| 摘要: |
| [目的] 探讨夹脊穴针刺联合腰腹肌肌力训练治疗腰椎间盘突出症（LDH）的疗效。[方法] 选取河南省胸科医院收治的82例LDH患者（2022年12月—2023年12月）为研究对象，随机分为训练组和联合组，各41例。训练组患者给予腰腹肌肌力训练治疗，联合组在训练组基础上给予夹脊穴针刺治疗。观察治疗前（T0）和治疗3个月后（T1）两组患者疗效、疼痛程度、腰椎功能、腰椎表面肌电及炎症因子水平。[结果] T1时刻，联合组患者总有效率（90.24%）显著高于训练组（73.17%）（P<0.05）；两组患者腰、腿痛疼痛视觉模拟量表（VAS）评分、Oswestry功能障碍指数评定量表（ODI）评分、肿瘤坏死因子-α（TNF-α）、白细胞介素-6（IL-6）、C反应蛋白（CRP）水平显著降低（P<0.05），且联合组显著低于训练组（P<0.05）；两组患者日本骨科学会评分（JOA）腰椎功能量表评分、腰椎两侧肌电值（IEMG）、中位频率值（MF）、均方根值（RMS）水平显著升高（P<0.05），且联合组显著高于训练组（P<0.05）。[结论] 夹脊穴针刺联合腰腹肌肌力训练治疗LDH的疗效显著，可显著缓解患者疼痛程度，提高患者腰椎功能和肌力水平，降低患者炎症反应水平。 |
| 关键词: 腰椎间盘突出症 夹脊穴针刺 腰腹肌肌力训练 临床疗效 |
| DOI：10.11656/j.issn.1673-9043.2026.08.05 |
| 分类号:R245.31;R681.53 |
| 基金项目:河南省中医药科学研究专项课题项目（2023ZY2065）。 |
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| Observation of therapeutic efficacy of acupuncture at jiaji acupoints combined with lumbar and abdominal muscle strength training on lumbar disc herniation |
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ZHANG Xuanhe1, LIU Jiahua1, DONG Zhaojie2, SHI Dongliang3
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1.Department of Rehabilitation, Henan Chest Hospital, Zhengzhou 450000, China;2.Department of Internal Medicine, Affiliated Cervicodynia and Lumbago Hospital of Shandong First Medical University, Jinan 250014, China;3.Ward 1 of Orthopedics, Henan Hospital of Traditional Chinese Medicine, Zhengzhou 450000, China
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| Abstract: |
| [Objective] To explore the therapeutic efficacy of acupuncture at Jiaji acupoints combined with lumbar and abdominal muscle strength training on lumbar disc herniation（LDH）. [Methods] Eighty-two patients with LDH admitted to our hospital（December 2022 to December 2023）were included as the research subjects and randomly divided into a training group and a combined group，with 41 cases in each group. The training group received lumbar and abdominal muscle strength training，while the combined group received acupuncture at Jiaji acupoints on the basis of the training group. The therapeutic efficacy，pain level，lumbar spine function，lumbar surface electromyography，and inflammatory factor levels of the two groups were observed before treatment（T0）and after 3 months of treatment（T1）. [Results] At T1，the combined group（90.24%）had a significantly higher total effective rate than the training group（73.17%）（P<0.05）. The visual analog scale（VAS）scores of lower back and leg pain， Oswestry Disability Index（ODI）scores，and levels of tumor necrosis factor-α（TNF-α），interleukin-6（IL-6），and Creactive protein（CRP）were significantly reduced in both groups（P<0.05），with the combined group significantly lower than the training group（P<0.05）. The Japanese Orthopaedic Association（JOA）lumbar spine function scale scores，integrated electromyography（IEMG），median frequency（MF），and root mean square（RMS）levels were significantly increased in both groups（P<0.05），with the combined group significantly higher than the training group （P<0.05）. [Conclusion] Acupuncture at Jiaji acupoints combined with lumbar and abdominal muscle strength training has a significant therapeutic effect on LDH，which can significantly alleviate pain，improve lumbar function and muscle strength，and reduce the level of inflammatory response. |
| Key words: lumbar disc herniation acupuncture at Jiaji acupoint lumbar and abdominal muscle strength training clinical efficacy |
