摘要
目的:观察合谷刺联合一次正骨推拿治疗腰椎间盘突出症(LDH)的临床疗效。方法:选择106例LDH患者作为研究对象,按随机数字表法分为对照组和观察组各53例。对照组采用一次正骨推拿治疗,观察组在对照组基础上加用合谷刺治疗。共治疗3周。比较2组临床疗效,并比较2组治疗前后腰椎功能、疼痛程度及血清超氧化物歧化酶(SOD)、丙二醛(MDA)、白细胞介素-6 (IL-6)、肿瘤坏死因子-α (TNF-α)水平。结果:观察组临床治疗总有效率90.57%,高于对照组73.58%(P<0.05)。治疗前,2组腰椎Oswestry、日本骨科协会评估治疗(JOA)评分比较,差异无统计学意义(P>0.05);治疗后1周、2周及3周,2组腰椎Oswestry评分均逐渐降低(P<0.05),且同一时间点观察组低于对照组(P<0.05),2组腰椎JOA评分均逐渐升高(P<0.05),且同一时间点观察组高于对照组(P<0.05)。治疗前,2组视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);治疗后1周、2周及3周,2组VAS评分均逐渐降低(P<0.05),且同一时间点观察组低于对照组(P<0.05)。治疗前,2组血清超氧化物歧化酶(SOD)、丙二醛(MDA)、白细胞介素-6(IL-6)、肿瘤坏死因子-α (TNF-α)水平比较,差异无统计学意义(P>0.05);治疗后,2组血清SOD水平均升高(P<0.05),且观察组高于对照组(P<0.05),2组血清MDA、IL-6、TNF-α水平均降低(P<0.05),且观察组低于对照组(P<0.05)。结论:合谷刺联合一次正骨推拿可有效缓解LDH患者的临床症状,提高患者腰椎功能,降低疼痛感,并减轻机体炎症反应及氧化应激程度。
Objective:To observe the clinical effect of the therapy of valley union needling combined with once bone-setting tuina on lumbar disc herniation(LDH).Methods:A total of 106 LDH patients were selected as the study objects and divided into the control group and the observation group according to random number table method,with 53 cases in each group.The control group was treated with once bonesetting tuina,and the observation group was supplemented with valley union needling based on the treatment of the control group.The treatment lasted three weeks.The clinical effects in the two groups were compared,and the lumbar function,pain degree and serum levels of superoxide dismutase(SOD),malondialdehyde(MDA),interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)were also compared before and after treatment.Results:The total effective rate was 90.57%in the observation group,higher than that of 73.58%in the control group(P<0.05).Before treatment,there was no significant difference in the scores of lumbar Oswestry and Japanese Orthopaedic Association(JOA)between the two groups(P>0.05).On the first,second and third week after treatment,the lumbar Oswestry scores in both groups were gradually decreased(P<0.05),and the scores in the observation group were lower than those in the control group at the same time point(P<0.05):the lumbar JOA scores in both groups were gradually increased(P<0.05),and the scores in the observation group were higher than those in the control group at the same time point(P<0.05).Before treatment,there was no significant difference in the scores of Visual Analogue Scale(VAS)between the two groups(P>0.05).On the first,second and third week after treatment,the VAS scores in the two groups were gradually decreased(P<0.05),and the above scores in the observation group were lower than those in the control group at the same time point(P<0.05).Before treatment,there was no significant difference in serum levels of SOD,MDA,IL-6 and TNF-αbetween the two groups(P>0.05).After treatment,the serum SOD levels in the two groups were increased(P<0.05),and the levels of MDA,IL-6 and TNF-αin the two groups were decreased(P<0.05),and the above levels in the observation group were lower than those in the control group(P<0.05).Conclusion:The therapy of valley union needling combined with once bone-setting tuina can effectively relieve the clinical symptoms of LDH patients,improve the lumbar function,reduce pain,and relieve inflammation and the degree of oxidative stress.
作者
童翔
肖丽娟
辛彦萱
TONG Xiang;XIAO Lijuan;XIN Yanxuan(Chun'an Hospital of Chinese Medicine,Hangzhou Zhejiang 311700,China)
出处
《新中医》
CAS
2023年第19期181-185,共5页
New Chinese Medicine
基金
浙江省中医药科技计划项目(2015-ZT-008)。
关键词
腰椎间盘突出症
合谷刺
一次正骨推拿
腰椎功能
疼痛程度
血清因子
Lumbar disc herniation
Valley union needling
Once bone-setting tuina
Lumbar function
Pain degree
Serum factors
作者简介
童翔(1986-),男,主治中医师,E-mail:tongxiang_tx@163.com。
