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现代护理医学杂志

Journal of Modern Nursing Medicine

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Journal of Modern Nursing Medicine. 2026; 5: (5) ; 10.12208/j.jmnm.20260287 .

Short-term and long-term effects of acupuncture and moxibustion on senile lumbar disc herniation
针灸治疗老年腰椎间盘突出症的近远期疗效观察

作者: 丁禾 *

北京市海淀区花园路社区卫生服务中心 北京

*通讯作者: 丁禾,单位:北京市海淀区花园路社区卫生服务中心 北京; ;

引用本文: 丁禾 针灸治疗老年腰椎间盘突出症的近远期疗效观察[J]. 现代护理医学杂志, 2026; 5: (5) : 189-191.
Published: 2026/5/19 10:10:26

摘要

目的 分析针灸治疗老年腰椎间盘突出症的近远期疗效。方法 此次研究对象为64例老年腰椎间盘突出症患者,抽取自本院2023年1月-2024年1月期间,运用随机数字表法分为对照组及治疗组,每组32例。其中对照组采取西医治疗,治疗组在上述基础上采取针灸治疗。对两组患者治疗1年后的有效率及复发率予以比较。结果 相比较对照组,治疗组治疗1年后的有效率显高(P<0.05),治疗后4周及12周疼痛评分显低(P<0.05)。复发率显低(P<0.05)。结论 针灸联合西医常规治疗老年腰椎间盘突出症,能明显提升近远期治疗效果,减轻疼痛及减少远期复发率,值得临床推广应用。

关键词: 针灸;老年腰椎间盘突出症;近远期疗效;疼痛;复发率;中西医结合

Abstract

Objective To analyze the short-term and long-term effects of acupuncture and moxibustion on senile lumbar disc herniation.
Methods 64 elderly patients with lumbar disc herniation were selected from our hospital from January 2023 to January 2024. They were randomly divided into a control group and a treatment group using a random number table method, with 32 cases in each group. The control group was treated with western medicine, and the treatment group was treated with acupuncture and moxibustion on the basis of the above. Compare the effective rate and recurrence rate of two groups of patients after one year of treatment.
Results Compared with the control group, the effective rate of the treatment group was significantly higher after 1 year of treatment (P<0.05), and the pain scores were significantly lower at 4 and 12 weeks after treatment (P<0.05). The recurrence rate was significantly low (P<0.05).
Conclusion   acupuncture and moxibustion combined with conventional western medicine treatment of senile lumbar disc herniation can significantly improve the short-term and long-term treatment effect, reduce pain and long-term recurrence rate, which is worthy of clinical application.

Key words: Acupuncture and moxibustion; Elderly lumbar disc herniation; Short - and long-term therapeutic effects; Pain; Recurrence rate; Integrated traditional Chinese and Western medicine

参考文献 References

[1] 史娜. 中老年腰椎间盘突出症患者应用骨伤按摩联合温针灸干预的疗效 [J]. 基层医学论坛, 2025, 29 (07): 9-12. 

[2] 翁劲松. 针灸推拿配合中药治疗老年腰椎间盘突出症的临床效果 [J]. 中外医疗, 2025, 44 (04): 140-143. 

[3] 唐仕燕. 中医针灸辨证取穴治疗老年腰椎间盘突出症的效果观察 [J]. 内蒙古中医药, 2024, 43 (11): 137-139.

[4] 崔结美,刘忠毅,易剑寒,等. 朱琏针灸治疗老年腰椎间盘突出症患者的效果 [J]. 名医, 2024, (22): 60-62. 

[5] 徐玉琴,程建华,李爱君. 温针灸联合整脊手法治疗老年腰椎间盘突出症效果及对炎症因子和ET-1、PGE2、β-EP水平的影响 [J]. 中国老年学杂志, 2024, 44 (22): 5480-5483.

[6] 付维林. 针灸推拿配合牵引治疗老年人腰椎间盘突出症的临床疗效 [J]. 中华养生保健, 2024, 42 (08): 60-63.

[7] 唐茜,唐志杰,王泽宇,等. 温针灸联合益气活血汤对老年腰椎间盘突出症患者腰椎功能和炎症因子水平的影响 [J]. 中国医学创新, 2023, 20 (11): 74-77.

[8] 高永露,张飞,马少华,等. 中医针灸辨证取穴在老年腰椎间盘突出症(LIDP)患者中的治疗效果 [J]. 世界复合医学, 2023, 9 (01): 21-24.