| 盛敏丽.针灸联合循经推拿法治疗腰椎间盘突出症气滞血瘀证临床研究[J].浙江中西医结合杂志,2025,35(12): |
| 针灸联合循经推拿法治疗腰椎间盘突出症气滞血瘀证临床研究 |
| Clinical Study on acupuncture and moxibustion and Moxibustion Combined with Massage along Meridians in Treating Syndrome of Qi Stagnation and Blood Stasis of Lumbar Intervertebral Disc Herniation |
| 投稿时间：2025-01-13 修订日期：2025-05-08 |
| DOI： |
| 中文关键词: 腰椎间盘突出症 气滞血瘀证 针灸 循经推拿法 腰椎功能 下肢功能 |
| 英文关键词:Lumbar disc herniation Qi stagnation and blood stasis syndrome Acupuncture and moxibustion Meridian massage method Lumbar spine function Lower limb function |
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| 中文摘要: |
| 目的:观察针对腰椎间盘突出症(LDH)气滞血瘀证患者采取针灸联合循经推拿法治疗的临床效果。方法:采取前瞻性对照研究法。以随机数字表法将本院收治的70例LDH气滞血瘀证患者分为观察组、对照组(各35例),试验期间观察组剔除1例,对照组剔除1例,最终2组各完成研究者34例。2组均给予消炎止痛等基础治疗,在此基础上,对照组给予循经推拿法治疗,观察组在对照组基础上加用针灸治疗,均连续治疗4周后评估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,以腰椎Oswestry 功能障碍指数(ODI)评估腰椎功能,以直腿抬高试验评估下肢功能,并检测血清疼痛介质[5-羟色胺(5-HT)、神经肽Y(NPY)、P物质(SP)]水平变化。结果:治疗4周后,观察组总有效率优于对照组(94.12% vs 76.47%)(P＜0.05)；2组中医证候积分、VAS评分及ODI评分较治疗前均降低(P＜0.05),观察组3项评分均低于对照组(P＜0.05),2组直腿抬高角度较治疗前均提高(P＜0.05),观察组高于对照组(P＜0.05)；2组治疗后血清5-HT、NPY及SP水平较治疗前均降低,观察组上述3项指标水平均低于对照组(P＜0.05)。结论:针灸联合循经推拿法治疗LDH气滞血瘀证疗效确切,可有效缓解患者中医症状及疼痛症状,提高患者腰椎功能及下肢功能,降低疼痛介质水平,值得推广实施。 |
| 英文摘要: |
| Objective: To observe the clinical effect of acupuncture and moxibustion combined with massage along meridians on patients with syndrome of qi stagnation and blood stasis of lumbar disc herniation (LDH). Methods: A prospective controlled study was conducted. 70 patients with LDH qi stagnation and blood stasis syndrome admitted to our hospital were randomly divided into an observation group and a control group (35 cases each) using a random number table method. During the trial, 1 case was excluded from the observation group and 1 case was excluded from the control group. Finally, 34 patients completed the study in each of the two groups. Both groups were given basic treatment such as anti-inflammatory and pain relief. On this basis, the control group was given meridian massage treatment, and the observation group was given acupuncture and moxibustion treatment on the basis of the control group. After 4 weeks of continuous treatment, the clinical efficacy and TCM syndrome scores of the two groups were evaluated, the pain degree was evaluated by visual analogue scoring (VAS), the lumbar function was evaluated by the lumbar Oswestry dysfunction index (ODI), the lower limb function was evaluated by the straight leg lifting test, and the changes of serum pain mediators [5-hydroxytryptamine (5-HT), neuropeptide Y (NPY), substance P (SP)] levels were detected. Result: After 4 weeks of treatment, the total effective rate of the observation group was better than that of the control group (94.12% vs 76.47%) (P<0.05); The scores of traditional Chinese medicine syndrome, VAS score, and ODI score in both groups decreased compared to before treatment (P<0.05), while the three scores in the observation group were lower than those in the control group (P<0.05). The angle of straight leg elevation in both groups increased compared to before treatment (P<0.05), while the observation group was higher than the control group (P<0.05); After treatment, the levels of serum 5-HT, NPY, and SP in both groups decreased compared to before treatment, and the levels of these three indicators in the observation group were lower than those in the control group (P<0.05). Conclusion: acupuncture and moxibustion combined with massage along meridians has a definite therapeutic effect on LDH with qi stagnation and blood stasis syndrome, which can effectively alleviate the symptoms of TCM and pain in patients, improve the function of lumbar vertebrae and lower limbs, and reduce the level of pain media. It is worth popularizing. |
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