航空航天医学杂志2025,Vol.36Issue(1) :9-12.

毫火针联合中药封包对腰椎间盘突出症患者腰椎功能及血清炎症指标的影响

The effect of microfire acupuncture combined with Chinese medicinesealing on lumbar function and ser-um inflammatory index in patients with lumbar disc herniation

彭晓东 刘源 孙彦鹏 裴冬阳
航空航天医学杂志2025,Vol.36Issue(1) :9-12.

毫火针联合中药封包对腰椎间盘突出症患者腰椎功能及血清炎症指标的影响

The effect of microfire acupuncture combined with Chinese medicinesealing on lumbar function and ser-um inflammatory index in patients with lumbar disc herniation

彭晓东 1刘源 1孙彦鹏 1裴冬阳1
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作者信息

  • 1. 河南省洛阳正骨医院(河南省骨科医院)脊柱外科,河南 郑州 450000
  • 折叠

摘要

目的 探究毫火针联合中药封包对腰椎间盘突出症(LDH)患者腰椎功能及血清炎症指标的影响.方法 选取2022 年 05 月~2024 年 01 月于河南省洛阳正骨医院收治的LDH患者152 例,随机分为联合组和中药封包组,各76 例,联合组予以毫火针联合中药封包干预,中药封包组仅采用中药封包干预.比较两组患者疗效、中医证候积分、腰椎功能[Oswestry 功能障碍指数(ODI)量表、腰椎功能障碍问卷(RDQ)和日本骨科协会(JOA)腰痛评估问卷]、血清炎症指标[C反应蛋白(CRP)和白细胞介素1β(IL-1β)和白细胞介素-6(IL-6)]及耐受性.结果 联合组疗效总有效性高于中药封包组(P<0.05).干预后,联合组主症腰脊疼痛、俯仰不利及次症瘀斑、舌质暗紫中医证候积分均低于中药封包组(P<0.05).干预后,联合组ODI、RDQ得分均低于中药封包组(P<0.05),JOA得分高于中药封包组(P<0.05).干预后,联合组血清中CRP、IL-1β和IL-6 水平均低于中药封包组(P<0.05).两组均无明显不适症状,耐受性较强.结论 毫火针联合中药封包治疗LDH疗效明显,能有效改善腰椎功能和血清炎症.

Abstract

Objective To explore the effect of the acupuncture on lumbar function and serum inflammation in patients with lumbar disc herniation(LDH).Methods 152 LDH patients admitted to Luoyang Bone-setting Hospital in Henan Province from May 2022 to January 2024 were randomly divided into combined group and TCM sealing group,including 76 cases each.Efficacy,TCM syndrome score,lumbar function[Oswestry dysfunction index(ODI)scale,lumbar spine dysfunction questionnaire(RDQ)and Japanese Orthopaedic Association(JOA)low back pain assessment questionnaire],serum inflammatory index[C reactive protein(CRP)and interleukin 1 β(IL-1 β)and interleukin-6(IL-6)]and tolerability.Results The total efficacy of the combined group was higher than that of the TCM group(P<0.05).After the intervention,the score of lumbar spinal pain,pitching and the combined group were lower than that of the combined group(P<0.05).After intervention,the ODI and RDQ scores of the combined group were lower than the TCM group(P<0.05),and the JOA scores was higher than the TCM group(P<0.05).After the intervention,the serum levels of CRP,IL-1 β and IL-6 in the combined group were lower than in the TCM sealing group(P<0.05).Neither group showed obvious symptoms of discomfort and were well tolerated.Conclusions LDH combined with Chinese medicine can effectively improve lumbar function and serum inflammation.

关键词

毫火针/中药封包/腰椎间盘突出症/腰椎功能/血清炎症/中医证候积分

Key words

fire needle/Chinese medicine seal/lumbar disc herniation/lumbar function/serum inflammation/TCM syndrome integral

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出版年

2025
航空航天医学杂志
中航工业哈尔滨二四二医院

航空航天医学杂志

影响因子:0.69
ISSN:2095-1434
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