火针疗法联合电针治疗寒湿阻络型腰椎间盘突出的疗效观察

Clinical Observation on the Efficacy of Fire Needle Therapy Combined with Electroacupuncture in the Treatment of Lumbar Disc Herniation of Cold-Dampness Obstruction Collateral Type

摘要: 目的：探讨火针疗法联合电针治疗寒湿阻络型腰椎间盘突出的临床疗效及安全性。方法：选取2025年1月至2025年12月期间，在本院中医科门诊就诊的寒湿阻络型腰椎间盘突出患者70例为研究对象。采用随机数字表分为治疗组和对照组各35例。对照组给予常规针刺治疗，治疗组给予火针疗法联合电针治疗，2组患者均隔日治疗1次，治疗1周为1个疗程，每个疗程之间休息2 d，对比两组在治疗3周后、6周后的疗效差异。结果：治疗3周后，治疗组VAS评分(3.2 ± 1.1)分、ODI评分(20.5 ± 5.2)分，对照组分别为(4.5 ± 1.3)分、(25.8 ± 6.1)分，两组差异均有统计学意义(P < 0.05)。治疗6周后，治疗组VAS评分(2.1 ± 0.8)分、ODI评分(15.3 ± 4.5)分，对照组分别为(3.8 ± 1.2)分、(22.6 ± 5.8)分，差异仍有统计学意义(P < 0.05)。治疗3周、6周后，治疗组病灶区温度回升值、温度分布均匀性评分均显著高于对照组(P < 0.05)。两组治疗6周后红外热成像指标均优于3周(P < 0.05)，且治疗组6周较3周的提升幅度大于对照组。安全性结果比较，治疗组不良反应发生率8.57% (3/35)，含2例局部皮肤红肿、1例头晕；对照组11.43% (4/35)，含3例局部疼痛、1例皮下瘀血，经处理均缓解。两组不良反应差异无统计学意义(P > 0.05)，联合治疗安全性高。结论：火针疗法联合电针治疗寒湿阻络型腰椎间盘突出可显著改善患者临床症状，安全有效，不良反应轻微可控。

Abstract: Objective: To investigate the clinical efficacy and safety of fire needle therapy combined with electroacupuncture in the treatment of lumbar disc herniation of cold-dampness obstruction collateral type. Methods: A total of 70 patients with lumbar disc herniation of cold-dampness obstruction collateral type who were treated in the outpatient clinic of the Department of Traditional Chinese Medicine of our hospital from January 2025 to December 2025 were selected as the research subjects. They were randomly divided into a treatment group and a control group using a random number table, with 35 cases in each group. The control group received conventional acupuncture treatment, while the treatment group received fire needle therapy combined with electroacupuncture. Both groups were treated once every other day, with one course of treatment lasting 1 week and a 2-day rest between courses. The differences in efficacy between the two groups were compared after 3 weeks and 6 weeks of treatment. Results: After 3 weeks of treatment, the VAS score of the treatment group was (3.2 ± 1.1) points and the ODI score was (20.5 ± 5.2) points, while those of the control group were (4.5 ± 1.3) points and (25.8 ± 6.1) points respectively, with statistically significant differences between the two groups (P < 0.05). After 6 weeks of treatment, the VAS score of the treatment group was (2.1 ± 0.8) points and the ODI score was (15.3 ± 4.5) points, while those of the control group were (3.8 ± 1.2) points and (22.6 ± 5.8) points respectively, and the differences remained statistically significant (P < 0.05). After 3 weeks and 6 weeks of treatment, the temperature rise value and temperature distribution uniformity score of the lesion area in the treatment group were significantly higher than those in the control group (P < 0.05). The infrared thermal imaging indicators of both groups after 6 weeks of treatment were better than those after 3 weeks (P < 0.05), and the improvement range of the treatment group from 3 weeks to 6 weeks was greater than that of the control group. In terms of safety, the incidence of adverse reactions in the treatment group was 8.57% (3/35), including 2 cases of local skin redness and swelling and 1 case of dizziness; the incidence in the control group was 11.43% (4/35), including 3 cases of local pain and 1 case of subcutaneous ecchymosis, all of which were relieved after treatment. There was no statistically significant difference in adverse reactions between the two groups (P > 0.05), indicating that the combined treatment is highly safe. Conclusion: Fire needle therapy combined with electroacupuncture can significantly improve the clinical symptoms of patients with lumbar disc herniation of cold-dampness obstruction collateral type, with high safety and effectiveness, and mild and controllable adverse reactions.