针刺腰夹脊联合雷火灸治疗腰椎间盘突出症的临床效果观察  

Clinical Observation on the Treatment of Lumbar Disc Herniation with Acupuncture of Waist Jiaji Acupoint and Thunder Fire Moxibustion

作　　者：罗金松 李雪莲[1] 王华英 蒲子英 何燕 LUO Jinsong;LI Xuelian;WANG Huaying;PU Ziying;HE Yan(Pain Rehabilitation Department,Langzhong Traditional Chinese Medicine Hospital,Langzhong 637400,China;不详)

机构地区：[1]阆中市中医医院疼痛康复科,四川阆中637400

出　　处：《中国医学创新》2024年第1期91-94,共4页Medical Innovation of China

摘　　要：目的:探究针刺腰夹脊联合雷火灸治疗腰椎间盘突出症(LDH)的临床效果,为临床提供一种可行的治疗方案。方法:选取2021年6月—2022年12月阆中市中医医院疼痛康复科门诊明确诊断为LDH的160例患者,按随机数字表法分成对照组(80例)和试验组(80例)。对照组采用常规牵引治疗,试验组在对照组基础上加用针刺腰夹脊穴联合雷火灸治疗。对比两组临床疗效。结果:试验组总有效率为93.75%,明显高于对照组的75.00%,差异有统计学意义(P<0.05)。治疗后两组视觉模拟评分法(VAS)评分均较治疗前降低,且试验组评分低于对照组,两组日本骨科协会(JOA)评分均较治疗前升高,且试验组评分高于对照组,差异均有统计学意义(P<0.05)。治疗后,两组白细胞介素(IL-6)及肿瘤坏死因子-α(TNF-α)均较治疗前明显降低,且试验组上述指标均明显低于对照组,差异均有统计学意义(P<0.05)。结论:针刺腰夹脊联合雷火灸治疗LDH具有良好的临床效果,能够缓解疼痛并改善炎症。Objective:To explore the clinical efficacy of the treatment of lumbar disc herniation(LDH)with acupuncture of waist Jiaji acupoint and thunder fire moxibustion,and to provide a feasible treatment plan for the clinic.Method:A total of 160 patients with LDH diagnosed with certainty in the Pain Rehabilitation Department of Langzhong Traditional Chinese Medicine Hospital from June 2021 to December 2022 were selected.They were divided into the control group(80 cases)and the experimental group(80 cases)by random number table method.The conventional traction treatment was used in the control group,the acupuncture of waist Jiaji acupoint and thunder fire moxibustion treatment on the basis of the control group was used in the experimental group.The effect of clinical curative in two groups were compared.Result:The total effective rate of the experimental group was 93.75%,which was significantly higher than 75.00%of the control group,the difference was statistically significant(P<0.05).After treatment,the visual analogue scale(VAS)scores of two groups were lower than those before treatment,and the score of the experimental group was lower than that of the control group,the Japanese orthopaedic association(JOA)scores of two groups were higher than those before treatment,and the score of the experimental group was higher than that of the control group,the differences were statistically significant(P<0.05).After treatment,the interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)in two groups were significantly lower than those before treatment,and the above indexes in the experimental group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Acupuncture of waist Jiaji acupoint and thunder fire moxibustion has a good clinical effect on treatment of LDH,which can relieve pain and improve inflammation.

关 键 词：针刺 腰夹脊穴 雷火灸 腰椎间盘突出症 

分 类 号：R246.9[医药卫生—针灸推拿学]