皮内针联合穴位贴敷治疗腰椎间盘突出引起的下肢放射痛的研究与分析  

Study and Analysis of Intradermal Needling Combined with Acupoint Application in the Treatment of Radiating Pain of Lower Limbs Caused by Lumbar Disc Herniation

作　　者：干瑜婷 殷平 张铭晴 GAN Yuting;YIN Ping;ZHANG Mingqing(Suzhou Wujiang District Fifth People's Hospital,Suzhou 215200,China;不详)

机构地区：[1]苏州市吴江区第五人民医院,江苏苏州215200

出　　处：《中外医学研究》2025年第3期33-36,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨皮内针联合穴位贴敷治疗腰椎间盘突出引起的下肢放射痛的效果。方法:选取2022年3月—2024年2月苏州市吴江区第五人民医院收治的106例腰椎间盘突出引起的下肢放射痛患者作为研究对象,采用摸球法对照组与观察组,奇数为对照组,偶数为观察组,每组各53例。对照组予以皮内针治疗,观察组予以皮内针联合穴位贴敷治疗。比较两组临床疗效、治疗前后的腰椎功能[Oswestry功能障碍指数(ODI)、日本骨科协会腰椎功能量表(JOA)]、疼痛程度[视觉模拟评分法(VAS)]、症状评分、炎症指标。结果:治疗后,观察组治疗有效率高于对照组,差异有统计学意义(P<0.05)。观察组ODI评分、VAS评分低于对照组,JOA评分高于对照组,差异有统计学意义(P<0.05)。观察组症状评分低于对照组,差异有统计学意义(P<0.05)。观察组肿瘤坏死因子(TNF-α)、白细胞介细-18(IL-18)水平低于对照组,白细胞介素(IL-10)水平高于对照组,差异有统计学意义(P<0.05)。结论:皮内针联合穴位贴敷治疗腰椎间盘突出引起的下肢放射痛可以显著提高治疗效果,改善患者腰椎功能和疼痛程度,同时减轻炎症反应。Objective:To explore the effectiveness of intradermal needling combined with acupoint application in treating sciatica caused by lumbar disc herniation.Method:A total of 106 patients with lower limb radiative pain caused by lumbar disc herniation admitted to the Wujiang District Suzhou Fifth People's Hospital,from March 2022 to February 2024 were selected as the study objects.They were divided into the control group and the observation group by touch ball method,with odd numbers as the control group and even numbers as the observation group,with 53 cases in each group.The control group was treated with intradermal acupuncture,and the observation group was treated with intradermal acupuncture combined with acupoint application.The clinical efficacy,lumbar function[Oswestry Disability Index(ODI),Japanese Orthopaedic Association Lumbar Function Scale(JOA)],pain degree[visual analogue scale(VAS)],symptom score and inflammatory index were compared between the two groups before and after treatment.Result:After treatment,the effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The ODI scores and VAS scores of the observation group were lower than those of the control group,and the JOA scores were higher than those of the control group,with statistical significance(P<0.05).Symptom score of observation group was lower than control group,and the difference was statistically significant(P<0.05).The levels of Tumor necrosis factor-α(TNF-α)and interleurin-18(IL-18)in the observation group were lower than those in the control group,and the levels of interleukin-18(IL-10)were higher than those in the control group,with statistical significance(P<0.05).Conclusion:Intradermal acupuncture combined with acupoint application in the treatment of lower limb radiative pain caused by lumbar disc herniation can significantly improve the therapeutic effect,improve the lumbar function and pain degree,and reduce inflammation.

关 键 词：皮内针 穴位贴敷 腰椎间盘突出 下肢放射痛 腰椎功能 

分 类 号：R246.9[医药卫生—针灸推拿学]