热奄包联合疗法治疗腰椎间盘突出症疗效的Meta分析*

作者：刘超群1，张 可2，石小毛2

单位：1.湖南中医药大学护理学院，湖南 长沙 410208； 2.湖南省第二人民医院/湖南省脑科医院，湖南 长沙 410007

引用：引用：刘超群，张可，石小毛.热奄包联合疗法治疗腰椎间盘突出症疗效的Meta分析[J].中医药导报,2026,32(1):202-208.

DOI：10.13862/j.cn43-1446/r.2026.01.033

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摘要：

目的：探讨热奄包联合疗法治疗腰椎间盘突出症的效果。方法：计算机检索中国知网（CNKI）、维普网（VIP）、万方数据知识服务平台（Wanfang Data）、中国生物医学文献数据库（CBM）、PubMed、Web of Science中有关热奄包联合常规疗法治疗腰椎间盘突出症的临床随机对照试验（RCT），检索时限为建库至2025年2月3日。由2名研究者对文献进行筛选、数据提取，并采用Cochrane系统评价手册进行质量评价，使用RevMan 5.3软件对结果指标进行整合后的荟萃分析。结果：最终纳入12项RCT。Meta分析结果显示，试验组总有效率高于对照组[RR=1.26，95%CI（1.19，1.34），P<0.000 01]。试验组患者视觉疼痛模拟评分（VAS评分）低于对照组[MD=-1.07，95%CI（-1.40，-0.74），P<0.000 01]，疼痛程度数字分级法（NRS）有效率高于对照组[RR=1.38，95%CI（1.12，1.69），P=0.002]。试验组患者日本骨科协会评分（JOA评分）高于对照组[MD=4.25，95%CI（2.91，5.58），P<0.000 01]，腰椎功能障碍指数量表（ODI）评分低于对照组[MD=-6.24，95% CI（-7.67，-4.73），P<0.000 01]。结论：热奄包联合疗法治疗腰椎间盘突出症具有一定效果，但仍需更多高质量研究进一步验证。

关键词：腰椎间盘突出症；热奄包；随机对照试验；Meta分析

Abstract：

Objective: To explore the efficacy of herbal hot compress pack combined therapy in the treatment of lumbar disc herniation. Methods: Computer-based retrieval was conducted for clinical randomized controlled trials (RCTs) regarding herbal hot compress pack combined with conventional therapy for lumbar disc herniation from China National Knowledge Infrastructure (CNKI), China Science and Technology Journal Database (CSTJ), Wanfang Data Knowledge Service Platform (Wanfang Data), Chinese Biomedical Literature Database (CBM), PubMed and Web of Science. The retrieval time frame was from the establishment of each database to February 3, 2025. Two researchers independently performed literature screening and data extraction. The quality assessment of included studies was carried out in accordance with the Cochrane Handbook for Systematic Reviews of Interventions, and a meta-analysis of outcome indicators was conducted by using RevMan 5.3 software. Results: A total of 12 RCTs were finally included. The results of meta-analysis showed that the total effective rate of the experimental group was significantly higher than that of the control group [RR=1.26, 95%CI(1.19, 1.34), P<0.000 01]. The Visual Analogue Scale (VAS) score of the experimental group was lower than that of the control group [MD=-1.07, 95%CI(-1.40, -0.74), P<0.000 01], while the effective rate of the Numerical Rating Scale (NRS) for pain intensity was higher than that of the control group [RR=1.38, 95%CI(1.12, 1.69), P=0.002]. The Japanese Orthopaedic Association (JOA) score of the experimental group was higher than that of the control group [MD=4.25, 95%CI(2.91, 5.58), P<0.000 01], and the Oswestry Disability Index (ODI) score was lower than that of the control group [MD=-6.24, 95%CI(-7.67, -4.73), P<0.000 01]. Conclusion: The herbal hot compress pack combined therapy has a certain efficacy in the treatment of lumbar disc herniation, but more high-quality studies are still needed for further verification.

Key words：lumbar disc herniation; herbal hot compress pack; randomized controlled trial; meta-analysis

发布时间：2026-01-30

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