摘要
目的:观察针刺联合小针刀治疗腰椎间盘突出症的临床疗效。方法:选取腰椎间盘突出症患者216例,按随机数字表法分为对照组和观察组各108例。对照组给予小针刀治疗,观察组在对照组基础上给予针刺治疗。比较2组治疗前后简化McGill疼痛问卷(SF-MPQ)评分、腰椎功能量表(JOA)评分、Oswestry功能障碍指数问卷表(ODI)评分,检测白细胞介素-1β (IL-1β)、白细胞介素-6 (IL-6)、肿瘤坏死因子-α (TNF-α)、一氧化氮(NO)、超氧化物歧化酶(SOD)水平。结果:治疗1周、4周,2组IL-1β、IL-6、TNF-α、NO水平逐渐降低,SOD水平逐渐升高(P<0.05),且观察组IL-1β、IL-6、TNF-α、NO水平均低于同时间点对照组,SOD水平高于同时间点对照组(P<0.05)。治疗1周、4周,2组疼痛分级指数(PRI)、现时疼痛强度(PPI)、视觉模拟量表(VAS)评分及SF-MPQ总分逐渐降低(P<0.05);且观察组PRI、PPI、VAS评分及SF-MPQ总分均低于同时间点对照组(P<0.05)。治疗1周、4周,2组JOA评分逐渐升高,ODI评分逐渐降低(P<0.05);且观察组JOA评分高于同时间点对照组,ODI评分低于同时间点对照组(P<0.05)。结论:针刺联合小针刀治疗腰椎间盘突出症效果显著,能降低炎症因子水平,缓解疼痛症状,改善患者腰椎功能。
Objective:To observe the clinical effect of acupuncture combined with small needle knife for lumbar disc herniation.Methods:A total of 216 cases of patients with lumbar disc herniation were divided into the control group and the observation group according to the random number table method,with 108 cases in each group.The control group was treated with small needle knife,and the observation group was additionally treated with acupuncture based on the treatment of the control group.Before and after treatment,the scores of Short-form McGill Pain Questionnaire(SF-MPQ),Japanese Orthopaedic Association(JOA) and Oswestry Disability Index(ODI),and the levels of interleukin-1β(IL-1β),interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),nitric oxide(NO) and superoxide dismutase(SOD) in the two groups were compared.Results:After treatment for one and four weeks,the levels of IL-1β,IL-6,TNF-α and NO in the two groups were gradually decreased,and the SOD levels were gradually increased(P<0.05),and the levels of IL-1β,IL-6,TNF-α and NO in the observation group were lower than those in the control group at the same time point,and the SOD level was higher(P<0.05).After treatment for one and four weeks,the scores of Pain Rating Index(PRI),Present Pain Intensity(PPI) and Visual Analogue Scale(VAS) and the total scores of SF-MPQ in the two groups were gradually decreased(P<0.05);and the scores of PRI,PPI and VAS and the total score of SF-MPQ in the observation group were lower(P<0.05).After treatment for one and four weeks,the JOA scores in the two groups were gradually increased,and the ODI scores were gradually decreased(P<0.05);the JOA score in the observation group was higher than that in the control group at the same time point,and the ODI score was lower(P<0.05).Conclusion:Acupuncture combined with small needle knife for lumbar disc herniation has a significant effect,and can reduce levels of inflammatory factors,relieve symptoms of pain and improve the lumbar function.
作者
施颖初
吕伟剑
黄飞虎
SHI Yingchu;LYU Weijian;HUANG Feihu
出处
《新中医》
CAS
2022年第9期176-179,共4页
New Chinese Medicine
关键词
腰椎间盘突出症
针刺
小针刀
炎症因子
腰椎功能
氧化应激
Lumbar disc herniation
Acupuncture
Small needle knife
Inflammatory factors
Lumbar function
Oxidative stress
