Clinical Observation on Acupuncture Combined with Western Medicine in the Treatment of Lumbar Disc Herniation of Qi Stagnation and Blood Stasis Type
10.13359/j.cnki.gzxbtcm.2025.02.010
- VernacularTitle:针刺联合西药治疗气滞血瘀型腰椎间盘突出症的临床观察
- Author:
Long CHEN
1
;
Wanxia ZHANG
;
Niandong LI
;
Zhaoyuan ZHANG
;
Zhouhang ZHENG
;
Yu ZHANG
;
Xuemeng XU
Author Information
1. 广州中医药大学,广东广州 510006
- Keywords:
acupuncture;
lumbar disc herniation;
lumbar multifidus muscle;
multifidus muscle;
muscle tension;
muscle hardness;
muscle elasticity;
Myoton PRO
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(2):322-327
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical efficacy of acupuncture combined with western medicine in the treatment of lumbar disc herniation(LDH)of qistagnation and blood stasis type.Methods A total of 62 cases of patients with LDH of qistagnation and blood stasis type were randomly divided into observation group and control group,with 31 cases in each group.The control group was given conventional western medicine for treatment,and the observation group was treated by acupuncture on the basis of the control group,the course of treatment covered three consecutive weeks.After three weeks of treatment,the clinical efficacy of the two groups was evaluated,and the changes in the Japanese Orthopedic Association(JOA)scores and Oswestry Disability Index(ODI)scores,as well as the Visual Analogue Scale(VAS)scores of pain,were observed before and after the treatment of the patients in the two groups.The changes in muscle tension,muscle hardness,and muscle elasticity of the multifidus muscle(MM)and lumbar multifidus muscle(LMM)before and after treatment were compared between the two groups.And the safety and the occurrence of adverse reactions in the two groups were evaluated.Results(1)The total effective rate was 96.77%(30/31)in the observation group and 74.19%(23/31)in the control group.The efficacy of the observation group was superior to that of the control group,the difference being statistically significant(P<0.05).(2)After treatment,the VAS,JOA,and ODI scores of the patients in the two groups improved significantly(P<0.05),and the improvement in the observation group was significantly superior to that in the control group,with a statistically significant difference(P<0.01).(3)After treatment,the muscle tension,muscle hardness,and muscle elasticity of LMM and MM of patients in the two groups were significantly improved(P<0.05),and the improvement in the observation group was significantly superior to that in the control group,the difference being statistically significant(P<0.05).(4)The incidence rate of adverse reactions was 9.68%(3/31)in the observation group and 9.68%(3/31)in the control group;the intergroup comparison showed that there being no statistically significant difference(P>0.05).Conclusion Acupuncture combined with western medicine in the treatment of LDH of qistagnation and blood stasis type can significantly improve the lumbar function and clinical symptoms of the patients,and improve the muscular performance of the patients'LMM and MM,so as to enhance their quality of life.
