[1]冯亚娣,张世民△,时福东,等.针刺联合脊柱推拿治疗腰椎间盘突出症的临床研究[J].中国中医骨伤科杂志,2025,33(10):45-49.[doi:10.20085/j.cnki.issn1005-0205.251009]
　FENG Yadi,ZHANG Shimin,SHI Fudong,et al.The Clinical Study for Acupuncture Combined with Spinal Manipulation in Treating Lumbar Disc Herniation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(10):45-49.[doi:10.20085/j.cnki.issn1005-0205.251009]
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针刺联合脊柱推拿治疗腰椎间盘突出症的临床研究()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年10期
页码:
45-49
栏目:
临床研究
出版日期:
2025-10-15

文章信息/Info

Title:
The Clinical Study for Acupuncture Combined with Spinal Manipulation in Treating Lumbar Disc Herniation
文章编号:
1005-0205(2025)10-0045-05
作者:
冯亚娣1; 张世民1△; 时福东1; 王国军1; 陈春1; 靳蛟1; 林海1
1中国中医科学院望京医院(北京,100020)
Author(s):
FENG Yadi1; ZHANG Shimin1△; SHI Fudong1; WANG Guojun1; CHEN Chun1; JIN Jiao1; LIN Hai1
1Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100020,China.
关键词:
腰椎间盘突出症;  腰痛;  针刺;  脊柱推拿
Keywords:
lumbar disc herniation;  low back pain;  acupuncture;  spinal manipulation
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.251009
文献标志码:
A
摘要:
目的:观察针刺联合脊柱推拿治疗腰椎间盘突出症的临床疗效。方法:选取2022年6月至2024年6月收治的102例腰椎间盘突出症患者,按随机数字表法均分为观察组和对照组,各51例。观察组予针刺联合脊柱推拿治疗,对照组予针刺治疗,治疗3周。观察对比治疗前、治疗后1周、3周及3个月两组患者情况,采用疼痛视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)评分、日本骨科协会(JOA)评分评估患者情况,用疗效评价标准评价治疗后3个月随访时的临床疗效。记录比较治疗前及治疗后3周的突出物面积,并记录药物的不良反应。结果:治疗后1周、3周及3个月与治疗前比较,两组患者VAS评分和ODI评分均降低,JOA评分、SF-36评分均升高,且观察组患者评分改善优于对照组,差异有统计学意义(P<0.05)。观察组患者治疗后突出物面积与治疗前相比显著下降,差异有统计学意义(P<0.05)。观察组患者临床疗效评定总有效率为98.0%(50/51),对照组患者临床疗效评定总有效率为94.1%(48/51),观察组患者总有效率高于对照组,差异有统计学意义(P<0.05)。治疗过程中两组患者均未见明显不良反应。结论:针刺联合脊柱推拿治疗能够明显缓解腰椎间盘突出症的疼痛症状,且能够改善突出物大小,未发生明显不良反应,可在临床推广应用。
Abstract:
Objective:To observe the clinical efficacy of acupuncture combined with spinal manipulation in the treatment of lumbar disc herniation.Methods:A total of 102 patients with lumbar disc herniation treated from June 2022 to June 2024 were selected and randomly divided into two groups,the observation group and the control group,with 51 patients in each group.The observation group received acupuncture combined with spinal manipulation,while the control group received only acupuncture.The treatment lasted for 3 weeks.The patients were assessed before treatment,after 1 week,3 weeks,and 3 months post-treatment using the visual analogue scale(VAS),Oswestry disability index(ODI),and the Japanese orthopaedic association(JOA)scores.The clinical efficacy at the 3-month follow-up was evaluated using the efficacy evaluation criteria.The area of the herniated disc was recorded and compared before treatment and at 3 weeks of treatment.Adverse drug reactions were also recorded.Results:Compared with pre-treatment,both groups showed reduced VAS and ODI scores,and increased JOA and SF-36 scores after 1 week,3 weeks,and 3 months of treatment,with the observation group showing better improvements(P<0.05).The area of the herniated disc in the observation group significantly decreased after treatment(P<0.05).The total effective rate of the clinical efficacy evaluation was 98.0%(50/51)in the observation group and 94.1%(48/51)in the control group,with the observation group showing a higher total effective rate(P<0.05).No significant adverse reactions were observed in either group during the treatment process.Conclusion:Acupuncture combined with spinal manipulation can effectively alleviate pain symptoms associated with lumbar disc herniation and significantly reduce the area of the herniated disc.No significant adverse reactions occurred,making this treatment suitable for widespread clinical use.

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(收稿日期:2025-05-01)

备注/Memo

备注/Memo:
基金项目:中国中医科学院科技创新工程重大攻关项目(CI2021A02006)
中国中医科学院望京医院高水平中医医院建设项目
“名老医药专家学术经验传承”项目(WJCC-202322)
△通信作者 E-mail:Smzhang1117@163.com
更新日期/Last Update: 2025-10-10