针灸临床杂志2026，Vol.42Issue(1)：23-28,6.DOI:10.19917/j.cnki.1005-0779.026005
调督理筋针法联合三步推拿法治疗腰椎间盘突出症患者的临床研究
Clinical Study on Tiaodu Lijin Acupuncture Combined with Three-Step Tuina Manipulation in Treatment of LDH
摘要
Abstract
Objective:To investigate the therapeutic effect of Tiaodu Lijin(Du meridian-regulating and muscle-managing)acupuncture combined with three-step Tuina manipulation in treatment of lumbar disc herniation(LDH).Methods:A total of 86 patients with LDH were randomly divided into the observation group and the control group,with 43 patients in each group.During treatment,one patient in the control group and five patients in the observation group withdrew,resulting in 38 cases in the observation group and 42 cases in the control group being included in the final analysis.The control group received treatment with three-step Tuina manipulation;on which basis,the observation group was also treated with Tiaodu Lijin acupuncture.The therapeutic effects of the two groups were compared.Lumbar function and pain intensity were evaluated before and after the treatment using the scores of JOA and VAS.Quality of life was assessed using WHOQOL-BREF.Spinal mobility and stability were evaluated through the positive rate of the straight leg raising test and the ROM of lumbar back extension.In addition,changes in TCM symptom scores and inflammatory factor levels were compared between the two groups before and after the treatment.Results:The total effective rate in the observation group was 94.74％(36/38),which was significantly higher than 76.19(32/42)in the control group(P＜0.05).After the treatment,both groups showed improvements in the scores of JOA and VAS,enhanced quality of life,a decreased positive rate of the straight leg raising test,increased lumbar back extension ROM,and reductions in TCM symptom scores and inflammatory factor levels.All these improvements were significantly greater in the observation group compared with the control group(P＜0.05).Conclusion:The combination of Tiaodu Lijin acupuncture and three-step Tuina manipulation demonstrates good therapeutic efficacy in treatment of LDH.This combined approach can improve lumbar function,effectively relieve pain,and significantly enhance patients' quality of life.关键词
腰椎间盘突出症/调督理筋针法/三步推拿法Key words
Lumbar disc herniation/Tiaodu Lijin acupuncture method/Three-step Tuina manipulation分类
医药卫生引用本文复制引用
刘斌,张玉,屈瑞,康坤..调督理筋针法联合三步推拿法治疗腰椎间盘突出症患者的临床研究[J].针灸临床杂志,2026,42(1):23-28,6.基金项目
安徽省卫生健康委科研重点项目,编号:AHWJ2021a020. （）
