摘要
目的 分析温针灸联合雷火灸治疗盘源性腰痛(DLBP)的临床疗效及对炎性因子的影响。方法 回顾性选取2021年10月-2023年3月青海省中医院收治的DLBP患者78例,将其分为单一针灸组和联合雷火灸组,各39例。单一针灸组给予温针灸治疗,联合雷火灸组在单一针灸组的基础上加用雷火灸治疗。观察2组干预前后的视觉疼痛模拟评分表(VAS)、腰痛功能评价表(JOA)得分、炎症因子[肿瘤坏死因子-α(TNF-α)、白细胞介素(IL)-10、IL-6]水平,评价2组的疗效及不良反应情况。结果 干预后,联合雷火灸组VAS得分低于单一针灸组,JOA得分高于单一针灸组(P<0.05);干预2周、4周后,联合雷火灸组Oswestry功能障碍指数(ODI)得分低于单一针灸组(P<0.05);干预后,联合雷火灸组TNF-α、C-反应蛋白(CRP)、IL-6水平低于单一针灸组(P<0.05);单一针灸组的不良反应总发生率为12.82%,联合雷火灸组不良反应总发生率为10.26%,2组比较差异无统计学意义(P>0.05);与单一针灸组相比,联合雷火灸组家属满意率较高(P<0.05);单一针灸组治疗总有效率低于联合雷火灸组(P<0.05)。结论 温针灸联合雷火灸治疗DLBP可改善患者症状及功能障碍,缓解疼痛,降低炎症水平。
Objective To analyze the clinical efficacy of warming needle moxibustion combined with thunder-fire moxibustion in treating discogenic low back pain(DLBP)and the influence on inflammatory factors.Methods A total of 78 DLBP patients admitted to Qinghai Provincial Hospital of Traditional Chinese Medicine from October 2021 to March 2023 were retrospectively selected and divided into the single acupuncture and moxibustion group and the combined thunder-fire moxibustion group,with 39 cases in each group.The single acupuncture and moxibustion group received warming needle moxibustion,and the combined thunder-fire moxibustion group received additional thunder-fire moxibustion on the basis of the treatment of the single acupuncture and moxibustion group.Visual Analogue Scale(VAS)score,Japanese Orthopaedic Association Score for Low Back Pain(JOA)score,and levels of inflammatory factors[tumor necrosis factor-α(TNF-a),interleukin(IL)-10,IL-6]in both groups were observed before and after intervention,and the efficacy and adverse reactions were evaluated in two groups.Results After intervention,VAS score in the combined thunder-fire moxibustion group was lower than that in the single acupuncture and moxibustion group,and JOA score was higher than that in the single acupuncture and moxibustion group(P<0.05).After 2 weeks and 4 weeks of intervention,Oswestry Disability Index(ODI)in the combined thunder-fire moxibustion group was lower than that in the single acupuncture and moxibustion group(P<0.05).After the intervention,the levels of TNF-α,IL-10 and IL-6 in the combined thunder-fire moxibustion group were lower than those in the single acupuncture and moxibustion group(P<0.05).The total incidence of adverse reactions was 12.82%in the single acupuncture and moxibustion group,while that in the combined thunder-fire moxibustion group was 10.26%,and there was no statistically significant difference between two groups(P>0.05).Compared with the single acupuncture and moxibustion group,the satisfaction rate of family members was higher in the combined thunder-fire moxibustion group(P<0.05).The total effective rate in the single acupuncture and moxibustion group was lower than that in the combined thunder-fire moxibustion group(P<0.05).Conclusion Warming needle moxibustion combined with thunder-fre moxibustion can improve the symptoms and dysfunction,relieve the pain,and reduce the inflammation levels in patients with DLBP.
作者
王娜
吕大治
WANG Na;LYU Dazhi(Department ofAcupuncture,Qinghai Provincial Hospital of Traditional Chinese Medicine,Xining 810000,China;Department of Rehabilitation,Qinghai Provincial Hospital of Traditional Chinese Medicine,Xining 810000,China)
出处
《长春中医药大学学报》
2025年第11期1250-1254,共5页
Journal of Changchun University of Chinese Medicine
基金
2022年青海省中藏医药科研创新项目(J2022002)。
关键词
盘源性腰痛
温针灸
雷火灸
功能障碍
discogenic lower back pain
warming needle moxibustion
thunder-fre moxibustion
dysfunction
