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竹圈盐灸联合刮痧疗法在腰椎间盘突出症患者中的应用OA

Application of Bamboo-circled Salt-partitioned Moxibustion Combined with Scraping Therapy in Pa-tients with Lumbar Intervertebral Disc Protrusion

中文摘要英文摘要

目的 探讨竹圈盐灸联合刮痧疗法在腰椎间盘突出症患者中的应用效果,为临床推广应用该综合疗法提供循证医学依据.方法 2024年1-12月,采用方便抽样的方法选取赣州市中医院收治的160例腰椎间盘突出症患者作为研究对象.按随机数字法将其分为对照组、刮痧组、竹圈盐灸组、联合组,每组各40例.对照组接受常规康复训练;刮痧组、竹圈盐灸组及联合组均在对照组基础上分别加用刮痧疗法、竹圈盐灸疗法及二者联合治疗.在干预前及干预2周后,分别采用中医证候积分、日本骨科协会(JOA)评分、奥斯韦斯特里功能障碍指数(ODI)、疼痛视觉模拟评分(VAS)、汉密尔顿焦虑量表(HA-MA)及汉密尔顿抑郁量表(HAMD)评估患者的中医证候严重程度、腰椎功能、疼痛程度及负性情绪;同时,检测并比较4组患者的血清炎症指标,包括白细胞介素-6(IL-6)和C-反应蛋白(CRP)水平.结果 干预后,4组患者中医证候积分,IL-6、CRP水平和VAS、HAMD、HAMA、ODI得分均降低,JOA评分提高,且联合组优于其他3组,差异均有统计学意义(P<0.05).结论 竹圈盐灸联合刮痧疗法能帮助腰椎间盘突出症患者有效降低血清炎症指标水平、缓解疼痛、促进腰椎功能恢复及改善负性情绪,值得临床推广.

Objective To investigate the effectiveness of bamboo-circle salt moxibustion combined with gua-sha therapy in patients with lumbar disc herniation and to provide evidence-based support for the clinical promotion of this integrated therapy.Methods From January to December 2024,160 LDH patients admitted to Ganzhou Hospital of Traditional Chinese Medicine were selected via convenience sampling and randomly divided into four groups(n=40 each)using a random number table:a control group,a Gua Sha group,a Bamboo Cupping Salt Moxibustion group,and a combination group.The control group received routine rehabilitation training;the scraping group,bamboo ring salt moxibustion group,and combination group received additional interventions based on the control group,namely scraping therapy,bamboo ring salt moxibustion therapy,and the combination of both,respectively.Before the intervention and after 2 weeks of intervention,assessments were conducted using the TCM Syndrome Score,Japanese Orthopaedic Association(JOA)Score,Oswestry Disability Index(ODI),Visual Analogue Scale(VAS)for pain,Hamilton Anxiety Rating Scale(HAMA),and Hamilton Depression Rating Scale(HAMD)to evaluate lumbar function,pain level,and negative emotions.Simultaneously,serum inflammatory markers,including Interleukin-6(IL-6)and C-reactive protein(CRP)levels,were measured and compared among the four groups.Results After the intervention,the TCM syndrome scores,IL-6 and CRP levels,and VAS,HAMD,HAMA,and ODI scores decreased in all four groups,while the JOA scores increased.The improvement in the combination group was superior to that in the other three groups,and all these differences were statistically significant(all P<0.05).Conclusion Bamboo Cupping Salt Moxibustion combined with Gua Sha therapy effectively reduces serum inflammatory marker levels,alleviates pain,promotes the recovery of lumbar function,and significantly improves negative emotions such as anxiety and depression caused by pain in patients with LDH.This combined therapy is worthy of clinical promotion.

李冬春;吴均焱;阳作瑞

赣州市中医院,江西 赣州 341000赣州市中医院,江西 赣州 341000赣州市中医院,江西 赣州 341000

医药卫生

竹圈盐灸刮痧疗法腰椎间盘突出症疼痛腰椎功能负性情绪

bamboo circle salt moxibustionScraping therapyLumbar disc herniationPainLumbar spine functionnegative emotions

《上海护理》 2026 (6)

19-23,5

江西省中医药管理局科技计划项目(2023B1122).

10.3969/j.issn.1009-8399.2026.06.004

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