透灸对腰椎间盘突出症患者经络状态的影响OA
Effect of Toujiu(Moxibustion of Deep Heat Penetration)on Meridian Status of Patients with Lumbar Disc Herniation
目的:探究透灸治疗腰椎间盘突出症的临床疗效,并分析其对患者经络状态改变的影响.方法:将60 例腰椎间盘突出症患者采用随机数字表法分为透灸组(30 例)与对照组(30 例).透灸组采用针刺加透灸治疗,对照组采取针刺加特定电磁波治疗.比较治疗前、治疗2 周及4 周后,两组患者疼痛视觉模拟评分(visual analogue scale,VAS)、日本骨科协会下腰痛评分量表(Japanese Orthopaedic Association,JOA)评分及井穴特异性反应(经脉失衡值)变化,并分析两组临床疗效.结果:治疗后,透灸组有效率为93.33%,高于对照组80.00%(P<0.05);治疗2 周及4 周后两组 VAS 评分均较治疗前降低,JOA 评分均较治疗前升高,且透灸组改善更显著(P<0.05);治疗前两组经脉失衡值比较无显著差异(P>0.05),治疗后两组经脉失衡值均降低,且透灸组改善优于对照组(P<0.05).结论:透灸治疗腰椎间盘突出症临床效果优于针刺加特定电磁波治疗,能有效改善患者症状,减轻疼痛,为腰椎间盘突出症的治疗提供了更优方案.
Objective:To explore the clinical efficacy of Toujiu(moxibustion of deep heat penetration)in treatment of lumbar disc herni-ation and to analyze its impact on changes in meridian status.Methods:Sixty-three patients with lumbar disc herniation were randomly assigned using a random number table to the Toujiu group(30 cases,2 excluded)and the control group(30 cases,1 lost to follow-up).The Toujiu group received acupuncture combined with Toujiu treatment,while the control group received acupuncture combined with specific electromagnetic wave therapy.Pain visual analogue scale(VAS),Japanese Orthopaedic Association lower back function e-valuation(JOA),and specific reaction at acupoints(meridian imbalance value)were compared between the two groups before treat-ment,at 2 weeks,and at 4 weeks after treatment.The clinical efficacy of the two groups was also analyzed.Results:After treatment,the total effective rate of the Toujiu group was93.33%,higher than80.00%in the control group(P<0.05);after2 and4 weeks of treat-ment,both groups' VAS scores decreased compared to before treatment,and JOA scores increased compared to before treatment,with more significant improvement in the Toujiu group(P<0.05);there was no significant difference in meridian imbalance values between the two groups before treatment(P>0.05);after treatment,the meridian imbalance values of both groups decreased,with the Toujiu group showing better improvement than the control group(P<0.05).Conclusion:Toujiu treatment for lumbar disc herniation is clini-cally more effective than acupuncture combined with specific electromagnetic wave therapy,can effectively improve patient symptoms and relieve pain,providing a better treatment option for lumbar disc herniation.
范一;高希言;王晓媚;褚文明;董莉;李石龙;张紫微
河南中医药大学,河南 郑州 450046河南中医药大学,河南 郑州 450046||河南中医药大学第三附属医院,河南 郑州 450008河南中医药大学,河南 郑州 450046河南中医药大学,河南 郑州 450046河南中医药大学,河南 郑州 450046河南中医药大学,河南 郑州 450046河南中医药大学,河南 郑州 450046
医药卫生
腰椎间盘突出症透灸针刺经络
lumbar disc herniationToujiu(moxibustion of deep heat penetration)acupuncturemeridian
《中医学报》 2026 (6)
1144-1149,6
河南省中医学"双一流"创建科学研究专项项目(HSRP-DFCTCM-2023-3-14)河南省中医药科学研究专项课题项目(2024ZZY2098)河南中医药大学研究生科研创新能力提升计划项目(2024KYCX081)
评论