摘要
目的 分析调督理筋针法联合四指推脊柱调整法治疗腰椎间盘突出症(lumbar disc herniation, LDH)患者的临床疗效。方法 2020年1月—2022年2月该院康复医学科收治的LDH患者80例,采用随机数字表法分为对照组和观察组,各40例。对照组给予腰椎牵引法配合推拿治疗,观察组给予调督理筋针法联合四指推脊柱调整法治疗,两组均治疗2周。比较两组治疗2周后疗效,治疗前、治疗2周后中医证候评分、腰椎功能、致痛因子、炎性因子及氧化应激。结果 治疗2周后,观察组总有效率(95.00%,38/40)高于对照组(72.50%,29/40),差异有统计学意义(P<0.05)。与治疗前比较,治疗2周后,两组腰腿刺痛、夜间痛、腰部板硬、麻木以及俯仰旋转受阻评分,血清P物质(SP)、5-羟色胺(5-hydroxytryptamine, 5-HT)、前列腺素E2(prostaglandin E2,PGE2)、白细胞介素-17(interleukin-17,IL-17)、金属基质蛋白酶-3(metallomatrix proteinase-3,MMP-3)、丙二醛(malondialdehyde, MDA)水平降低,且观察组更低(P<0.05);两组腰椎前屈最大活动度、腰椎后伸最大活动度、日本骨科学会下腰痛评分表(JOA)评分、血清超氧化物歧化酶(SOD)水平均升高,且观察组更高(P<0.05)。结论 调督理筋针法联合四指推脊柱调整法治疗LDH患者疗效确切,可改善患者中医证候评分,提高腰椎功能,分析与其调节致痛因子、炎性因子及氧化应激指标水平有关。
Objective To analyze the clinical efficacy of Tiaodu Lijin acupuncture combined with four-finger push spinal adjustment in the treatment of lumbar disc herniation(LDH).Methods From January 2020 to February 2022,80 patients with LDH admitted to the department of rehabilitation medicine in our hospital were divided into the control group and the observation group,with 40 cases in each group by random number table method.The control group was treated with lumbar traction combined with Tuina therapy,while the observation group was treated with Tiaodu Lijin acupuncture combined with four-finger pushing spine adjustment.Both groups were treated for 2 weeks.The therapeutic effect,the scores of traditional Chinese medicine syndromes,lumbar function,pain factors,inflammatory factors and oxidative stress were compared between the two groups before and after 2 weeks of treatment.Results After 2 weeks of treatment,the total effective rate of the observation group(95.00%,38/40)was higher than that of the control group[72.50%(29/40),P<0.05].After 2 weeks of treatment,compared with those before treatment,the scores of lumbar and leg tingling,night pain,lumbar plate stiffness,numbness,pitch and rotation retardation,the serum levels of substance P(SP),5-hydroxytryptamine(5-HT),prostaglandin E2(PGE2),interleukin-17(IL-17),metallomatrix proteinase-3(MMP-3)and malondialdehyde(MDA)in the two groups decreased,and the levels in the observation group were lower(P<0.05).The maximal range of motion of lumbar flexor,the maximal range of motion of lumbar extension,the score of Japanese Orthopaedic Association Low Back Pain Scale(JOA)and the serum level of superoxide dismutase(SOD)in the two groups increased,and the level was higher in the observation group(P<0.05).Conclusion Tiaodu Lijin acupuncture combined with four-finger pushing spine adjustment is effective in the treatment of patients with LDH,which could improve the scores of traditional Chinese medicine syndromes of patients and improve the lumbar spine function,which might be related to the regulation of pain factors,inflammatory factors and oxidative stress indexes.
作者
章小青
谭从娥
ZHANG Xiaoqing(Department of Rehabilitation Medicine,Fuyang Cancer Hospital,Fuyang 236022,Anhui,China)
出处
《辽宁中医杂志》
北大核心
2024年第5期168-171,共4页
Liaoning Journal of Traditional Chinese Medicine
关键词
腰椎间盘突出症
调督理筋针法
四指推脊柱调整法
中医证候
腰椎功能
致痛因子
炎性因子
氧化应激
lumbar intervertebral disc herniation
Tiaodu Lijin acupuncture
four-finger pushing spine adjustment method
traditional Chinese medicine syndrome
lumbar spine function
pain inducing factor
inflammatory factor
oxidative stress
