中文摘要：

目的 比较温通针法与平补平泻针法治疗腰椎间盘突出症（lumbar disc herniation,LDH）的远期疗效.方法 将160例LDH患者按数字随机表法随机分为对照组和治疗组,每组80例.治疗组应用温通针法,对照组应用平补平泻针法,两组均每日治疗1次,15次为1个疗程.治疗前后采用改良日本骨科协会（Meliorate-Japanese orthopaedic association,M-JOA）下腰痛评分法、简化McGill量表分别对两组患者进行评分;治疗15d后及治疗3个月后,分别观察两组临床疗效.结果 治疗15d后及治疗3个月后,两组M-JOA评分,简化McGill量表的PRI、VAS和PPI因子评分均较治疗前显著降低（P＜0.01）;治疗3个月后,治疗组简化McGill量表的VAS和PPI因子评分下降值显著大于对照组（P＜0.01）;治疗15d后和治疗3个月后,治疗组临床疗效均显著优于对照组（P＜0.05,或P＜0.01）.结论 温通针法对LDH的远期疗效优于平补平泻针刺方法.

英文摘要：

Objective To compare the long-term efficacy of warm acupuncture versus neutral supplementation and draining method in the treatment of lumbar disc herniation （LDH）.Methods A total of 160 LDH patients were randomly divided into control group （n =80） and treatment group （n =80） using a random number table.The treatment group received warm acupuncture,while the control group received acupuncture by neutral supplementation and draining.Treatment was performed in each group once daily,and each course of treatment was 15 days.Before and after treatment,modified Japanese Orthopaedic Association （M-JOA） low back pain score and short-form McGill Pain Questionnaire were used to evaluate patients＇conditions in the two groups.The treatment outcomes of the two groups were assessed after 15 days and 3 months of treatment.Results After 15 days and 3 months of treatment,both groups showed significant decreases in M-JOA score and the pain rating index score,visual analogue scale （VAS） score,and present pain intensity （PPI） score of short-form McGill Pain Questionnaire （P＜0.01）; after 3 months of treatment,the treatment group had significantly higher decreases in VAS and PPI scores （P＜0.01）; after 15 days and 3 months of treatment,the treatment group had a significantly better treatment outcome than the control group （P＜0.05 or P＜0.01）.Conclusion Warm acupuncture has better long-term efficacy than neutral supplementation and draining method in treating LDH.