目的

探讨针刺腰部九针治疗腰椎间盘突出症的疗效。

方法

选择2014年4月至2015年1月天津中医药大学第一附属医院针灸部收治的67例腰椎间盘突出症患者，按照随机数字表法分成治疗组34例和对照组33例。治疗组用腰部九针治疗，对照组用常规针刺治疗，两组连续治疗1个月，所有患者治疗前和治疗后日本骨科学会（M-JOA）下腰痛评分和视觉模拟疼痛评分（VAPS）比较采用配对t检验，组间比较采用两独立样本t检验，以P＜0.05为差异有统计学意义。

结果

治疗后治疗组治愈11例，好转21例，无效2例，总有效率94.12%（32/34）；对照组治愈8例，好转20例，无效5例，总有效率84.85%（28/33）。治疗组总有效率高于对照组，且差异具有统计学意义（Z=-2.284，P=0.022）。治疗组和对照组治疗后JOA下腰痛评分分别为（23.47±5.22）分和（20.60±5.04）分，治疗组JOA下腰痛评分高于对照组，且差异均具有统计学意义（t=2.28，P=0.026），VAPS积分分别为（1.82±1.73）分和（3.03±2.19）分，治疗组VAPS积分优于对照组，且差异均具有统计学意义（t=-2.5，P=0.015）。

结论

腰部九针治疗腰椎间盘突出症优于常规针刺治疗法。

Objective

To observe curative effects of acupuncturing“nine acupoints in lumbar”for lumbar disc herniation.

Methods

Sixty-seven patients selected from department of acupuncture First Teaching Hospital of Tianjin University of Traditional Chinese Medicine ranging from April 2014 to January 2015 were divided into two groups randomly.The treatment group（n=34）was treated with“nine acupionts in lumbar，while the control group（n=33）was applied to normal acupuncture.Patients in both groups were given one month treatment.Modified Japanese orthopedic association score（M-JOA）and visual analogue pain scale（VAPS）were used to compare before and after treatment between two groups.Paired-samples t-test was used in comparison of data before and after treatment.Data between groups were compared using two independent samples t-test.The significant difference was taken as P＜0.05.

Results

In treatment group，11 cases were clinical cured，21 cases were effective，2 cases were ineffective after treatment，and the total effective rate was 94.12%（32/34），which was significantly higher than control group（Z=-2.284，P=0.022）.In control group，8 cases were clinical cured，20 cases were effective，5 cases were ineffective，and the total effective rate was 84.85%（28/33）.The lower back pain scores（M-JOA）were（23.47±5.22）and（20.60±5.04），and the VAPSscores were（1.82±1.73）and（3.03±2.19）for the treatment group and the control group，which showed significant differences after treatment（t=2.28，-2.5，all P＜0.05）.

Conclusion

The treatment of“nine acupoints in lumbar”is superior to normal acupuncture for lumbar disc herniation.