排刺法结合远端选穴对太阳经型腰椎间盘突出症患者腰部及下肢循经温度的影响  

Effects of Line-Needling Method Combined with Distal Acupoint Selection Acupuncture on Waist and Lower Limb Circulation Temperature in Patients with Taiyang Meridian Type Lumbar Disc Herniation

作　　者：祁万梅 屈韶 严兴科 窦婷婷 QI Wanmei;QU Shao;YAN Xingke;DOU Tingting(Acupuncture-moxibustion and Tuina College,Gansu University of Chinese Medicine,Lanzhou 730000,China)

机构地区：[1]甘肃中医药大学针灸推拿学院,甘肃兰州730000

出　　处：《中国中医药信息杂志》2024年第8期140-145,共6页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：中共甘肃省委组织部甘肃省省级重点人才项目(2023年);甘肃省优秀研究生“创新之星”项目(2022CXZX-753)。

摘　　要：目的应用红外热成像技术观察排刺法结合远端选穴对太阳经型腰椎间盘突出症(LDH)患者腰部及下肢循经温度的影响。方法纳入受试者54例,其中太阳经型LDH患者34例、健康受试者20例。患者采用腰部排刺法及循经远端选穴针刺,留针30min,隔日1次,每周3次,共4周;健康受试者不予治疗。采集健康受试者、患者治疗前后腰部及下肢循经红外热成像,并选取该条经脉循行经过的4个区域(患侧腰肌区、大腿后侧、腘窝及小腿后侧),进行体表温度测量与记录。比较分析患者治疗前与健康受试者及治疗后循经温度差异;比较患者治疗前后简化McGill疼痛量表(SF-MPQ)评分及Oswestry功能障碍指数(ODI)评分,并评定临床疗效。结果太阳经型LDH患者腰部及下肢循经温度异常,与健康受试者相比,腰部及下肢循经区域可见异常低温区(P<0.05)。经治疗后该循经区域温度回升,SF-MPQ评分及ODI评分明显降低(P<0.05),总有效率为97.06%(33/34)。结论腰部排刺法结合远端选穴可显著改善太阳经型LDH患者的临床症状,并对腰部及下肢循经温度改变有显著调节作用。Objective To observe the effects of line-needling method combined with distal acupoint selection on the temperature of waist and lower limb circulation in patients with Taiyang meridian type lumbar disc herniation(LDH)using infrared thermal imaging.Methods A total of 54 subjects were included,including 34 patients with Taiyang meridian type LDH and 20 healthy subjects.The patients were treated with lumbar line-needling method and distal acupuncture,leaving the needle for 30 min,once every other day,3 times a week for 4 weeks.Healthy subjects were not treated.The infrared thermal imaging of the waist and lower limbs of healthy subjects and patients before and after treatment was collected,and 4 areas(affected lumbar muscle area,thigh posterior side,popliteal cavity and calf posterior side)through which the meridians ran were selected to measure and record the body surface temperature.The difference of circulating temperature between healthy subjects and patients before and after treatment was compared and analyzed.The simplified McGill Pain Scale(SF-MPQ)score and Oswestry Disability Index(ODI)score were compared before and after treatment,and the clinical efficacy was evaluated.Results LDH patients with Taiyang meridian type had abnormal temperature along the meridian in the waist and lower limbs.Compared with healthy subjects,abnormal low-temperature areas could be seen in the meridian areas of the waist and lower limbs(P<0.05).After treatment,the temperature in the meridian area increased,and the SF-MPQ score and ODI score significantly decreased(P<0.05),with a total effective rate of 97.06%(33/34).Conclusion The combination of line-needling method and distal acupoint selection can significantly improve the clinical symptoms of LDH patients with Taiyang meridian type,and has a significant adjustment effect on the changes of lumbar and lower limb meridian temperature.

关 键 词：太阳经型 腰椎间盘突出症 排刺法 远端选穴 红外热成像 

分 类 号：R274.9[医药卫生—中西医结合]