温针电针腰三针治疗寒湿型慢性腰肌劳损：随机对照试验

李孟忠; 张建国; 梁文杰; 柏文婕; 雷小平

doi:10.13703/j.0255-2930.20240924-k0001

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温针电针腰三针治疗寒湿型慢性腰肌劳损：随机对照试验

临床研究 | 更新时间：2025-10-11

- 温针电针腰三针治疗寒湿型慢性腰肌劳损：随机对照试验
- Thermo-electroacupuncture at yaosanzhen for chronic lumbar muscle strain of cold dampness: a randomized controlled trial
- 中国针灸 2025年45卷第10期页码：1421-1426
- 作者机构：
  
  广西中医药大学，南宁　530001
  广西中医药大学附属瑞康医院针灸科，南宁　530011
- 作者简介：
  
  李孟忠，广西中医药大学硕士研究生。E-mail：614718243@qq.com
  ✉张建国，副教授、副主任医师。E-mail：15825996@qq.com
- 基金信息：
  
  广西中医药管理局自筹经费科研课题项目(GZZC2020082)
- DOI：10.13703/j.0255-2930.20240924-k0001
  中图分类号：
- 收稿：2024-09-24，
  
  网络首发：2025-05-15，
  
  纸质出版：2025-10-12
- 稿件说明：
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李孟忠, 张建国, 梁文杰, 等. 温针电针腰三针治疗寒湿型慢性腰肌劳损：随机对照试验[J]. 中国针灸, 2025,45(10):1421-1426.

LI Mengzhong, ZHANG Jianguo, LIANG Wenjie, et al. Thermo-electroacupuncture at yaosanzhen for chronic lumbar muscle strain of cold dampness: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2025, 45(10): 1421-1426. DOI: 10.13703/j.0255-2930.20240924-k0001.
李孟忠, 张建国, 梁文杰, 等. 温针电针腰三针治疗寒湿型慢性腰肌劳损：随机对照试验[J]. 中国针灸, 2025,45(10):1421-1426. DOI： 10.13703/j.0255-2930.20240924-k0001.

LI Mengzhong, ZHANG Jianguo, LIANG Wenjie, et al. Thermo-electroacupuncture at yaosanzhen for chronic lumbar muscle strain of cold dampness: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2025, 45(10): 1421-1426. DOI: 10.13703/j.0255-2930.20240924-k0001. DOI：

摘要

目的：

比较温针电针腰三针与口服塞来昔布治疗寒湿型慢性腰肌劳损的临床疗效。

方法：

将80例寒湿型慢性腰肌劳损患者随机分为温针组（40例，脱落1例）和西药组（40例，剔除2例）。温针组采用温针电针腰三针（双侧肾俞、大肠俞、委中）治疗，选用疏密波，脉冲周期为0.08 s，电流1~3 mA，针体温度加热至约45 ℃，工作时间为25 min，每日1次；西药组给予塞来昔布胶囊口服治疗，每日1次，每次200 mg。两组均以治疗6次为一疗程，疗程之间间隔1 d，共治疗2个疗程。比较两组患者治疗前后中医证候积分、视觉模拟量表（VAS）评分、Oswestry功能障碍指数（ODI）评分、日本骨科协会评估治疗分数（JOA）评分，采用ELISA法检测两组患者治疗前后血清肿瘤坏死因子-α(TNF-α)、白细胞介素-6（IL-6）、血栓素B2（TXB2）、C-反应蛋白（CRP）含量，并于治疗后评定两组临床疗效。

结果：

治疗后，两组患者中医证候积分、VAS评分、ODI评分及血清TNF-α、IL-6、TXB2、CRP含量均较治疗前降低（

0.01），JOA评分均较治疗前升高（

0.01）；温针组中医证候积分、VAS评分、ODI评分及血清TNF-α、IL-6、TXB2、CRP含量均低于西药组（

0.01，

0.05），JOA评分高于西药组（

0.01）。温针组有效率为92.3%（36/39），优于西药组的78.9%（30/38，

0.05）。

结论：

温针电针腰三针能减轻寒湿型慢性腰肌劳损患者疼痛症状，改善腰椎活动功能，降低炎症因子含量，疗效优于口服塞来昔布。

Abstract

Objective

To compare the clinical efficacy between thermo-electroacupuncture at

yaosanzhen

and oral

celecoxib in the treatment of chronic lumbar muscle strain with cold dampness.

Methods

A total of 80 patients with chronic lumbar muscle strain of cold dampness were randomly divided into an observation group (40 cases

1 case dropped out) and a control group (40 cases

2 cases were excluded). The observation group was treated with thermo-electroacupuncture at

yaosanzhen

(bilateral Shenshu [BL23

]

Dachangshu [BL25

]

Weizhong [BL40

]

)

disperse-dense wave was selected

with a pulse cycle of 0.08 s

current intensity of 1-3 mA

with needles heated to approximately 45 ℃

the duration was 25 min per session

once a day. The control group was given oral celecoxib capsules

once daily

200 mg each time. Six sessions as one course

with a 1-day interval between courses

2 courses were required in both groups. The TCM syndrome score

visual analogue scale (VAS) score

Oswestry disability index (ODI) score

and Japanese Orthopedic Association (JOA) score before and after treatment in both groups were compared. The serum levels of tumor necrosis factor-α (TNF-α)

interleukin-6 (IL-6)

thromboxane B2 (TXB2) and C-reactive protein (CRP) were detected using ELISA method before and after treatment in both groups. The clinical efficacy was evaluated in both groups after treatment.

Results

After treatment

the TCM syndrome scores

VAS scores

ODI scores and serum levels of TNF-α

IL-6

TXB2

CRP in both groups were reduced compared with those before treatment (

0.01)

while the JOA scores were increased (

0.01)；the TCM syndrome score

VAS score

ODI score and serum levels of TNF-α

IL-6

TXB2

CRP in the observation group were lower than those in the control group (

0.01

0.05)

and the JOA score was higher than that in the control group (

0.01). The total effective rate of the observation group was 92.3% (36/39)

which was superior to 78.9% (30/38

) in the control group (

0.05).

Conclusion

Thermo-electroacupuncture at

yaosanzhen

can alleviate pain symptom in patients with chronic lumbar muscle strain of cold dampness

regulate lumbar function

reduce the levels of inflammatory factors

and the therapeutic effect is superior to oral celecoxib.

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