刺血拔罐法在血瘀型腰椎间盘突出症急性期的镇痛效应分析  

Analgesic effect of pricking blood cupping therapy in acute stage of lumbar disc herniation with blood stasis

作　　者：金绵棉 周萍萍 周彩丽 JIN Mianmian;ZHOU Pingping;ZHOU Caili(Comprehensive Treatment Area,Shaoxing Hospital of Integrated Traditional Chinese and Western Medicine,Shaoxing 312000,China)

机构地区：[1]绍兴市中西医结合医院中医综合治疗区,浙江绍兴312000

出　　处：《全科医学临床与教育》2025年第3期227-229,共3页Clinical Education of General Practice

基　　金：绍兴市柯桥区社发类经费自筹科技计划项目(2020KZ67)。

摘　　要：目的 探讨刺血拔罐法应用于血瘀型腰椎间盘突出症急性期时的镇痛效应。方法 选择100例血瘀型腰椎间盘突出症急性期患者为研究对象,使用随机数字表法将其分为两组,每组50例,其中对照组患者进行常规镇痛治疗措施,拔罐组患者在对照组基础上接受刺血拔罐法进行治疗,比较两组患者治疗前后临床疗效、中医证候积分、视觉疼痛模拟评分(VAS)、Oswestry功能障碍指数问卷(ODI)、日本骨科协会评估治疗分数(JOA)。结果 治疗后,拔罐组总有效率明显高于对照组,差异有统计学意义(χ^(2)=4.57,P<0.05)。治疗前,两组中医证候积分、VAS、ODI、JOA评分比较,差异无统计学意义(t分别=0.43、0.15、0.14、0.27,P均>0.05),治疗后,拔罐组中医证候积分、VAS及ODI评分明显低于对照组,JOA评分则明显高于对照组,差异有统计学意义(t分别=-8.38、-7.62、-6.07、10.10,P均<0.05)。结论 刺血拔罐法对于血瘀型腰椎间盘突出症急性期患者镇痛效果较好,对其腰椎功能状况有一定改善效果。Objective To investigate the analgesic effect of pricking blood cupping therapy in acute stage of lumbar disc herniation with blood stasis.Methods Totally 100 patients with acute stage lumbar disc herniation with +blood stasis were selected and divided into two groups with 50 cases in each group according to random number table method.Patients in the control group received routine analgesia treatment,and patients in the cupping group received cupping therapy on the basis of the control group.The clinical efficacy,TCM syndrome score,visual analogue score(VAS),Oswestry disability index questionnaire(ODI),Japanese orthopedics association(JOA)evaluation treatment score before and after treatment were compared between the two groups.Results After treatment,the total effective rate of the cupping group was significantly higher than that of the control group,with a statistically significant difference(χ^(2)=4.57,P<0.05).Before treatment,there was no statistically significant difference between the two groups in TCM syndrome score,VAS,ODI,and JOA scores(t=0.43,0.15,0.14,0.27,P>0.05).After treatment,the TCM syndrome score,VAS,and ODI scores of the cupping group were significantly lower than those of the control group,while JOA score were significantly higher than those of the control group(t=-8.38,-7.62,-6.07,10.10,P<0.05).Conclusion Blood pricking cupping therapy has a good analgesic effect on acute stage patients with blood stasis lumbar disc herniation,and also has a certain improvement effect on lumbar function.

关 键 词：刺血拔罐法 血瘀型腰椎间盘突出症急性期 镇痛效应 

分 类 号：R68[医药卫生—骨科学]