[1]顾燕玲,徐阜溧,李海燕.中医辨证药物罐治疗非特异性下腰痛临床观察[J].西部中医药,2026,39(09):165-169.[doi:10.12174/j.issn.2096-9600.2026.09.32]
 GU Yanling,XU Fuli,LI Haiyan.Clinical Observation on Traditional Chinese Medicine Syndrome-Based Medicinal Cupping Therapy for Non-specific Low Back Pain[J].Western Journal of Traditional Chinese Medicine,2026,39(09):165-169.[doi:10.12174/j.issn.2096-9600.2026.09.32]
点击复制

中医辨证药物罐治疗非特异性下腰痛临床观察()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年09期
页码:
165-169
栏目:
临床研究
出版日期:
2026-09-07

文章信息/Info

Title:
Clinical Observation on Traditional Chinese Medicine Syndrome-Based Medicinal Cupping Therapy for Non-specific Low Back Pain
作者:
顾燕玲, 徐阜溧, 李海燕
南通市中医院,江苏 南通 226000
Author(s):
GU Yanling, XU Fuli, LI Haiyan
Nantong Hospital of Traditional Chinese Medicine, Nantong 226000,Jiangsu China
关键词:
非特异性下腰痛; 中医辨证; 药物罐; Oswestry功能障碍指数; JOA下腰痛评分
Keywords:
non-specific low back pain; TCM syndrome differentiation; medicinal cupping; ODI; JOA low back pain score
分类号:
R274
DOI:
10.12174/j.issn.2096-9600.2026.09.32
文献标志码:
B
摘要:
目的探讨中医辨证药物罐在非特异性下腰痛(non-specific low back pain,NLBP)患者中的应用效果。 方法选取80例NLBP患者,根据随机数字表法分为对照组40例(常规运动疗法治疗)和观察组40例(常规运动疗法联合中医辨证药物罐治疗),两组均连续治疗7天。比较两组患者中医证候积分、疼痛数字评分(numerical rating scale,NRS)、腰部活动度、Oswestry功能障碍指数(Oswestry disability index,ODI)评分、日本骨科学会(Japanese orthopedic association,JOA)下腰痛评分、世界卫生组织生活质量评分量表(World health organization quality of life,WHOQOL)评分。 结果干预后,两组患者中医证候积分及NRS评分均降低(P<0.05),观察组低于对照组(P<0.05);两组患者腰椎前屈、后伸、左侧屈、右侧屈活动度均增加(P<0.05),观察组高于对照组(P<0.05);两组患者ODI评分均降低(P<0.05)、JOA下腰痛评分均升高(P<0.05),且观察组以上指标改善程度优于对照组(P<0.05);两组患者WHOQOL各项评分均升高(P<0.05),且观察组高于对照组(P<0.05)。 结论中医辨证药物罐可改善NLBP患者临床症状、缓解腰痛、提升腰椎活动度与功能,提高患者生活质量。
Abstract:
ObjectiveTo explore the clinical effectiveness of Traditional Chinese Medicine syndrome-differentiated medicinal cupping therapy in patients with non-specific low back pain (NLBP). MethodsA total of 80 patients with NLBP were selected and divided into a control group (40 cases, treated with conventional exercise therapy) and an observation group (40 cases, treated with conventional exercise therapy combined with TCM syndrome-based medicinal cupping therapy) according to the random number table method. Both groups received continuous treatment for seven days. The two groups were compared in terms of TCM syndrome scores, Numerical Rating Scale (NRS) scores, lumbar range of motion, Oswestry Disability Index (ODI) scores, Japanese Orthopaedic Association (JOA) low back pain scores, and World Health Organization Quality of Life (WHOQOL) scores. ResultsAfter intervention, TCM syndrome scores and NRS scores decreased in both groups (P<0.05), with the observation group showing significantly lower scores than the control group (P<0.05). Lumbar range of motion in forward flexion, backward extension, left lateral flexion, and right lateral flexion increased in both groups (P<0.05), with the observation group demonstrating greater improvements than the control group (P<0.05). ODI scores decreased (P<0.05) and JOA low back pain scores increased (P<0.05) in both groups, with the observation group showing superior improvements in all the above indices compared with the control group (P<0.05). All WHOQOL domain scores increased in both groups (P<0.05), and the observation group had significantly higher scores than the control group (P<0.05). ConclusionTCM syndrome-based medicinal cupping therapy can alleviate clinical symptoms, relieve low back pain, improve lumbar range of motion and function, and enhance the quality of life in patients with NLBP.

相似文献/References:

[1]汪云翔.203例房颤患者中医辨证相关因素分析[J].西部中医药,2012,25(12):61.
 WANG Yun-xiang.Analysis on Relative Factors of Syndrome Differentiation in 203 Patients with Auricular Fibrillation[J].Western Journal of Traditional Chinese Medicine,2012,25(09):61.
[2]张 凯,申春悌.结构方程在肺源性心脏病中医证候分类中的临床研究*[J].西部中医药,2014,27(05):74.
 ZHANG Kai,SHEN Chunti.Clinical Study of Structural Equations in the Classifications of TCM Syndromes for Chronic Pulmonary Heart Disease[J].Western Journal of Traditional Chinese Medicine,2014,27(09):74.
[3]徐菊兰.超声心动图对高血压病心脏损害中医辨证相关性的研究[J].西部中医药,2015,28(02):128.
[4]张帆,杨志杰,张保丽,等.老年高血压中医证型与血压变异性关系初探[J].西部中医药,2015,28(09):85.
[5]季红健,王东方.变应性鼻炎中医辨证分型与ECP的相关性研究[J].西部中医药,2013,26(05):127.
 JI Hongjian,WANG Dongfang.Correlation Study between ECP and Syndrome Differentiation of Allergic Rhinitis[J].Western Journal of Traditional Chinese Medicine,2013,26(09):127.
[6]范玉田.对于呼吸系统疾病使用中药注射液的几点思考[J].西部中医药,2015,28(07):99.
[7]刘晶波,田海广,金玖.基于深度学习和中医辨证的老年糖尿病并发症预测模型研究[J].西部中医药,2026,39(09):176.[doi:10.12174/j.issn.2096-9600.2026.09.34]
 LIU Jingbo,TIAN Haiguang,JIN Jiu.Research on a Prediction Model for Elderly Diabetic Complications Based on Deep Learning and Traditional Chinese Medicine Syndrome Differentiation[J].Western Journal of Traditional Chinese Medicine,2026,39(09):176.[doi:10.12174/j.issn.2096-9600.2026.09.34]
[8]邹玉环,魏晓梅,张美玲,等.中医辨证穴位贴敷配合火龙罐综合灸在医院获得性肺炎患儿中的应用效果[J].西部中医药,2025,38(10):157.[doi:10.12174/j.issn.2096-9600.2025.10.30]
 ZOU Yuhuan,WEI Xiaomei,ZHANG Meiling,et al.Application Effects of Acupoint Plaster Application Based on TCM Syndrome Differentiation and Comprehensive Moxibustion with Fire-dragon Cupping on Children with Hospital-acquired Pneumonia[J].Western Journal of Traditional Chinese Medicine,2025,38(09):157.[doi:10.12174/j.issn.2096-9600.2025.10.30]
[9]唐正远,赵佩,华剑红,等.中医辨证理念在泌尿外科后腹腔镜手术患者围术期护理中的应用[J].西部中医药,2020,33(06):145.[doi:10.12174/j.issn.1004-6852.2020.06.40]
 TANG Zhengyuan,ZHAO Pei,HUA Jianhong,et al.The Idea of TCM Syndrome Differentiation Applied to Perioperative Nursing for Patients Undergoing Retroperitoneal Laparoscopic Surgery[J].Western Journal of Traditional Chinese Medicine,2020,33(09):145.[doi:10.12174/j.issn.1004-6852.2020.06.40]
[10]张一诺,白煜君,徐丽,等.痔疾病患者报告临床结局评估量表初探[J].西部中医药,2024,37(03):21.[doi:10.12174/j.issn.2096-9600.2024.03.05]
 ZHANG Yi'nuo,BAI Yujun,XU Li,et al.Development and Assessment of Patient Reported Outcome Assessment Scale for Hemorrhoids[J].Western Journal of Traditional Chinese Medicine,2024,37(09):21.[doi:10.12174/j.issn.2096-9600.2024.03.05]

备注/Memo

备注/Memo:
江苏省自然科学基金(BK20200092);南通市社会民生科技计划指令性项目(MS22022070)。顾燕玲(1988—),女,主管护师。研究方向:中医骨科疾病的临床护理。
更新日期/Last Update: 2026-09-15