| 沈慈敏,黎娜,邬洁涛.热敏穴埋线治疗腰椎间盘突出症的临床研究[J].浙江中西医结合杂志,2025,35(10): |
| 热敏穴埋线治疗腰椎间盘突出症的临床研究 |
| Clinical Study of Thermal-sensitive Acupoint Catgut Embedding Therapy for Lumbar Disc Herniation |
| 投稿时间：2025-03-08 修订日期：2025-06-24 |
| DOI： |
| 中文关键词: 热敏穴 埋线 腰椎间盘突出症 体表温度 |
| 英文关键词:heat-sensitive point, thread embedding, lumbar disc herniation, surface temperature |
| 基金项目:宁波市卫生健康科技计划项目(2022Y47)[1] |
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| 中文摘要: |
| 目的:将穴位埋线疗法应用于腰椎间盘突出症(LDH)患者的腰部热敏腧穴,与普通针刺治疗比较临床疗效的差异；观察治疗前后两组在腰部经脉(督脉、膀胱经第一侧线及第二侧线)上的体表温度变化。方法:将 100例 LDH 患者随机分为对照组(50例)、观察组(50例),对照组予常规针刺治疗,治疗组予热敏穴埋线联合普通针刺治疗,观察两组治疗前,治疗第1疗程、第2疗程,及治疗结束后随访期间(第1周、第4周)视觉模拟评分(VAS)、JOA腰痛评分,并观察疗效；比较两组治疗前后在腰部经脉(督脉、膀胱经第一侧线及第二侧线)上体表温度。结果:在VAS评分上:两组患者在每个疗程及随访期间的评分均较治疗前降低(P<0.05)；治疗2疗程、随访期间两组患者均比第1疗程降低(P<0.05)；对照组随访期间较第2疗程升高(P<0.05),观察组随访第1周较第2疗程降低(P<0.05)；观察组在每个疗程及随访期间评分均低于对照组(P<0.05)。在JOA评分上:两组患者在每个疗程及随访期间均较治疗前升高(P<0.05)；治疗2疗程、随访期间两组患者均比第1疗程升高(P<0.05)；对照组随访期间较第2疗程降低(P<0.05),观察组随访期间较第2疗程升高,观察组随访第4周低于随访第一周；观察组在每个疗程及随访期间评分均高于对照组(P<0.05)。观察组在治疗后及随访总有效率均优于对照组(P<0.05)。治疗后两组在腰部经脉(督脉、膀胱经第一侧线及第二侧线)上体表温度均升高P<0.05),且观察组升高的幅度优于对照组。结论:热敏穴埋线联合普通针刺治疗腰椎间盘突出症疗效优于普通针刺,且效果的时效性优于普通针刺,其发挥更好的治疗效果与热敏穴埋线后提升了腰部经脉上的体表温度相关。 |
| 英文摘要: |
| Objective: To compare the clinical efficacy of acupuncture point thread embedding at heat-sensitive acupoints in lumbar disc herniation (LDH) patients with conventional acupuncture and observe changes in surface temperature along lumbar meridians (Du and Bladder Meridians) before and after treatment.Methods: 100 LDH patients were randomly divided into a control group (conventional acupuncture) and an observation group (thread embedding combined with acupuncture). VAS and JOA scores were assessed before treatment, after two treatment courses, and during follow-up (1 and 4 weeks). Surface temperatures along the lumbar meridians were also compared.Results: Both groups showed significant reductions in VAS scores after each treatment course and follow-up compared to before treatment (P<0.05), with lower scores after the second course and follow-up than after the first (P<0.05). The control group’s scores increased during follow-up (P<0.05), while the observation group’s scores decreased in the first week (P<0.05), consistently remaining lower than the control group (P<0.05). For JOA scores, both groups significantly improved after each treatment and follow-up (P<0.05), with higher scores after the second course and follow-up (P<0.05). The control group’s scores decreased during follow-up (P<0.05), while the observation group’s scores increased, although they were lower in the fourth week than the first. The observation group consistently had higher JOA scores (P<0.05). The observation group also had a better total effective rate (P<0.05). After treatment, both groups showed increased surface temperature along lumbar meridians (P<0.05), with a greater rise in the observation group. Conclusion:Thread embedding combined with acupuncture is more effective and provides longer-lasting relief for LDH, likely due to the increase in surface temperature along lumbar meridians. |
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