[1]谢艳艳,张峻峰,汪听亚,等.热补针治疗腰椎间盘突出症临床研究[J].陕西中医,2026,(8):1113-1118.[doi:DOI:10.3969/j.issn.1000-7369.2026.08.019]
　XIE Yanyan,ZHANG Junfeng,WANG Tingya,et al.Clinical study on treatment of lumbar intervertebral disc herniation with heat patch therapy[J].,2026,(8):1113-1118.[doi:DOI:10.3969/j.issn.1000-7369.2026.08.019]
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热补针治疗腰椎间盘突出症临床研究

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2026年8期
页码:
1113-1118
栏目:
针灸经络
出版日期:
2026-08-05

文章信息/Info

Title:
Clinical study on treatment of lumbar intervertebral disc herniation with heat patch therapy
作者:
谢艳艳; 张峻峰; 汪听亚; 吴耀持
（上海市第六人民医院，上海 201306）
Author(s):
XIE Yanyan; ZHANG Junfeng; WANG Tingya; WU Yaochi
(Shanghai Sixth People’s Hospital,Shanghai 201306,China)
关键词:
腰椎间盘突出症; 针取痹; 热补针; 疗效; 腰椎活动度; 炎症因子
Keywords:
Lumbar disc herniation; Zhenqu Bi; Rebu Zhen; Therapeutic effect; Lumbar range of motion; Inflammatory factor
分类号:
R 681.5
DOI:
DOI:10.3969/j.issn.1000-7369.2026.08.019
文献标志码:
A
摘要:
目的：基于“针取痹”探讨热补针治疗腰椎间盘突出症临床疗效及对腰椎活动度的影响。方法：100例腰椎间盘突出症患者，随机分为常规治疗组、热补针治疗组，各50例。常规治疗组口服塞来昔布200 mg/次，1次/d，连续4周。热补针治疗组在此基础上联合热补针治疗，1次/d，10次为1疗程，疗程间隔3 d，共治疗2个疗程。分别于治疗前后采用疼痛视觉模拟评分（VAS）、Oswestry功能障碍指数（ODI）、腰痛评估问卷（JOA）评估疼痛、功能障碍及主观症状，测量腰椎前屈、后伸活动度，量化中医证候积分，酶联免疫吸附法（ELISA）检测肿瘤坏死因子-α（TNF-α）、Ｃ反应蛋白（CRP）与白细胞介素-6（IL-6）。结果：治疗前两组各项评分、中医证候积分、腰椎活动度及血清炎症因子水平比较，差异无统计学意义（P＞0.05）。治疗后，与常规治疗组比较，热补针治疗组VAS(4.17±0.54)分、ODI(27.49±3.70)分，中医证候积分均降低，JOA(16.59±2.20)分则升高（P＜0.05）。治疗后，与常规治疗组比较，热补针治疗组前屈(64.80±6.31)°、后伸(22.57±4.12)°腰椎活动度均增加（P＜0.05）。治疗后，与常规治疗组比较，热补针治疗组TNF-α(2.87±0.44)ng/ml、CRP(25.49±3.76)pg/ml、IL-6(12.43±2.26)ng/ml水平均降低（P＜0.05）。热补针治疗组治疗总有效率90.00%，高于常规治疗组总有效率的70.00%，差异有统计学意义（P＜0.05）。结论：热补针疗法能有效缓解腰椎间盘突出症患者疼痛症状，改善活动功能。
Abstract:
Objective:Clinical efficacy of heat-enhanced needling therapy for lumbar disc herniation based on the theory of Zhenqu Bi and its impact on lumbar spine mobility.Methods:One hundred patients with lumbar disc herniation were randomly divided into conventional treatment group and heat-enhanced needling therapy group,each comprising 50 cases.The conventional treatment group received oral celecoxib at 200 mg per dose,once daily for four consecutive weeks.The heat-enhanced needling group received the same medication plus heat-enhanced needling therapy once daily,with ten sessions constituting one course of treatment,followed by a three-day interval before starting the next course.Two courses were administered in total.Before and after treatment,pain levels,functional impairment,and subjective symptoms were assessed using the visual analog scale (VAS),the oswestry disability index (ODI),and the Japanese Orthopaedic Association questionnaire (JOA).Lumbar spine flexion and extension range of motion was measured,traditional Chinese medicine syndrome scores were quantified,and serum inflammatory markers—tumor necrosis factor-alpha (TNF-α),C-reactive protein (CRP),and interleukin-6 (IL-6) were detected via enzyme-linked immunosorbent assay (ELISA).Results:There were no statistically significant differences between the two groups regarding baseline scores,TCM syndrome scores,lumbar mobility,or serum inflammatory marker levels (P＞0.05).After treatment,compared to the conventional group,the heat-enhanced needling group showed significantly lower VAS scores (4.17±0.54),ODI scores (27.49±3.70),and TCM syndrome scores,while JOA scores increased (16.59±2.20) (P＜0.05).Post-treatment,the heat-enhanced needling group demonstrated greater improvement in lumbar flexion (64.80±6.31)° and extension (22.57±4.12)° range of motion compared to the conventional group (P＜0.05).Serum levels of TNF-α (2.87±0.44)ng/ml,CRP (25.49±3.76)pg/ml,and IL-6 (12.43±2.26)ng/ml were also significantly reduced in the heat-enhanced needling group (P＜0.05).The overall effective rate in the heat-enhanced needling group was 90.00%,significantly higher than the 70.00% in the conventional group (P＜0.05).Conclusion:Heat-enhanced needling therapy based on the theory of Zhenqu Bi effectively alleviates pain and improves functional mobility in patients with lumbar disc herniation.

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备注/Memo

备注/Memo:
上海市卫生健康委员会&上海市中医药管理局资助项目[ZY〔2025-2027〕-3-2-1-12];上海市中医药学会中青年医师海派中医传承研究项目(2026-HPZY-19);上海市名老中医学术经验研究工作室建设项目（SHGZS-202219）
更新日期/Last Update: 2026-08-13