摘要
目的观察刺血疗法联合针刺治疗血瘀型急性腰椎间盘突出症(LDH)的临床疗效。方法将66例血瘀型急性LDH患者按照随机数字表法分为对照组和观察组,每组33例。对照组采用针刺治疗,观察组在对照组基础上加刺血法治疗。观察两组治疗前后Oswestry功能障碍指数(ODI)评分、JOA腰痛评分评价患者腰腿疼痛及功能障碍程度,采用神经肌电仪检测胫神经与腓神经F波传导速度,采用化学发光法检测血清肿瘤坏死因子(TNF)-α、白介素(IL)-1β、IL-6水平的变化情况,并比较两组的临床疗效。结果治疗后,两组ODI评分及血清TNF-α、IL-1β、IL-6含量较治疗前均明显降低(P<0.05),JOA腰痛评分及胫神经、腓神经F波传导速度较治疗前均显著升高(P<0.05);观察组优于对照组(P<0.05)。观察组临床疗效优于对照组(P<0.05)。结论刺血疗法联合针刺治疗血瘀型急性LDH疗效明确,可以明显缓解腰腿疼痛,恢复腰腿功能障碍,促进患者受损神经的修复,降低患者血清炎性因子水平。
Objective To observe the clinical efficacy of bloodletting therapy plus acupuncture in treating acute lumbar disc herniation(LDH)of blood stasis pattern.Method Sixty-six patients with acute LDH of blood stasis pattern were divided into a control group and an observation group using the random number table method,with 33 cases in each group.The control group was treated with acupuncture therapy,and the observation group was given additional bloodletting therapy.Before and after the treatment,the Oswestry disability index(ODI)score and Japanese Orthopedic Association(JOA)low back pain score were used to evaluate pain in the low back and legs and dysfunction degree for the two groups.The neurophysiologic monitor was used to detect the F-wave conduction velocities of the tibial and peroneal nerves.The chemiluminescence assay was adopted to determine the levels of serum tumor necrosis factor(TNF)-α,interleukin(IL)-1β,and IL-6.The clinical efficacy was also compared.Result After the treatment,the ODI score and the contents of serum TNF-α,IL-1β,and IL-6 significantly dropped in both groups(P<0.05),and the JOA low back pain score and the F-wave conduction velocities of the tibial and peroneal nerves markedly increased(P<0.05);the observation group was superior to the control group(P<0.05).The clinical efficacy was better in the observation group than in the control group(P<0.05).Conclusion Bloodletting therapy plus acupuncture is effective in treating LDH of blood stasis pattern.It can alleviate pain in the low back and legs,restore the function of the low back and legs,bolster the recovery of the damaged nerves,and down-regulate the levels of serum inflammatory factor.
作者
王冠超
WANG Guanchao(Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230061,China)
出处
《上海针灸杂志》
2022年第3期248-252,共5页
Shanghai Journal of Acupuncture and Moxibustion
基金
国家自然科学基金项目(81774414)
安徽省中医药领军人才建设项目(ZYYLJRC201911)
安徽中医药大学科研项目(218zryb56)。
关键词
腰椎间盘突出症
椎间盘移位
放血疗法
针刺疗法
肌电图
炎性因子
Lumbar disc herniation
Intervertebral disc displacement
Bloodletting therapy
Acupuncture therapy
Electromyography
Inflammatory factors
