摘要
目的 探讨循经取穴推拿联合针刺对腰椎间盘突出症患者疼痛与功能的改善作用。方法 选择腰椎间盘突出症患者100例,按照随机数表方式分为对照组和研究组,每组50例。对照组给予西医治疗,研究组在对照组基础上再加循经取穴推拿联合针刺治疗。对比两组治疗效果、中医证候积分、疼痛与功能、腰椎活动度以及血清炎症因子水平。结果 相较对照组的80.00%,研究组治疗总有效率94.00%更高(P<0.05)。相较治疗前,治疗后两组中医证候积分均下降,且研究组腰痛、腿痛沉重、下肢麻木与肢体发凉积分分别为(1.37±0.35)、(1.87±0.42)、(2.07±0.43)、(1.97±0.45)分,均较对照组的(2.05±0.57)、(2.47±0.61)、(2.99±0.65)、(2.52±0.59)分低(P<0.05)。相较治疗前,治疗后两组视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)评分均下降,日本骨科学会(JOA)评分上升,且研究组VAS评分(3.03±0.67)分、ODI评分(27.43±2.76)分低于对照组的(4.22±0.89)、(41.76±4.03)分, JOA评分(22.68±2.17)分高于对照组的(16.74±1.55)分(P<0.05)。相较治疗前,治疗后两组腰椎活动度均变大,且研究组屈伸活动度(70.57±7.14)°、侧屈活动度(50.48±5.11)°与旋转活动度(40.68±4.16)°均大于对照组的(64.27±6.37)、(46.16±4.52)、(35.63±3.39)°(P<0.05)。相较治疗前,治疗后两组炎性因子水平均减低,且研究组肿瘤坏死因子-α(TNF-α)、白细胞介素-1(IL-1)、白细胞介素-6(IL-6)水平分别为(1.07±0.22)ng/ml、(25.74±2.37)pg/ml、(117.48±10.16)μg/L,均低于对照组的(1.47±0.35)ng/ml、(36.27±3.24)pg/ml、(127.93±11.27)μg/L(P<0.05)。结论 对腰椎间盘突出症患者采用循经取穴推拿联合针刺的效果理想,可改善患者症状,减轻患者疼痛与炎性反应,利于患者腰椎功能恢复,值得推广。
Objective To explore the role of selecting acupoint along channel combined with acupuncture in improving pain and function in patients with lumbar disc herniation.Methods 100 patients with lumbar disc herniation were selected and divided into a control group and a study group according to random number table,with 50 cases in each group.The control group was treated with Western medicine,and the study group was treated with selecting acupoint along channel combined with acupuncture based on the control group.The therapeutic effect,traditional Chinese medicine syndrome score,pain and function,lumbar range of motion and serum inflammatory factors were compared between the two groups.Results Compared with 80.00%in the control group,the total effective rate of 94.00%was higher in the study group(P<0.05).Compared with before treatment,the traditional Chinese medicine syndrome scores were decreased;the scores of lumbago,leg pain and heaviness,lower limb numbness and limb coldness in the study group were(1.37±0.35),(1.87±0.42),(2.07±0.43)and(1.97±0.45)points,which were lower than(2.05±0.57),(2.47±0.61),(2.99±0.65)and(2.52±0.59)points in the control group(P<0.05).Compared with before treatment,the visual analog scale(VAS)score and Oswestry dysfunction index(ODI)score were decreased,and the Japanese Orthopaedic Association(JOA)score was increased;the study group had VAS score of(3.03±0.67)points and ODI score of(27.43±2.76)points,which were lower than(4.22±0.89)and(41.76±4.03)points in the control group;JOA score of(22.68±2.17)points in the study group was higher than(16.74±1.55)points in the control group(P<0.05).Compared with before treatment,the lumbar range of motion was increased in both groups;in the study group,the flexion and extension range of motion was(70.57±7.14)°,the lateral flexion range of motion was(50.48±5.11)°and the rotation range of motion was(40.68±4.16)°,which were higher than(64.27±6.37),(46.16±4.52)and(35.63±3.39)°in the control group(P<0.05).Compared with before treatment,th
作者
颜廷华
YAN Ting-hua(Department of Acupuncture and moxibustion and Massage,Wenshang County Hospital of Traditional Chinese Medicine,Jining 272501,China)
出处
《中国实用医药》
2024年第19期37-41,共5页
China Practical Medicine
关键词
腰椎间盘突出症
循经取穴推拿
针刺
疼痛
腰椎功能
炎性因子
Lumbar disc herniation
Selecting acupoint along channel
Acupuncture
Pain
Lumbar spine function
Inflammatory factors
