| ObjectiveLumbar disc herniation(Lumbar Disc Herniation),referred to as LDH,is a certified clinical diseases.With the current social development and to accelerate the pace of people's lives,the using of the increasing frequency of transport in recent years have increased the incidence trend.The main performance for the channeling of paroxysmal or persistent pain,especially at night is more than pain from the buttocks to the posterior thigh, posterolateral calf and lateral dorsum radiation.Moment,when coughing, sneezing,increased abdominal pressure,such as easy to make the move,the pain intensified,severely affected by the work of patients and quality of life.The author from clamps the keel hole to pass punctures the law to obtain, to pass punctures the law stems from Song Dynasty horse Danyang "Miscellaneous Diseases song".Jin Dynasty·Dou Hanqin" needle guide by through barbed" reference to law.Yuan Dynasty·Wang Guorui"Que acupuncture Yulong God Song "will pay more attention to law through the application of thorns," the first wind modification difficult medical......along the backward-through rate of percutaneous Valley."Ming Dynasty·Yang Jizhou"acupuncture Dacheng"a thorn Fengchi ventilate House,gill side must cross through it." "Plain Questions·Spurs need to talk":"floating disease,gill have deep,each to its rationale, no off the Road,off of the internal injuries,which is less than the outside of Health obstruct,stop up the evil from them." The acupuncture has dredges the channels and collaterals,transfers to a new post the vitality,Shu Jinli the festival,to make up empty really flows swiftly,the straight sickness institute,but passes punctures also has the original opening after to be mad the effect,therefore every chronic long illness,sinking sickness stubborn illness and part difficult various illnesses urgently need the effectiveness. Therefore this topic from clamps the keel hole to pass punctures the law to obtain,treatment waist intervertebral disc prominent sickness.Methods135 cases will meet the clinical inclusion criteria of patients divided into the use of randomized controlled penetration Jiaji Law Group, conventional acupuncture and electro-acupuncture group,using random methods, in accordance with the 1:1:1 ratio in patients randomly assigned to Jiaji stabbed through the group,acupuncture group and the conventional electro-acupuncture group,a total of 135 cases,penetration Jiaji group 45 cases,45 cases of conventional acupuncture group,45 cases of electro-acupuncture group.Jiaji penetration lumbar Jiaji group,in the lesions of the vertebrae of a vertebral body Jiaji to the next vertebral body lesions of the vertebral body Jiaji.Filiform needle using 3-inch body according to the patients,respectively,of down to 30 degrees angle to the next through the two vertebrae,such as lumbar vertebra 3 lumbar prominent while taking down two vertebral penetration Jiaji to Jiaji lumbar vertebra 4.And so on.Acupuncture after a gas line every five minutes the needle 1. 30 minutes left needle.Conventional acupuncture and electro-acupuncture group treatment of clinical practice are used;three groups were treated once a day, 5 days a week to rest for two days of acupuncture,a total of four weeks of acupuncture as a treatment.6 months after treatment follow-up time, Respectively,before treatment,after treatment,6 months after the use of visual analogue score(VAS,visual analog scale),behavior score(BRS-6, behavioral rating scale) and low back pain patients Fairbank.Jc evaluation scorecard.Results1.After a course of treatment efficacy criteria were assessed by Ridit analysis,P＞0.05,the effect of the total between the two groups no significant difference,but the relapse rate by,by Ridit analysis,P＜0.05,folder Ridge Point penetration was significantly superior to conventional acupuncture group.2.Clinical efficacy and gender relations:(1) three groups within each group comparison,the overall efficiency and no significant gender differences P＞0.05;penetration Jiaji lumbar disc herniation treatment of female patients with recurrent rate was significantly lower than male P＜0.05,with statistical significance;conventional acupuncture and electro-acupuncture law and gender between the relapse rate was no significant difference P＞0.05.(2) three sets of inter-group comparison,Jiaji penetration men treatment of lumbar disc herniation The total effective rate was superior to conventional acupuncture with electric acupuncture,P＜0.05;female group showed no significant difference,Note Jiaji penetration method,the conventional acupuncture, electro-acupuncture treatment of women in the clinical effect of lumbar disc herniation rather,P＞0.05;the relapse rate compared three groups of groups, penetration Jiaji treatment of lumbar disc herniation were men,women,the recurrence rate was significantly lower than that of conventional acupuncture and electro-acupuncture method on penetration Jiaji treatment of lumbar disc herniation in patients with the relapse rate was significantly lower than that of conventional acupuncture and electro-acupuncture method P＜0.01.3.Clinical efficacy and course of disease:After a course of treatment the clinical effects of three groups and course of the relationship between the analysis by Ridit as follows:(1) three groups within each group comparison,the overall efficiency and gender was not significant between difference P＞0.05; penetration Jiaji lumbar disc herniation treatment of female patients with the relapse rate was significantly lower than male P＜0.05,with statistical significance;conventional acupuncture and electro-acupuncture law and gender between the relapse rate was no significant difference P＞0.05.Three different course by the effect of differences is in the distribution of chi-square test with statistical significance(P＜0.01),duration of effect that significantly affected.The longer the duration,the worse treatment is.4.The clinical efficacy and TCM syndrome:different effect of TCM-based comparison,by chi-square test results showed the following:(1) the total efficiency of the three groups were compared groups:①Jiaji treatment penetration cold type and the blood of lumbar disc herniation clinical efficacy was superior to kidney deficiency type,P＜0.01;Jiaji cold treatment penetration and blood type lumbar disc herniation clinical efficacy was not significant,P＞0.05;②Cold conventional acupuncture treatment type,blood type,kidney vacuity lumbar disc herniation clinical efficacy,with statistical analysis,no significant differences in type,a considerable effect P＞0.05;electro-acupuncture treatment of kidney deficiency treatment lumbar Clinical efficacy of lumbar intervertebral disc is superior to blood type,P＜0.01;blood type is superior to cold-type P＜0.01;that electro-acupuncture group treatment of lumbar disc herniation Kidney best efficacy,followed by blood type,the relatively poor efficacy of cold type;③electro-acupuncture treatment of lumbar disc herniation group of kidney deficiency type more effective than blood type,blood Cold is better than blood type,by the statistical processing of P＜0.01.(2) Comparison of three sets of groups:①Jiaji cold treatment penetration and blood type lumbar disc herniation is superior to conventional acupuncture and electrical acupuncture group,P＜0.01;②Electroacupuncture treatment of kidney deficiency type group lumbar disc herniation than Jiaji penetration acupuncture group and the conventional group,with statistical analysis P＜0.01.5.VAS pain score scale rating:(1) treatment of the first three groups by the t test,P＞0.05,that three sets of data from the same samples comparable.(2) three groups before and after treatment by t test,P＜0.01,with a significant difference, suggesting that penetration Jiaji group,conventional acupuncture group, electro-acupuncture group may improve pain in patients with lumbar disc herniation;(3) three sets of inter-group comparison after treatment by t test Jiaji penetration was significantly superior to conventional acupuncture with electric acupuncture(P＜0.05);electro-acupuncture method and routine acupuncture treatment by the statistical analysis between the two was not significant P＞0.05.6.BRS-6 behavior rating scale:(1) treatment of the first three groups by the t test,P＞0.05,that three sets of data from the same samples comparable.(2) three groups before and after treatment by t test, P＜0.01,significant difference with that group Jiaji penetration, conventional acupuncture group,electro-acupuncture group may improve symptoms in patients with lumbar disc herniation;(3) cgroup after treatment compared groups by t test,P＜0.05,suggesting that penetration Jiaji group more effective than conventional acupuncture and electro-acupuncture group.7.Fairbank JC rating scale:(1) treatment of the first three groups by the t test,P＞0.05,that three sets of data from the same sample of comparable; (2) three groups before and after treatment by t test,P＜0.01,significant difference with that group Jiaji penetration,conventional acupuncture group, electro-acupuncture group may improve symptoms in patients with lumbar disc herniation;(3) three sets of inter-group comparison after treatment by t test, P＜0.05,suggesting that penetration Jiaji group more effective than conventional acupuncture and electro-acupuncture group.ConclusionAcupuncture Jiaji through treatment of lumbar disc herniation precise clinical efficacy and low relapse rate in the clinical worth promoting.
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