中央型腰椎间盘突出症牵引推拿治疗疗效与CT成像及唾液中单胺类神经递质含量变化的关系  

CLINICAL STUDY ON CONTENT OF UNIPOLE NEURO TRANSMITTANCE AND THERAPUTIC EFFECT OF CENTRAL INTERVERTEBRAL LUMBAR DISC HERNIATION WITH TRACTION AND MASSAGE

作　　者：余润明[1] 吕子萌[1] 胡秋炎[1] 周伟[1] 肖洪波[1] 方向明[2] 李业甫[1] 

机构地区：[1]安徽中医学院第一附属医院,合肥230031 [2]安徽中医学院经络研究所

出　　处：《中医正骨》2002年第2期7-8,共2页The Journal of Traditional Chinese Orthopedics and Traumatology

基　　金：安徽省教委资助科研课题 [97JL12 7]

摘　　要：为客观评价牵引推拿治疗中央型腰椎间盘突出症的疗效 ,了解患者治疗前后的CT成像变化、唾液中单胺类神经递质含量变化及其与疗效的关系。对采用牵引推拿手法治疗的 5 6例患者进行了观察 ,于治疗 6周后评定疗效 ,同时测量比较突出物CT成像的大小变化并采用荧光法技术分析治疗前后唾液中单胺类神经递质含量变化及其与疗效的关系。结果显示 ,临床痊愈 36例 ,好转 17例 ,无效 3例 ,总有效率达 94.7%。治疗后突出椎间盘的CT成像均有缩小 ,但无统计学意义 (P >0 .0 5 ) ,其形态变化较明显 (P <0 .0 5～ 0 .0 1) ,有显著性意义 ;5 HT的含量治疗后明显下降 ,有非常显著意义 (P <0 .0 1) ;5 HIAA、NE和DA的含量治疗后下降 ,有显著意义 (P <0 .0 5 )。表明牵引推拿治疗中央型腰椎间盘突出症可使突出椎间盘与周围神经根位置关系发生改变 ,具有显著的临床疗效 ,并与唾液中单胺类神经递质 5 HT。Objective: To analyze the content change of unipole neuro transmittance beforeand after treatment, and the relationship between it and therapeutic effect. Methods: After 6 weeks of treatment by traction and massage, analyze the content change of unipole neuro transmittance, before and after treatment and the relationship between it and therapeutic effect with fluorescence method. Results: Thirty six cases were recovered, seventeen cases were on the mend and three cases failed to respond to treatment. The total effective rate reached 94.7%. The content of 5 HIAA, NE and DA were significantly reduced after treatment( P<0.01 ).Conclusions: It has significant effect prolapse of lumba intervertebral disc with traction and massage. And the clinical effect has the relation with the content of 5 HT, NE in saliva.

关 键 词：腰椎间盘突出症 牵引 推拿手法 单胺类神经递质 唾液 

分 类 号：R244.1[医药卫生—针灸推拿学]