平衡针刺疗法配合中频电疗法治疗腰椎间盘突出症临床研究  

Clinical Study on Balance Acupuncture Therapy Combined with Intermediate-Frequency Electro-Therapy for Lumbar Disc Herniation

作　　者：徐小柳 杨勇[2] 徐美玲 李开平 邹洪[1] XU Xiaoliu;YANG Yong;XU Meiling;LI Kaiping;ZOU Hong(Department of Rehabilitation Medicine,Marine Police Corps Hospital of the Chinese People's Armed Police Force,Jiaxing Zhejiang 314000,China;Department of Laboratory Pathology,Marine Police Corps Hospital of the Chinese People's Armed Police Force,Jiaxing Zhejiang 314000,China;Department of Internal Medicine,Jiaxing Wangdian People's Hospital,Jiaxing Zhejiang 314011,China;School of Acupuncture-Moxibustion and Tuina and School of Health Preservation and Rehabilitation,Nanjing University of Chinese Medicine,Nanjing Jiangsu 210023,China)

机构地区：[1]中国人民武装警察部队海警总队医院康复医学科,浙江嘉兴314000 [2]中国人民武装警察部队海警总队医院检验病理科,浙江嘉兴314000 [3]嘉兴市王店人民医院内科,浙江嘉兴314011 [4]南京中医药大学针灸推拿学院·养生康复学院,江苏南京210023

出　　处：《新中医》2025年第7期153-158,共6页New Chinese Medicine

基　　金：嘉兴市科技计划项目(2020AD30132)。

摘　　要：目的:观察平衡针刺疗法配合中频电疗法治疗腰椎间盘突出症(LDH)的临床疗效。方法:选取2022年2月—2024年2月中国人民武装警察部队海警总队医院康复医学科收治的90例LDH患者进行前瞻性研究,按随机数字表法分为对照组和研究组各45例。治疗期间对照组剔除3例,研究组剔除1例,最终对照组42例,研究组44例。对照组予中频电疗法治疗,研究组在对照组基础上给予平衡针刺疗法治疗,2组均治疗1个月。比较2组临床疗效、中医证候积分,以视觉模拟评分法(VAS)评估疼痛程度,以日本骨科学会下腰痛量表(JOA)评估腰椎功能,测量患者腰椎最大活动度、腰椎肌力正常百分比,检测患者血清炎症因子[C-反应蛋白(CRP)、白细胞介素-6(IL-6)]水平。结果:研究组总有效率为95.45%(42/44),高于对照组78.57%(33/42)(P<0.05)。治疗后,2组中医证候积分、VAS评分较治疗前降低,JOA评分较治疗前升高(P<0.05);且研究组中医证候积分、VAS评分低于对照组,JOA评分高于对照组(P<0.05)。治疗后,2组腰椎最大活动度(前屈、后伸)、腰椎肌力正常百分比(前屈、后伸)较治疗前增大,且研究组腰椎最大活动度(前屈、后伸)、腰椎肌力正常百分比(前屈、后伸)高于对照组(P<0.05)。治疗后,2组血清CRP、IL-6水平较治疗前降低(P<0.05),且研究组血清CRP、IL-6水平低于对照组(P<0.05)。结论:平衡针刺疗法配合中频电疗法治疗LDH患者可进一步缓解临床症状,减轻疼痛程度及炎症反应,改善腰椎功能,提高腰椎活动度,从而提升临床疗效。Objective:To observe the clinical effect of balance acupuncture therapy combined with intermediatefrequency electro-therapy for lumbar disc herniation(LDH).Methods:A total of 90 LDH patients who were admitted to the Department of Rehabilitation Medicine of the Marine Police Corps Hospital of the Chinese People's Armed Police Force from February 2022 to February 2024 were selected for a prospective study.They were divided into the control group and the study group with 45 cases each according to the random number table method.During the treatment period,three cases were excluded from the control group and one case was excluded from the study group,resulting in a total of 42 cases in the control group and 44 cases in the study group.The control group was treated with intermediatefrequency electro-therapy,while the study group was treated with balance acupuncture therapy on the basis of the control group,both treated for one month.Compared the clinical efficacy and traditional Chinese medicine syndrome scores in the two groups,assessed the degree of pain using Visual Analogue Scale(VAS),evaluated lumbar function using the Back Pain Evaluation Questionnaire of Japanese Orthopaedic Association(JOA),measured the maximum range of motion and normal ratio of lumbar muscle strength of patients,and detected the levels of serum inflammatory factors[C-reactive protein(CRP)and interleukin-6(IL-6)]in patients.Results:The total effective rate was 95.45%(42/44)in the study group,which was higher than that of 78.57%(33/42)in the control group(P<0.05).After treatment,the traditional Chinese medicine syndrome scores and VAS scores in both groups were decreased when compared with those before treatment,while the JOA scores were increased when compared with those before treatment(P<0.05);the traditional Chinese medicine syndrome score and VAS score in the study group were lower than those in the control group,while the JOA score was higher than that in the control group(P<0.05).After treatment,the maximum range of motion(flexion and e

关 键 词：腰椎间盘突出症 平衡针刺疗法 中频电疗法 腰椎功能 腰椎活动度 血清炎症因子 

分 类 号：R246.2[医药卫生—针灸推拿学] R681.53[医药卫生—中医临床基础]