Therapeutic effect of acupuncture combined with manual reduction on lumbar disc herniation

DIAO Zexin; LIU Minghe; XU Li; ZHAO Jing; WANG Likang; LU Lingling; ZHAN Lidong

PDF(922 KB)

Medical Journal of the Chinese People Armed Police Forces ›› 2023, Vol. 34 ›› Issue (2) : 108-111.

Therapeutic effect of acupuncture combined with manual reduction on lumbar disc herniation

DIAO Zexin¹, LIU Minghe², XU Li², ZHAO Jing², WANG Likang³, LU Lingling³, ZHAN Lidong³

Author information +

History +

Abstract

Objective To observe the clinical effect of acupuncture combined with manual reduction in the treatment of lumbar disc herniation.Methods One hundred outpatients from January 2018 to December 2021 in the Department of Rehabilitation Medicine of the Third Medical Center of the PLA General Hospital were randomly divided into the treatment group (50 cases) and the control group (50 cases). The treatment group was treated with acupuncture combined with manual reduction, while the control group was treated with acupuncture only. The onset time, pain, numbness, gait, straight leg raising, sensory disturbance, movement disorder, daily activity limitation and improvement rate were observed after treatment.Results The average onset time of the treatment group was 2.49 days and the average onset time of the control group was 3.63 days (P＜0.05). The pain score after treatment was 2.52±0.58 in the treatment group and 1.78±0.98 in the control group. The numbness score was 2.92±0.27 in the treatment group and 2.24±0.80 in the control group. The gait score was 3.00±0.00 in the treatment group and 2.52±0.61 in the control group. The straight leg raising score was 1.98±0.14 in the treatment group and 1.48±0.61 in the control group. The score of sensory disturbance was 2.00±0.00 in the treatment group and 1.72±0.50 in the control group. The score of movement disorder was 1.98±0.14 in the treatment group and 1.64±0.49 in the control group. The daily activity limitation score was 12.18±1.79 in the treatment group and 11.40±1.71 in the control group(P＜0.05).The overall improvement rate was 96% in the treatment group and 78% in the control group(P＜0.05).Conclusions Acupuncture combined with manual reduction in the treatment of lumbar disc herniation is characterized by rapid effect and high cure rate.

Key words

acupuncture / manual reduction / lumbar disc herniation

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

DIAO Zexin, LIU Minghe, XU Li, ZHAO Jing, WANG Likang, LU Lingling, ZHAN Lidong. Therapeutic effect of acupuncture combined with manual reduction on lumbar disc herniation[J]. Medical Journal of the Chinese People Armed Police Forces. 2023, 34(2): 108-111

References

[1] 季英霞,胡雅玲,傅秀珍,等.腰椎间盘突出症中医护理方案临床应用分析[J].中医药导报,2017,23(1):121-124.
[2] 王凤德,吕计宝,韦英才.近5年腰椎间盘突出症的中医治疗综述[J].中医外治杂志,2018,27(2):46-48.
[3] 梁东悦,周学龙,谢利双,等.腰椎间盘突出症的中西医治疗进展[J].湖南中医杂志,2017,33(7):210-211.
[4] 吴林华,赖文军.某高校教职工腰椎间盘突出症现况调查[J].世界最新医学信息文摘,2017,17(40):199-200.
[5] 胡飞虹,吴苗苗,蔡张滢,等.腰椎间盘突出症患者功能残障状况及其影响因素分析[J].中华现代护理杂志,2017,23(9):1283-1287.
[6] Williams L A,Wei A,Bhargav D,et al. Cartilage derived morphogenetic protein 2-A potential therapy for intervertebral disc regeneration[J].Biologicals,2014,42(2):65-73.
[7] 李建华,朱清广,房敏,等.脊柱微调手法联合导引功法治疗腰椎间盘突出症临床观察[J].中华中医药杂志,2020,35(2):999 - 1001.
[8] 文曦娜,王红权,詹杰.鹿瓜多肽痛点注射配合独活寄生汤加减治疗腰椎间盘突出症临床研究[J].中国中医药信息杂志,2015,22(4):22-24.
[9] 王浩明,李瀚卿,施荣茂,等.椎间髓核摘除辅以 Isobar后路动态固定治疗腰椎间盘突出症的临床分析[J].第三军医大学学报,2013,35(10):1022-1026.
[10] Atlas S J,Keller R B,Wu Y A,et al.Longterm outcomes of surgical and nonsurgical management of sciatica secondary to a lumbar disc herniation:10 year results from the maine lumbar spine study[J].Spine,2005,30(8):927-935.
[11] 周谋望,岳寿伟,何成奇,等.“腰椎间盘突出症的康复治疗”中国专家共识[J].中国康复医学杂志,2017,32(2):129 - 135.
[12] Li Y R,Lai F C,Li W H,et al. Discussion on the applica- tion principle of tuina manipulations for lumbar intervertebral disc herniation in Chinese literatures in recent 30 years[J].J AcupuncturTuina Sci,2019,17(4):270-277.
[13] Wu L,Wan B,Xu M,et al. Massage for protrasion of the lumbar intervertebral disci:a systematic review protocol[J].Medicine,2020,99(31):e20614.
[14] Zhang Z Q,Liu X,Zhong H,et al. Therapeutic observa- tion of tuina manipulation for lumbar intervertebral disc her- niation[J].J Acupunctur Tuina Sci,2019,17(2):116-123.
[15] 国家中医药管理局.中医病症诊断疗效标准[S].南京:南京大学出版社,1994: 201-202.
[16] 胡有谷.腰椎间盘突出症[M].3版.北京:人民卫生出版社,2004:54,362,406,408.
[17] 孙兵,车晓明.日本骨科协会评估治疗(JOA评分)[J].中华神经外科杂志,2012,45(6):623.
[18] 冯天有.损伤性脊柱疾病诊治的中西医结合临床研究[J].空军总医院学报,1997,13(2):63-66.
[19] 贾海鹏,卢添娇,上官洁琼,等.温针灸结合中药热敷治疗腰椎间盘突出症临床观察[J].上海针灸杂志,2016,35(2):189-191.
[20] 洪少波.夹脊穴治疗腰椎间盘突出症的临床疗效观察[J].中医临床研究,2019,11(3):123-125.