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目的:观察体针结合踝针治疗腰椎间盘突出症的临床疗效.方法:将180例腰椎间盘突出症患者随机分为体针结合腕踝针组(观察组)和单纯体针组(对照组) ,每组90例.观察组体针取穴为腰部阿是穴、腰夹脊穴、大肠俞等,腕踝针取穴为下4区、下5区、下6区;对照组采用单纯体针治疗,取穴同观察组.对比两组患者腰椎功能改善和疼痛积分改善的情况,并进行疗效比较.结果:两组治疗前后均能明显改善患者的腰椎功能积分和疼痛积分(均P 0.05).在疼痛改善方面,观察组总有效率为95.6%,优于对照组的86.7%(P 0.05) ;在腰椎功能改善方面,观察组总有效率为90.0%,对照组为93.3%,两组比较,差异无统计学意义(P 0.05).结论:体针结合腕踝针对腰椎间盘突出症患者具有明显的镇痛作用.“,”Objective To observe the clinical effects of body acupuncture and wrist-ankle acupuncture on prolapse of lumbar intervertebral disc.Methods One hundred and eighty cases of prolapse of lumbar intervertebral disc were randomly divided into body acupuncture and wrist-ankle acupuncture group(observation group) and simple body acupuncture group(control group),90 cases in each one.In observation group,body acupuncture was applied on Ahshi points of lumbar region,lumbar Jiájǐ(夹脊EX-B 2),Dàchángshū(大肠俞BL 25),etc.and wrist-ankle acupuncture was applied on lower No.4,5 and 6 regions.In control group,simple body acupuncture was applied on the same points as observation group.Results The lumbar vertebral function and pain scale were improved in either group in comparison before and after treatment(P<0.05).Concerning pain improvement,the total effective rate was 95.6% in observation group,which was superior to that(86.7%) in control group(P0.05).Conclusion Combined therapy of body acupuncture and wrist-ankle acupuncture demonstrates apparent analgesia in prolapse of lumbar intervertebral disc.