针刺联合隔姜灸治疗腰椎间盘突出症伴坐骨神经痛  

Acupuncture Combined with Ginger-separated Moxibustion in Treatment ofLumbar Disc Herniation With Sciatica

作　　者：潘猛 孙连珠 姚宏伟 PAN Meng;SUN Lianzhu;YAO Hongwei(Wuhu Hospital of Traditional Chinese Medicine,Wuhu 241000,Anhui,China)

机构地区：[1]芜湖市中医医院,安徽芜湖241000

出　　处：《辽宁中医杂志》2025年第3期166-169,I0004,共5页Liaoning Journal of Traditional Chinese Medicine

摘　　要：目的探讨针刺、运动疗法联合隔姜灸治疗腰椎间盘突出症伴坐骨神经痛的临床效果。方法采用前瞻性随机临床研究方式,选取芜湖市中医医院2021年1月—2022年12月确诊且愿意接受临床试验研究的107例腰椎间盘突出症伴坐骨神经痛患者,随机分为试验组54例和对照组53例。对照组采用针刺、运动疗法治疗,试验组在对照组基础上加用隔姜灸治疗,两组患者均连续治疗4个疗程。对比两组患者治疗前后的简化McGill疼痛量表(Simplified McGill Pain Scale,SF-MPQ)评分、Oswestry功能障碍指数问卷(Oswestry Dysfunction Index,ODI)、血清疼痛因子、神经电生理指标、临床效果的差异。结果治疗前,试验组和对照组患者的疼痛分级指数(pain rating index,PRI)、目前患者的疼痛强度(patient pain intensity,PPI)、视觉模拟疼痛程度评分(visual analogscale,VAS)比较,差异无统计学意义(P>0.05);治疗后,试验组患者的PRI、PPI、VAS评分均低于对照组,差异具有统计学意义(P<0.05);治疗前,试验组和对照组患者的白细胞介素-6(interleukin-6,IL-6)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、5-羟色胺(5-hydroxytryptamine,5-HT)测定值比较,差异无统计学意义(P>0.05);治疗后,试验组患者的IL-6、5-HT测定值均低于对照组,差异具有统计学意义(P<0.05);治疗前,试验组和对照组患者的运动神经传导速度、感觉神经传导速度比较,差异无统计学意义(P>0.05);治疗后,试验组患者的运动神经传导速度、感觉神经传导速度均高于对照组,差异具有统计学意义(P<0.05);治疗前,试验组和对照组患者的ODI指数比较,差异无统计学意义(P>0.05);经过2、4个疗程的治疗后,试验组患者的ODI指数均低于对照组,差异具有统计学意义(P<0.05);经过4个疗程的治疗后,试验组患者的总体治疗效果优于对照组,差异具有统计学意义(P<0.05)。结论针刺、运动疗法联合隔姜灸治疗腰椎间盘突�Objective To explore the clinical effect of acupuncture and exercise therapy combined with ginger-separated moxibustion in the treatment of lumbar disc herniation with sciatica.Methods Using a prospective randomized clinical study method,107 patients with lumbar disc herniation accompanied by sciatica who were diagnosed in the hospital from January 2021 to December 2022 and willing to undergo clinical trial research were randomly divided into an experimental group(54 cases)and a control group(53 cases).The control group was treated with acupuncture and exercise therapy,while the experimental group was treated with ginger-separated moxibustion on the basis of the control group.Both groups received continuous treatment for 4 courses.The differences in the Simplified McGill Pain Scale(SF-MPQ)scores,Oswestry Dysfunction Index(ODI)scores,serum pain factors,neuroelectrophysiological indicators and clinical outcomes between two groups were compared before and after treatment.Results Before treatment,there was no statistically significant difference in pain rating index(PRI),patient pain intensity(PPI)ovisual analog scale(VAS)scores between the experimental group and the control group(P>0.05).After treatment,the PRI,PPI and VAS scores of the experimental group patients were lower than those of the control group,with statistically significant differences(P<0.05).Before treatment,the levels of interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)and 5-hydroxytryptamine(5-HT)in the experimental and control group showed no statistically significant difference(P>0.05).After treatment,the levels of IL-6 and 5-HT in the experimental group were lower than those in the control group,with statistically significant differences(P<0.05).Before treatment,there was no statistically significant difference in motor nerve conduction velocity or sensory nerve conduction velocity between the experimental group and the control group(P>0.05).After treatment,the motor nerve conduction velocity and sensory nerve conduction velocity of the experi

关 键 词：针刺 运动疗法 隔姜灸 腰椎间盘突出症 坐骨神经痛 

分 类 号：R246[医药卫生—针灸推拿学]