基于肝肾同源理论探讨肌筋膜触发点拔罐对腰椎间盘突出症的影响  

Effect of cupping at myofascial trigger points on lumbar disc herniation based on the hepatorenal homology theory

作　　者：买豫 史栋梁[1] 赵俊燕[1] MAI Yu;SHI Dong-liang;ZHAO Jun-yan

机构地区：[1]河南省中医院骨病一科,河南郑州450000

出　　处：《中国疗养医学》2025年第1期27-30,共4页Chinese Journal of Convalescent Medicine

基　　金：河南省中医药科学研究专项课题(2023ZY2065)。

摘　　要：目的基于肝肾同源理论探讨肌筋膜触发点拔罐对肝肾亏虚型腰椎间盘突出症患者腰椎功能及腰背伸肌群表面肌电指标的改善效果。方法选取河南省中医院骨科2022年3月至2024年3月收治的109例肝肾亏虚型腰椎间盘突出症患者作为研究对象,对照组54例给予CT引导下射频针刀联合脊得舒丸治疗,观察组55例在对照组基础上增加肌筋膜触发点拔罐,对比两组患者中医证候积分、腰椎功能、腰椎活动度、腰背肌表面肌电信号的变化、复发率及不良反应。结果治疗后,两组中医证候评分均降低(P<0.05),且观察组更低(P<0.05)。治疗后,两组腰椎功能评分及活动度均增加(P<0.05),且观察组更高(P<0.05)。治疗后,两组积分肌电值及平均功率频率均增加(P<0.05),且观察组更高(P<0.05)。观察组复发率3.70%低于对照组18.52%(P<0.05)。两组不良反应差异无统计学意义(P>0.05)。结论基于肝肾同源理论的肌筋膜触发点拔罐能够减轻肝肾亏虚型腰椎间盘突出症患者临床症状,改善腰椎功能,调节腰背伸肌群表面肌电,并降低复发率。Objective Based on the homology theory of liver and kidney,to explore the effect of cupping at myofascial trigger points on the improvement of lumbar function and surface myoelectric indexes of lumbar extensor muscle group in patients with lumbar disc herniation(LDH)of liver and kidney deficiency.Methods A total of 109 patients with LDH of liver and kidney deficiency admitted to the Department of orthopedics of Henan Provincial Hospital of TCM from March 2022 to March 2024 were recruited.54 patients in the control group were treated with CT-guided radiofrequency acupotomy combined with Jideshu Pill,and 55 patients in the observation group were treated with cupping at myofascial trigger point.Traditional Chinese medicine(TCM)syndrome score,lumbar function,lumbar motion,surface electromyographic signals of lumbar and back muscles,recurrent rate and adverse events were compared between the two groups.Results After treatment,the scores of TCM symptoms in both groups significantly decreased(P<0.05),which were significantly lower in the observation group than the control group(P<0.05).After treatment,the scores of lumbar function and motion significantly increased in both groups(P<0.05),which were significantly higher in the observation group than the control group(P<0.05).After treatment,the integrated myoelectric value and average power frequency significantly increased in both groups(P<0.05),which were significantly higher in the observation group than the control group(P<0.05).The recurrent rate of observation group 3.70%was significantly lower than that of control group 18.52%(P<0.05).There was no significant difference in the incidence of adverse events between the two groups(P>0.05).Conclusion Myofascial trigger point cupping based on the theory of homology between liver and kidney can alleviate the clinical symptoms of LDH with liver and kidney deficiency,improve the function of lumbar spine,regulate the surface electromyography of lumbar extensor muscle group,and reduce the recurrent rate.

关 键 词：肝肾同源理论 肌筋膜触发点拔罐 腰椎间盘突出症 腰椎功能 腰背伸肌群表面肌电 

分 类 号：R244.3[医药卫生—针灸推拿学]