Objective

2

To explore the relationship between the effect of acupuncture and layered localization of computed tomography (CT) in treatment of lumbar disc herniation.

Methods

2

Based on the CT layered localization

the herniated lumbar discs were positioned in 5 layers

A

B

C

D and E among 300 patients with lumbar disc herniation. Combined with the horizontal and the frontal planes

the three-dimensional location was formed. Acupuncture was delivered at acupoints including bilateral Shenshu (BL23)

Dachangshu (BL25)

and Huantiao (GB30)

Weizhong (BL40) on the affected side. One intervention of acupuncture was 30 min

once daily; 1 course of treatment was composed of 10 interventions and 2 courses were required. Before and after treatment

Japanese orthopaedic association (JOA) score was recorded

and the effect was evaluated. The curative effect was classified and compared with the CT layered localization.

Results

2

Of 300 patients

226 cases were effective and the effective rate was 75.33%. The JOA scores of all patients

and in the effective group and the non-effective group were higher compared with the scores before treatment (

P

<

0.05). With the layered localization considered

acupuncture was more effective on the cases positioned in C layer. Regarding the horizontal plane

the effect was better on the cases with zone 1 and zone 1-2 involved. In terms of the grade of frontal plane

acupuncture was more effective on the cases graded Ⅰ and Ⅱ.

Conclusion

2

The clinical effect of acupuncture on lumbar disc herniation is related with the layer and the horizontal zone of herniated disc positioned

as well as to the grade of the frontal plane.