基于“腰背委中求”理论针刺联合超声引导下神经根阻滞治疗神经根性腰腿痛临床研究  

Clinical Study on Acupuncture Combined with Ultrasound-Guided Nerve Root Block for Radicular Lumbar and Leg Pain Based on Theory of"Seeking Weizhong Point for Lumbar and Back Problems"

作　　者：胡德生 梁志鹏[1] 万政佐[1] HU Desheng;LIANG Zhipeng;WAN Zhengzuo(Hangzhou Hospital of Traditional Chinese Medicine,Hangzhou Zhejiang 310007,China)

机构地区：[1]杭州市中医院,浙江杭州310007

出　　处：《新中医》2025年第4期92-96,共5页New Chinese Medicine

基　　金：浙江省中医药科技计划项目(2022ZB237)。

摘　　要：目的:观察基于“腰背委中求”理论针刺联合超声引导下神经根阻滞治疗神经根性腰腿痛的临床疗效。方法:选择2022年1月—2023年12月杭州市中医院收治的72例神经根性腰腿痛患者,按随机数字表法分为对照组36例,研究组36例。对照组行超声引导下神经根阻滞,研究组在对照组治疗方案的基础上联合基于“腰背委中求”理论针刺治疗。比较2组疼痛情况、腰椎功能、神经传导速度及不良反应发生率。结果:治疗结束时,研究组NRS评分(3.21±0.69)分,对照组(3.64±0.81)分,2组比较,差异有统计学意义(t=2.425,P<0.05);治疗后3个月,研究组NRS评分(2.08±0.50)分,对照组(2.87±0.62)分,2组比较,差异有统计学意义(t=5.951,P<0.05)。治疗结束时,研究组M-JOA评分(21.27±3.85)分,对照组(18.01±3.43)分,2组比较,差异有统计学意义(t=3.793,P<0.05);治疗后3个月,研究组M-JOA评分(23.74±4.02)分,对照组(20.96±3.71)分,2组比较,差异有统计学意义(t=33.049,P<0.05)。治疗结束时,研究组腓总神经传导速度(43.82±4.85)m/s,对照组(40.06±4.11)m/s,2组比较,差异有统计学意义(t=3.549,P<0.05);治疗后3个月,腓总神经传导速度(46.70±5.73)m/s,对照组(43.59±4.91)m/s,2组比较,差异有统计学意义(t=2.473,P<0.05)。治疗结束时,研究组胫神经传导速度(45.03±5.01)m/s,对照组(41.95±4.28)m/s,2组比较,差异有统计意义(t=2.805,P<0.05);治疗后3个月,研究组胫神经传导速度(48.96±5.83)m/s,对照组(44.82±4.99)m/s,2组比较(t=3.237,P<0.05)。不良反应总发生率研究组2.8%(1/36),对照组5.6%(2/36),2组比较,差异无统计学意义(P>0.05)。结论:基于“腰背委中求”理论针刺联合超声引导下神经根阻滞治疗神经根性腰腿痛患者的疗效确切,且安全性较高。Objective:To observe the clinical effect of acupuncture combined with ultrasound-guided nerve root block on the treatment of radicular lumbar and leg pain based on the theory of"seeking weizhong(BL40)point for lumbar and back problems".Methods:A total of 72 patients with radicular lumbar and leg pain admitted to Hangzhou Hospital of Traditional Chinese Medicine from January 2022 to December 2023 were selected and randomly divided into the control group(36 cases)and the study group(36 cases)via a random number table method.The control group received ultrasound-guided nerve root block,and the study group additionally received acupuncture in addition to the treatment of the control group based on the theory of"seeking weizhong point for lumbar and back problems".Pain levels,lumbar function,nerve conduction velocity,and incidence of adverse reactions were compared between the two groups.Results:At the end of treatment,the NRS score was 3.21±0.69 in the study group and 3.64±0.81 in the control group,the difference being significant between the two groups(t=2.425,P<0.05).Three months after treatment,the NRS score was 2.08±0.50 in the study group and 2.87±0.62 in the control group,the difference being significant between the two groups(t=5.951,P<0.05).At the end of treatment,the M-JOA score was 21.27±3.85 in the study group and 18.01±3.43 in the control group,the difference being significant(t=3.793,P<0.05).Three months after treatment,the M-JOA score was 23.74±4.02 in the study group and 20.96±3.71 in the control group,the difference being significant(t=33.049,P<0.05).At the end of treatment,the common peroneal nerve conduction velocity was(43.82±4.85)m/s in the study group and(40.06±4.11)m/s in the control group,the difference being significant(t=3.549,P<0.05).Three months after treatment,the common peroneal nerve conduction velocity was(46.70±5.73)m/s in the study group and(43.59±4.91)m/s in the control group,the difference being significan(t t=2.473,P<0.05).At the end of treatment,the tibial nerve conduc

关 键 词：神经根性腰腿痛 针刺 超声引导 神经根阻滞 

分 类 号：R745[医药卫生—神经病学与精神病学]