首页|内热针配合肌筋膜触发点刺络拔罐治疗腰椎间盘突出症的临床研究

内热针配合肌筋膜触发点刺络拔罐治疗腰椎间盘突出症的临床研究

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目的:探讨内热针配合肌筋膜触发点(MTrPs)刺络拔罐治疗腰椎间盘突出症(LDH)的疗效.方法:将60例LDH患者按照数表法随机分为参照组与研究组,每组各30例.参照组予以普通针刺配合MTrPs刺络拔罐治疗,研究组予以内热针配合MTrPs刺络拔罐治疗,两组均持续治疗20 d.比较两组治疗后临床疗效,包括治疗前、治疗5 d、治疗10 d、治疗20 d中医症候积分(腰膝酸软、下肢乏力和腰腿发凉)、腰腿疼痛程度[视觉模拟评分法(VAS)]和腰椎功能[日本骨科学会评分(JOA)].结果:治疗后,研究组临床总有效率高于参照组(P<0.05);治疗后各时间点两组中医症候积分、VAS评分均低于治疗前,且研究组低于同期参照组(P<0.05);治疗后各时间点两组JOA评分均高于治疗前,且研究组高于同期参照组(P<0.05).结论:内热针配合MTrPs刺络拔罐治疗LDH临床疗效显著,能有效改善患者临床症状,减轻疼痛程度,促进腰椎功能恢复.
Clinical Study of Internal Heat Needling Combined with Pricking Blood and Cupping on Myofascial Trigger Points in Treatment of LDH
Objective:To explore the clinical effect of internal heat needling combined with pricking blood and cupping on myofascial trigger points(MTrPs)in treatment of lumbar disc herniation(LDH).Methods:60 patients with LDH were randomly divided into the control group and the study group,with 30 patients in each group.The control group was treated with conventional acupuncture combined with MTrPs pricking blood and cupping;whereas the study group was treated with internal heat needling combined with MTrPs pricking blood and cupping.Both groups received continuous treatment for 20 days.Clinical efficacy was compared between the two groups after the treatment.TCM symptoms scores(lumbosacral pain,lower limb weakness,lumbar and leg coldness),visual analogue scale(VAS)score for lumbosacral pain,and lumbar spine function(JOA score)were compared between the two groups before the treatment,after 5 d,10 d and 20 d of the treatment.Results:The total effective rate in the study group was higher than that in the control group(P<0.05).The scores of TCM symptoms and VAS were lower after the treatment than those before the treatment in the two groups,and the scores in the study group were lower than those in the control group at the same point of time(P<0.05).The score of JOA was higher after the treatment than that before the treatment in the two groups,and the score was higher in the study group than that in the control group at the same point of time(P<0.05).Conclusion:Internal heat needling combined with MTrPs pricking blood and cupping has a significant clinical efficacy in treatment of LDH,it can effectively improve clinical symptoms,reduce pain intensity,and promote recovery of lumbar spine function.

Lumbar disc herniationInternal heat needlingMyofascial trigger pointPricking blood and cupping

齐好雯、高丽华、陈建华、齐月雯

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承德市中医院,河北承德 067000

承德医学院附属医院,河北承德 067000

腰椎间盘突出症 内热针 肌筋膜触发点 刺络拔罐

河北省中医药局科研项目

2022282

2024

针灸临床杂志
中华中医药学会 黑龙江中医药大学 中国针灸学会临床分会

针灸临床杂志

CSTPCD
影响因子:1.242
ISSN:1005-0779
年,卷(期):2024.40(3)
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