针灸配合平衡火罐治疗寒湿痹阻型腰椎间盘突出症的效果观察  

Observation on Therapeutic Effect of Acupuncture Combined with Balanced Cupping on Lumbar Disc Herniation with Cold-dampness Obstruction

作　　者：林莉 张令 杨敏 徐艳 LIN Li;ZHANG Ling;YANG Min;XU Yan(Orthopedics and Traumatology Department,Renhuai Traditional Chinese Medicine Hospital,Renhuai 564500,China;不详)

机构地区：[1]仁怀市中医院骨伤科,贵州仁怀564500

出　　处：《中国医学创新》2024年第36期128-132,共5页Medical Innovation of China

基　　金：2023年度贵州省中医药、民族医药科学技术研究专项课题项目(QZYY-2023-123)。

摘　　要：目的:探讨针灸与平衡火罐配合治疗寒湿痹阻型腰椎间盘突出症的临床效果。方法:选取仁怀市中医院骨伤科2023年2—9月收治的60例寒湿痹阻型腰椎间盘突出症患者。采用双盲抽签分组的方法将患者分成治疗组30例与对照组30例。对照组给予针灸治疗配合普通火罐,治疗组行针灸配合平衡火罐治疗,疗程均为2周。对比并分析两组预后情况。结果:治疗组治疗后腰背疼痛、酸胀、肢体冷积分均低于对照组,差异均有统计学意义(P<0.05)。治疗组治疗后的疼痛评分低于对照组,腰椎功能评分高于对照组,差异均有统计学意义(P<0.05)。治疗组治疗后的腰椎曲度、腰椎倾斜度和腰间隙高度均高于对照组,差异均有统计学意义(P<0.05)。随访30 d后,治疗组生存质量量表中的心理健康和生理健康评分均高于对照组,差异均有统计学意义(P<0.05)。结论:针灸配合平衡火罐治疗寒湿痹阻型腰椎间盘突出症整体效果理想,可有效改善患者的症状和生活质量。Objective:To explore the clinical effect of acupuncture combined with balanced cupping in the treatment of lumbar disc herniation with cold-dampness obstruction.Method:Sixty patients with cold-dampness obstruction type lumbar disc herniation admitted to the Orthopedics and Traumatology Department of Renhuai Traditional Chinese Medicine Hospital from February to September 2023 were selected.The patients were divided into a treatment group of 30 cases and a control group of 30 cases using a double-blind lottery grouping method.The control group was treated with acupuncture and moxibustion combined with ordinary cupping,and the treatment group was treated with acupuncture and moxibustion combined with balanced cupping.The course of treatment was 2 weeks.The prognosis of the two groups was compared and analyzed.Result:After treatment,the scores of lower back pain, acid distension, and limb cold in the treatment group were lower than those in the control group, with statistical significance (P<0.05). The pain score of the treatment group after treatment was lower than that of the control group, and the lumbar spine function score was higher than that of the control group, with statistically significant differences (P<0.05). The curvature, inclination and height of the lumbar intervertebral space in the treatment group were significantly higher than those in the control group after treatment, with statistical significance (P<0.05). After 30 days of follow-up, the psychological and physiological health scores on the quality of life scale in the treatment group were higher than those in the control group, the differences were statistically significant (P<0.05). Conclusion: Acupuncture combined with balanced cupping has an ideal overall effect in treating lumbar disc herniation with cold-dampness obstruction, which can effectively improve the symptoms and quality of life of patients.

关 键 词：腰椎间盘突出症 寒湿痹阻 针灸 平衡火罐 腰椎功能 

分 类 号：R246.9[医药卫生—针灸推拿学]