤维环破裂后髓核压迫神经根以及马尾神经引起以腰腿痛为主的一种临床综合征，是临床上的一种常见病及多发病[1]，好发于L4～L5和L5～S1节段。发病率为1.9%～7.6%，男性发病率高于女性，其发生率约占所有下腰痛发生率的39%，是下腰痛的重要原因之一[2]。非手术治疗是其主要治疗方式，80%以上的LDH通过非手术治疗可以缓解或痊愈。核心稳定训练和电针夹脊穴被证明对LDH有较好的效果[3，4]，然而电针夹脊穴结合核心稳定训练结合对LDH的疗效仍然未知，因此本研究采用随机对照的方式，研究联合使用这两种治疗方式对LDH的治疗效果。

1 资料与方法

1.1 一般资料

选择2017年2～9月本院康复医学科门诊患者90例，随机分为电针夹脊穴组、核心稳定训练组和电针夹脊穴结合核心稳定训练组（结合组）。……