薄氏腹针治疗腰椎手术失败综合征20例临床观察  

Thin's abdominal acupuncture for treatment of failed back surgery syndrome in 20 cases of clinical observation

作　　者：黄海涛 郑盛惠 冯军 王曙辉 任蓉 姜健 杨丽霞 

机构地区：[1]深圳市黄海涛中医针灸诊所,广东深圳518055 [2]深圳市福田中医院,广东深圳518034

出　　处：《中医药导报》2012年第5期63-65,共3页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：深圳市福田区卫生公益性科研项目(FTWS201138)

摘　　要：目的:观察薄氏腹针治疗腰椎手术失败综合征的临床疗效及对血清前列腺素E(2PGE2)、白介素-1β(IL-1β)的影响。方法:将40例本病患者随机分为腹针组与常规针刺组各20例,另设正常组20例。腹针组采用腹针疗法,常规针刺组采用常规针刺疗法。观察两组的临床疗效并测定两组患者治疗前、后血清PGE2、IL-1β水平。结果:两组患者治疗后VAS评分均明显降低,腹针组优于常规针刺组,差异有统计学意义(P<0.05,P<0.01);腹针组总有效率为95.0%,常规针刺组为80.0%,两组比较,差异有统计学意义(P<0.05)。两组患者治疗前血清PGE2、IL-1β水平较正常组升高,经治疗后均明显降低,以腹针组更加明显,差异有统计学意义(P<0.05,P<0.01)。结论:腹针疗法治疗腰椎手术失败综合征疗效确切,能有效降低VAS评分及血清PGE2、IL-1β含量,可能为其作用机制之一。Objective： To observe the clinical efficacy of abdominal acupuncture for treatment of thin’s failed back surgery syndrome and serum prostaglandin E2（PGE2）,white interleukin-1β（IL-1β）.Methods： 40 cases the patients were randomly divided into 20 cases of abdominal acupuncture group and the routine acupuncture group,separate group of 20 cases.Abdominal acupuncture group were treated with abdominal acupuncture,routine acupuncture group with routine acupuncture.The clinical efficacy of the two groups were observed and measured the two groups of patients,serum PGE2,IL-1β levels.Results： After treatment,VAS scores were significantly lower abdominal acupuncture group was better than the routine acupuncture group,the difference was statistically significant（P〈0.05,P〈0.01）;abdominal acupuncture group,the total effective rate was 95.0%,the conventional needle The acupuncture group was 80.0%,respectively,the difference was statistically significant（P〈0.05）.The two groups before treatment serum PGE2,IL-1β levels than the normal group increased after treatment were significantly lower,more abdominal acupuncture group,the difference was statistically significant（P〈0.05,P〈0.01）.Conclusion： The failure of abdominal acupuncture for treatment of lumbar spine surgery syndrome exact can effectively reduce the VAS score and serum of PGE2,IL-1β content,may be its one of the mechanisms.

关 键 词：腰椎手术失败综合征 腹针疗法 前列腺素E2 白介素-1Β 

分 类 号：R274[医药卫生—中医骨伤科学]