脐灸联合脏腑推拿在椎间盘源性腰痛中的应用

文章信息/Info

• Title:脐灸联合脏腑推拿在椎间盘源性腰痛中的应用

• 卷期:2024年22卷16期

• 作者:郭翠华  李冬春  杨娟

• 赣州市中医院康复科   江西赣州  341000

• Author(s):Guo Cuihua  Li Dongchun  Yang Juan

• Department of Rehabilitation, Ganzhou Hospital of Traditional Chinese Medicine, Ganzhou 341000, China

• 关键词椎间盘源性腰痛；脐灸；脏腑推拿；腰痛程度；腰部功能障碍；炎症因子

• Keywords: discogenic low back pain; Umbilical moxibustion; Viscera massage; Degree of low back pain; Lumbar dysfunction; Inflammatory factor

• 摘要:目的：探讨脐灸联合脏腑推拿在椎间盘源性腰痛患者中的应用效果。方法：选取赣州市中医院2021年10月至2022年10月收治的椎间盘源性腰痛患者为研究对象，采取随机数字表法将患者分为对照组与观察组各40例。对照组患者采用腰腹肌功能训练联合常规手法治疗，观察组患者给予脐灸联合脏腑推拿治疗。结果：观察组患者治疗2周、4周、6周的VAS评分与ODI评分均低于对照组，治疗6周的CRP、IL-6、TNF-α水平均低于对照组，临床有效率高于对照组，差异有统计学意义（P<0.05）。结论：针对椎间盘源性腰痛患者采用脐灸联合脏腑推拿能够有效缓解其腰痛症状，改善腰部功能障碍，促进炎症因子水平下调，具备确切临床应用价值。                                                                                                                                                                                

• Abstract To investigate the application effect of umbilical moxibustion combined with viscera massage in patients with disc-induced low back pain. Methods: Patients with discborne low back pain admitted to Ganzhou Hospital of Traditional Chinese Medicine from October 2021 to October 2022 were selected as the study objects. The patients were divided into control group and observation group with 40 cases in each group by random number table method. The control group was treated with lumbar and abdominal muscle function training combined with conventional manipulation, and the observation group was treated with umbilical moxibustion combined with viscera massage. Results: VAS score and ODI score of observation group were lower than control group after 2 weeks, 4 weeks and 6 weeks of treatment; CRP, IL-6 and TNF-α levels were lower than control group after 6 weeks of treatment; clinical effective rate was higher than control group, the difference was statistically significant (P<0.05). Conclusion: For patients with disc-induced low back pain, umbilical moxibustion combined with viscera massage can effectively relieve the symptoms of low back pain, improve the waist dysfunction, promote the level of inflammatory factors down, and have definite clinical application value.

  椎间盘源性腰痛主要由于椎间盘退行性病变所引发，受椎间盘病变影响导致肉芽组织形成，引发疼痛神经纤维，促使局部疼痛不断加重，对患者的生活质量产生严重影响[1]。祖国传统中医并无椎间盘源性腰痛病名，主要将其归属“痹症”、“腰痛”等范畴[2]，并将气血不畅、风寒湿阻、外伤损伤作为病因病机[3]，认为其发病病机归为气血瘀滞、脉络阻滞[4]。