摘要
目的测定腰椎间盘突出症患者针刺治疗前后血浆中SP(P物质)含量,总结临床疗效。方法将40例腰椎间盘突出症患者随机分为A组和B组,各20例。A组(针刺组),B组(药物组),取治疗前后肘静脉血测其血浆SP含量,记录2组治疗前后VAS疼痛量表评分、症状体征JOA评分和临床疗效的变化。结果血浆SP含量测定结果:组内比较:治疗后A组含量(20.732±5.189)ng/mL明显低于治疗前,B组含量(26.597±6.865)ng/mL也明显低于治疗前,差异有统计学意义(P<0.05)。组间比较:治疗后A组含量(20.732±5.189)ng/mL与B组含量(26.597±6.865)ng/mL相比,差异有统计学意义(P<0.05);观察2组VAS疼痛量表评分和症状体征JOA评分:与治疗前比较均有明显改善(P<0.05);组间比较,治疗前上述各项指标水平相当(P>0.05),治疗后A组优于B组(P<0.05);2组疗效评价:A组总有效率95%,B组总有效率75%。针刺组疗效明显优于药物组(P<0.05)。结论针刺疗法能消除或减轻腰椎间盘突出症患者的临床症状和体征,明显改善腰椎功能及疼痛评分,血浆中SP的含量明显下降。
Objective To determine the plasma SP content in patients with lumbar disc herniation before and after acupuncture treatment, and to summarize the clinical efficacy. Methods 40 patients with lumbar disc herniation were randomly divided into group A ((20 patients in the acupuncture treatment group) and group B (20 patients in the drug treatment group). The plasma SP content of the elbow vein was measured before and after treatment. The scores of VAS pain scale, JOA score and clinical efficacy of patients with A and B before and after treatment were recorded. Results Determination of plasma SP content: After treatment, the content of self-contrast group A was (20.732±5.189) ng/mL before and after treatment, which was significantly lower than that before treatment. The content of group B was (26.597±6.865) ng/mL, which was significantly lower than that before treatment, and there was significant difference (P<0.05). Comparison between groups: After treatment, the content of group A was (20.732±5.189) ng/mL compared with the content of group B (26.597±6.865) ng/mL, and there was a significant difference (P<0.05). The scores of the VAS pain scale and the JOA scores of the symptoms and signs in both groups: compared with before treatment (P<0.05). Compared with the above groups, the above indexes were equivalent (P>0.05). Group A was better than group B (P<0.05). Evaluation of the two groups: the total effective rate of group A was 95%, and the total effective rate of group B was 75%. The acupuncture group was significantly better than the drug group (P<0.05). Conclusion Acupuncture can eliminate or reduce the clinical symptoms and signs of patients with lumbar disc herniation, significantly improve lumbar function and pain score, and significantly decrease the plasma SP content.
作者
何洪艳
HE Hongyan(Department of Geriatrics,Jixian Hospital of Traditional Chinese Medicine,Shandong Province,Rizhao 276500,China)
出处
《中国中医药现代远程教育》
2019年第14期92-96,共5页
Chinese Medicine Modern Distance Education of China
关键词
腰椎间盘突出症
P物质
针刺疗法
痹证
lumbar disc herniation
substance P
acupuncture therapy
bi syndrome
