摘要
目的探讨中医针灸推拿治疗腰椎间盘突出症的疗效及对腰椎功能及炎症反应的影响.方法选择医院2020年11月—2022年1月收治的120例腰椎间盘突出症患者,以随机数表法分为两组.对照组(n=60)采用西医综合治疗,观察组(n=60)在对照组基础上联合中医针灸推拿干预.对比两组临床疗效、治疗前后日本骨科协会(JOA)评分、白细胞介素(IL)-4、IL-6水平.结果观察组总有效率为96.67%,高于对照组的85.00%,差异有统计学意义(P<0.05).治疗前,两组JOA各维度评分、IL-4、IL-10水平比较,组间差异无统计学意义(P>0.05).治疗后,观察组JOA中主观症状、临床体征、日常活动受限度、膀胱功能评分分别为(5.93±0.75)分、(4.76±0.41)分、(10.93±0.81)分、(-0.99±0.28)分,均高于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组IL-4、L-10水平分别为(9.12±3.93)pg/mL、(11.25±3.84)pg/mL,均低于对照组,组间差异有统计学意义(P<0.05).结论中医针灸推拿治疗腰椎间盘突出症的临床疗效显著,能提高患者的腰椎功能,改善炎症反应状态.
Objective To explore the efficacy of traditional Chinese medicine acupuncture and massage in the treatment of lumbar disc herniation and its influence on lumbar spine function and inflammatory response.Methods A total of 120 patients with lumbar intervertebral disc herniation admitted to the hospital from November 2020 to January 2022 were selected and divided into two groups by random number table method.The control group(n=60)was treated with western medicine comprehensive treatment,and the observation group(n=60)was combined with traditional Chinese medicine acupuncture and massage intervention on the basis of the control group.The clinical efficacy,Japanese Orthopaedic Association(JOA)score,interleukin(IL)-4 and IL-6 levels before and after treatment were compared between the two groups.Results The total effective rate in the observation group was 96.67%,which was higher than 85.00%in the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences between the two groups in JOA scores,IL-4 and IL-10 levels(P>0.05).After treatment,the subjective symptoms,clinical signs,daily activity limitation and bladder function scores of JOA in the observation group were(5.93±0.75)points,(4.76±0.41)points,(10.93±0.81)points and(-0.99±0.28)points,which were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the levels of IL-4 and L-10 in the observation group were(9.12±3.93)pg/mL and(11.25±3.84)pg/mL,which were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The clinical efficacy of traditional Chinese medicine acupuncture and massage in the treatment of lumbar disc herniation is remarkable,which can improve the lumbar spine function of patients and improve the state of inflammatory response.
作者
刘会亭
LIU Huiting(Department of Acupuncture and Massage,Jining Hospital of Integrated Traditional Chinese and Western Medicine,Jining Shandong,272100,China)
出处
《反射疗法与康复医学》
2022年第10期42-44,共3页
Reflexology And Rehabilitation Medicine
关键词
中医针灸
推拿
腰椎间盘突出症
牵引
疼痛
炎症反应
Traditional Chinese medicine acupuncture
Massage
Lumbar disc herniation
Traction
Pain
Inflammatory response
作者简介
刘会亭(1985-),女,山东济宁人,本科,主治医师,研究方向:针灸推拿。
