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温针灸治疗腰椎间盘突出症对患者疗效、炎症因子的影响

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目的 分析温针灸中医治疗方式对腰椎间盘突出症患者的疗效以及炎症因子的改善效果。方法 选取2023年1月-2023年12月我院收治的72例腰椎间盘突出症患者为研究对象,将其均分为对照组、观察组,其中对照组实施常规治疗措施,观察组在此基础上实施温针灸中医治疗措施,对比两组患者治疗前后疼痛程度、腰椎功能、中医证候以及炎症因子的变化情况。结果 疼痛评分方面,治疗后,两组VAS、感觉PRI、情感PRI评分均低于治疗前(P<0。05),且观察组均低于对照组(P<0。05);腰椎功能方面,治疗后,两组ODI评分均降低(P<0。05)、JOA评分均增加(P<0。05),组间对比,显示观察组ODI评分低于对照组(P<0。05)且JOA评分高于对照组(P<0。05);炎症因子水平方面,治疗后,两组IL-1β、IL-6以及TNF-α水平均降低(P<0。05),组间对比,显示观察组3项炎症因子水平均低于对照组(P<0。05);中医证候积分方面,治疗后组内比较,疼痛、腰膝酸软、畏寒肢冷、活动不利等4项中医证候积分均低于治疗前(P<0。05),且治疗后观察组4项中医证候积分均低于对照组(P<0。05)。结论 针对腰椎间盘患者实施温针灸中医治疗措施,能够有效缓解腰部疼痛症状,降低炎症因子水平,提升治疗效果。
Effect of warming acupuncture and moxibustion on curative effect and inflammatory factors of patients with lumbar disc herniation
Objective To analyze and study the curative effect of warming acupuncture and moxibustion and traditional Chinese medicine treatment on patients with lumbar disc herniation and the improvement effect of inflammatory factors.Methods This study selected 72 patients with lumbar disc herniation admitted to PKUCare CNOOC Hospital from January 2023 to December 2023 as the research subjects,and divided them into two groups:control group and observation group.The control group implemented routine treatment measures,and the observation group implemented warm acupuncture and moxibustion and Chinese medicine treatment measures on this basis.The changes of pain degree,lumbar function,Chinese medicine symptoms and inflammatory factors of the two groups before and after treatment were compared.Results In terms of pain score comparison,compared with before treatment,both groups showed a significant decrease in VAS,sensory PRI,and emotional PRI scores after implementing treatment measures(P<0.05),and in the inter group comparison,the observation group had a lower score than the control group(P<0.05);in terms of lumbar spine function comparison,after treatment,both groups showed a decrease in ODI scores(P<0.05)and an increase in JOA scores(P<0.05),inter group comparison showed that compared with the control group,the observation group had higher ODI scores(P<0.05)and lower JOA scores(P<0.05);in terms of comparison of inflammatory factor levels,after treatment,the levels of IL-1β,IL-6,and TNF-α in both groups decreased(P<0.05),inter group comparison showed that compared to the control group,the observation group had lower levels of three inflammatory factors(P<0.05);in terms of the comparison of TCM symptom scores,after treatment,the scores of pain,waist and knee tenderness,chilly limbs,and poor mobility were lower than those before treatment(P<0.05),after treatment,compared to the control group,the observation group has lower TCM syndrome scores(P<0.05).Conclusion The implementation of warm acupuncture and moxibustion and moxibustion for patients with lumbar intervertebral disc can effectively alleviate the symptoms of lumbar pain,reduce the level of inflammatory factors,and improve the treatment effect.

Warming acupuncture and moxibustionTraditional Chinese Medicine SymptomsInflammatory factorsLumbar disc herniationLumbar spine function

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北大医疗海洋石油医院,天津 300450

温针灸 中医证候 炎症因子 腰椎间盘突出症 腰椎功能

2025

首都食品与医药
《首都医药》杂志社

首都食品与医药

影响因子:0.389
ISSN:1005-8257
年,卷(期):2025.32(2)