Study and Analysis of Intradermal Needling Combined with Acupoint Application in the Treatment of Radiating Pain of Lower Limbs Caused by Lumbar Disc Herniation

GAN Yuting; YIN Ping; ZHANG Mingqing

doi:10.14033/j.cnki.cfmr.2025.03.010

Abstract：Objective:To explore the effectiveness of intradermal needling combined with acupoint application in treating sciatica caused by lumbar disc herniation.Method:A total of 106 patients with lower limb radiative pain caused by lumbar disc herniation admitted to the Wujiang District Suzhou Fifth People's Hospital,from March 2022 to February 2024 were selected as the study objects.They were divided into the control group and the observation group by touch ball method,with odd numbers as the control group and even numbers as the observation group,with 53 cases in each group.The control group was treated with intradermal acupuncture,and the observation group was treated with intradermal acupuncture combined with acupoint application.The clinical efficacy,lumbar function[Oswestry Disability Index(ODI),Japanese Orthopaedic Association Lumbar Function Scale(JOA)],pain degree[visual analogue scale(VAS)],symptom score and inflammatory index were compared between the two groups before and after treatment.Result:After treatment,the effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P＜0.05).The ODI scores and VAS scores of the observation group were lower than those of the control group,and the JOA scores were higher than those of the control group,with statistical significance(P＜0.05).Symptom score of observation group was lower than control group,and the difference was statistically significant(P＜0.05).The levels of Tumor necrosis factor-α(TNF-α)and interleurin-18(IL-18)in the observation group were lower than those in the control group,and the levels of interleukin-18(IL-10)were higher than those in the control group,with statistical significance(P＜0.05).Conclusion:Intradermal acupuncture combined with acupoint application in the treatment of lower limb radiative pain caused by lumbar disc herniation can significantly improve the therapeutic effect,improve the lumbar function and pain degree,and reduce inflammation.