首页|期刊导航|中国医学创新|针灸辅助治疗气滞血瘀型腰椎间盘突出症患者的临床效果

针灸辅助治疗气滞血瘀型腰椎间盘突出症患者的临床效果OA

The Clinical Effect of Acupuncture as an Adjunctive Treatment for Patients with Lumbar Disc Herniation of Qi Stagnation and Blood Stasis Type

中文摘要英文摘要

目的:探讨针灸辅助治疗气滞血瘀型腰椎间盘突出症患者的临床效果及对血液流变学和腰腿疼痛的影响.方法:将 2023 年 1 月—2025 年 6 月在上海市长宁区天山中医医院接受治疗的 120 例气滞血瘀型腰椎间盘突出症患者采用随机数字序列法分为两组,对照组(n=60)接受常规西医治疗,研究组(n=60)在对照组基础上予以针灸治疗,两组均治疗 3 周.比较两组的临床疗效、腰腿疼痛情况、中医证候积分、血液流变学指标及不良反应.结果:研究组总有效率为 93.33%,明显高于对照组的 75.00%(P<0.05).干预后,两组 VAS 评分、中医证候积分、全血低切黏度(LBV)、血浆黏度(PV)、全血高切黏度(HBV)水平较干预前下降,且研究组低于对照组(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:针灸辅助治疗气滞血瘀型腰椎间盘突出症可显著改善患者血液流变学指标,缓解腰腿疼痛,疗效确切.

Objective:To explore the clinical effect of acupuncture as an adjuvant treatment for patients with lumbar disc herniation of Qi stagnation and blood stasis type and its influence on hemorheology and low back and leg pain.Method:From January 2023 to June 2025,a total of 120 patients with lumbar disc herniation of Qi stagnation and blood stasis type treated at Tianshan Traditional Chinese Medicine Hospital,Changning District,Shanghai,they were divided into two groups using a random number sequence.The control group(n=60)received conventional western medical treatment,while the study group(n=60)received acupuncture on the basis of the control group.Both groups were treated for 3 weeks.The clinical efficacy,low back and leg pain conditions,traditional Chinese medicine symptom scores,hemorheological indicators and adverse reaction of the two groups were compared.Result:The total effective rate of the study group was 93.33%,significantly higher than 75.00%of the control group(P<0.05).After the intervention,the VAS scores,traditional Chinese medicine syndrome scores,low-shear whole blood viscosity(LBV),plasma viscosity(PV),and high-shear whole blood viscosity(HBV)levels in both groups decreased compared with those before the intervention,and the levels in the study group were lower than those in the control group(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Acupuncture as an adjuvant treatment for lumbar disc herniation of Qi stagnation and blood stasis type can significantly improve the hemorheology indicators of patients,relive lower back and leg pain,with definite therapeutic effects.

庄军;龚政

上海市长宁区天山中医医院骨伤科 上海 200051上海市长宁区天山中医医院骨伤科 上海 200051

医药卫生

腰椎间盘突出症气滞血瘀型针灸腰腿疼痛血液流变学

Lumbar disc herniationQi stagnation and blood stasis typeAcupunctureLower back and leg painHemorheology

《中国医学创新》 2026 (24)

1-5,5

国家中医优势专科建设项目(2025YC-ZJK)上海市卫生健康委员会"十四五"中医特色专科项目(ZYTSZK1-2)

10.3969/j.issn.1674-4985.2026.24.001

评论