首页|期刊导航|中国中医急症|刺络放血拔罐疗法治疗腰椎间盘突出症急性期的临床观察

刺络放血拔罐疗法治疗腰椎间盘突出症急性期的临床观察OA

Clinical Observation on Pricking Bloodletting and Cupping Therapy for Acute Lumbar Disc Herniation

中文摘要英文摘要

目的 观察刺络放血拔罐疗法治疗腰椎间盘突出症急性期的临床疗效.方法 选取84例腰椎间盘突出症急性期患者,随机分为观察组与对照组各42例.对照组采取常规西医治疗方案,观察组在对照组基础上联合使用刺络放血拔罐疗法.比较两组患者的临床疗效以及治疗前后的VAS评分、JOA评分、ODI评分、血清炎症因子水平变化.结果 观察组总有效率为92.86%,高于对照组的80.95%(P<0.05).两组治疗后VAS评分、ODI评分、JOA评分均显著改善,且观察组改善显著优于对照组(P<0.05).两组治疗后TNF-α、IL-6水平均降低,且观察组显著低于对照组(P<0.05).结论 相比于常规西医治疗,刺络放血拔罐疗法联合常规西医治疗,可明显提高腰椎间盘突出症急性期的临床疗效,疼痛缓解更为显著,并且更有利于改善患者腰椎活动功能,减轻炎症反应.

Objective:To observe the clinical efficacy of pricking bloodletting and cupping therapy in the treat-ment of acute lumbar disc herniation.Methods:A total of 84 patients with acute lumbar disc herniation admitted were selected and randomly divided into the observation group and control group,with 42 cases in each group.The control group received routine western medicine treatment,while the observation group was treated with pricking bloodletting and cupping therapy on the basis of the control group.The clinical efficacy,as well as the changes in visual analogue scale(VAS)score,Japanese Orthopaedic Association(JOA)score,Oswestry Disability Index(ODI)score and serum levels of inflammatory factors before and after treatment were compared between the two groups.Results:1)The total effective rate of the observation group was 92.86%,which was higher than 80.95%of the con-trol group(P<0.05).2)The VAS scores,ODI scores and JOA scores of both groups were significantly improved af-ter treatment,and the improvement in the observation group was significantly better than that in the control group(P<0.05).3)The levels of tumor necrosis factor-α(TNF-α)and interleukin-6(IL-6)decreased in both groups after treatment,and the levels in the observation group were significantly lower than those in the control group(P<0.05).Conclusion:Compared with routine western medicine treatment,the combined therapy of pricking bloodlet-ting and cupping therapy plus routine western medicine can significantly improve the clinical efficacy for acute lumbar disc herniation,achieve more obvious pain relief,help improve lumbar motor function and reduce inflamma-tory response.

彭邦臣;高朝阳;吴尧

四川省邛崃市中医医院,四川 邛崃 611530四川省邛崃市中医医院,四川 邛崃 611530四川省邛崃市中医医院,四川 邛崃 611530

医药卫生

腰椎间盘突出症急性期刺络放血拔罐疗法临床疗效

Lumbar disc herniationAcute stagePricking bloodletting and cupping therapyClinical efficacy

《中国中医急症》 2026 (9)

1070-1073,4

北京医学奖励基金(YXJL-2024-0350-0190)

10.3969/j.issn.1004-745X.2026.09.018

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