平衡火罐联合针刺法治疗气滞血瘀型腰椎间盘突出症的临床研究

江婉明 杨帆 邓眉敏 赵丹

【摘要】目的： 研究平衡火罐聯合针刺法治疗气滞血瘀型腰椎间盘突出症的临床效果。方法：选取2019年6月至2020年10月来院就诊的气滞血瘀型腰椎间盘突出症患者60例，随机分为对照组和实验组，对照组予普通火罐加针刺治疗，实验组予平衡火罐联合针刺治疗，干预2周，随访4周。比较了两组患者视觉模拟评分 （visual analogue scale/score， VAS）、下腰评定量表得分（Japanese Orthopaedic Association Scores， JOA）以及临床治疗效果。结果：治疗后，实验组JOA评分为（8.42±2.23），对照组得分为（10.93±2.15），差异有统计学意义（P<0.05）。实验组VAS评分为（2.06±0.87），对照组VAS评分为（3.23±0.89），差异有统计学意义（P<0.05）。实验组显效率为36.67%，有效率为63.33%，对照组显效率为86.67%，有效率为10%，差异有统计学意义（P<0.05）。结论：平衡火罐联合针刺法治疗气滞血瘀型腰椎间盘突出症临床效果明确，疼痛明显缓解，可用于临床上推广。

【关键词】气滞血瘀；腰椎间盘突出；平衡火罐；针刺

[中图分类号]R246.9 [文献标识码]A [文章编号]2096-5249（2021）05-0030-03

Effect of Balanced Cupping and Acupuncture on Lumbar disc herniation with qi stagnation and blood stasis.

JIANG Wan-ming， YANG Fan， DENG Mei-min， ZHAO Dan （Guangzhou Hospital of Integrated Traditional Chinese and Western Medicine， Guangzhou Guangdong 510880， China）

[Abstract] Objective： Effect of Balanced Cupping and Acupuncture on Lumbar disc herniation with qi stagnation and blood stasis. Methods： Sixty patients with qi stagnation and blood stasis type lumbar disc herniation who came to the hospital from June 2019 to October 2020 were selected and randomly divided into control group and experimental group. The control group was treated with ordinary cupping and acupuncture， and the experimental group was treated with acupuncture. Balanced cupping combined with acupuncture treatment， intervention for 2 weeks， follow-up for 4 weeks. The visual analogue scale/score （VAS）， Japanese Orthopaedic Association Scores （JOA） and clinical treatment effects were compared between the two groups. Results： After treatment， the JOA score of the experimental group was （8.42±2.23）， and the score of the control group was （10.93±2.15）， the difference was statistically significant （P<0.05）. The VAS score of the experimental group was （2.06±0.87）， and the VAS score of the control group was （3.23±0.89）， the difference was statistically significant （P<0.05）. The effective rate in the experimental group was 36.67%， and the effective rate was 63.33%， and the effective rate in the control group was 86.67%， and the effective rate was 10%. The difference was statistically significant （P<0.05）. Conclusion： Balanced cupping combined with acupuncture has a clear clinical effect in the treatment of qi stagnation and blood stasis type lumbar intervertebral disc herniation， with obvious pain relief， and can be used for clinical promotion.

[Key words] Qi stagnation and blood stasis； Lumbar disc herniation； Balance cupping； Acupuncture

腰椎间盘突出症是腰椎间盘的退行性改变，神经受压而出现的系列综合症状，主要表现为麻木、腰痛和下肢放射痛等。调查显示我国成年人腰椎间盘突出发病率为1%～5%[1]，有难治愈、高复发的特点，患者的身心健康及生活质量受到较大影响，因而此病防治尤为重要。腰椎间盘突出症属于中医学痹症、腰腿痛、腰痛范畴， 以气滞血瘀型常见。有研究表明平衡火罐能够减轻腰椎间盘突出症疼痛程度，提高生活质量[2]。但目前，将针刺与平衡火罐联用治疗腰椎间盘突出症的研究还没有，两者结合治疗腰椎间盘突出症效果是否会更显著，有待研究。……