Observing the Efficacy of Meridian-Based Acupuncture Combined with Bloodlet-ting Therapy in Treating Patients with Blood Stasis Type Lumbar Disc Herniation
Objective To explore the clinical efficacy of meridian-based acupuncture combined with bloodlet-ting acupuncture therapy in treating patients with blood stasis type lumbar disc herniation.Methods 80 patients with lum-bar disc herniation admitted to Chengde Hospital of Traditional Chinese Medicine from October 2021 to October 2022 were selected.They were divided into a control and an observation group using the random number table method,with 40 patients in each group.The control group was treated with conventional acupuncture,while the observation group was treated with meridian-based acupuncture combined with bloodletting acupuncture therapy.The treatment lasted for four weeks.The clinical efficacy,adverse reactions,traditional Chinese medicine(TCM)syndrome scores,Japanese Orthopedic Association(JOA)scores,visual analog scale(VAS)scores,Oswestry disability index(ODI)scores,and serum inflammatory factor lev-els[interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),interleukin-1β(IL-1β),C-reactive protein(CRP)]were observed and compared before and after treatment.Results After treatment,the scores of lower back and leg pain,acu-puncture,lower limb radiating pain,limited lumbar activity,heaviness in the lower back and knees,and lower limb numbness in both groups were significantly reduced compared to before treatment,with a statistically significant difference(P＜0.05);the TCM syndrome scores in the observation group were significantly lower than those in the control group,with a statistically significant difference(P＜0.05).The JOA scores in both groups increased significantly after treatment,while the VAS and ODI scores decreased significantly compared to before treatment,with a statistically significant difference(P＜0.05);the JOA scores in the observation group were significantly higher than those in the control group,and the VAS and ODI scores were significantly lower,with a statistically significant difference(P＜0.05).After treatment,the levels of IL-6,TNF-α,IL-1β,and CRP in both groups decreased significantly compared to before treatment,with a statistically sig-nificant difference(P＜0.05);the serum inflammatory factor levels in the observation group were significantly lower than those in the control group,with a statistically significant difference(P＜0.05).The total effective rate in the observation group(92.50％,37/40)was significantly higher than that in the control group(75.00％,30/40),with a statistically signif-icant difference(P＜0.05).During the treatment,there were no occurrences of acupuncture and bloodletting-related ad-verse events such as needle dizziness,needle breakage,needle retention,subcutaneous hematoma,or infection in either group.Conclusion Meridian-based acupuncture combined with bloodletting acupuncture therapy is highly effective in treating lumbar disc herniation(blood stasis type).It can inhibit inflammatory reactions,alleviate lower back and leg pain,and promote the recovery of lumbar function.
Lumbar Disc HerniationBlood Stasis SyndromeMeridian-Based AcupunctureBloodletting Acu-punctureSerum Inflammatory FactorsLumbar Function
万方数据
维普
