针刀整体松解术配合手法治疗对腰椎间盘突出症患者血清6-酮-前列腺素F1α的影响  

Inflence of Acupotome Lysis Joint with Manipulative Therapy on6-K-PGF1α of Patients with Lumbar Disc Herniation

作　　者：李伟[1] 裴久国 莫锐芳 朱其彬 张平[1] 程萍[1] 

机构地区：[1]湖北省十堰市中医医院针灸科,湖北十堰442000 [2]湖北省十堰市张湾区人民医院,湖北十堰442000

出　　处：《湖北中医药大学学报》2016年第3期44-46,共3页Journal of Hubei University of Chinese Medicine

基　　金：湖北省十堰市创新研究群体科学基金项目

摘　　要：目的观察针刀整体松解术配合手法治疗腰椎间盘突出症的临床疗效及对患者VAS评分和血清6-酮-前列腺素F1α(6-K-PGF1α)的影响。方法将120例患者随机分为治疗组和对照组,治疗组采用针刀整体松解术配合手法治疗;对照组采用电针治疗。结果治疗组总有效率明显高于对照组(P<0.05)。两组治疗后患者VAS评分指数均明显降低(P<0.01);治疗组改善更明显(P<0.05)。治疗后两组6-K-PGF1α均呈升高趋势(P<0.05),治疗组升高更明显(P<0.05)。结论针刀整体松解术配合手法治疗腰椎间盘突出症疗效显著,能明显缓解患者疼痛症状,且可明显改善患者血清6-酮-前列腺素F1α的水平。Objective To observe the clinical efficacy of acupotome lysis with manipulative therapy in treatment of lumbar intervertebral disc protrusion and its effects on serum 6- K- PGF1 α. Methods 120 patients with lumbar disc herniation were randomly divided into observation group and control group,60 cases in each group. Observation group received overall needle knife treatment with manipulative therapy; control group received electro- acupuncture treatment. Results The markedly effective rate of the treatment group was 95. 0%,significnatly higher than 86. 7% of control group with significant difference（ P〈0. 05）. The VAS scoring indexes of both groups decreased signficantly（ P〈0. 01）; treatment group decreased more significantly（ P〈0. 05）. After treatment,6- K- PGF1α showed an increasing trend in both groups,observation group was significantly higher than that of control group with significant difference（ P〈0. 05）. Conclusions Acupotome lysis with manipulative therapy has an obvious curative efficacy on lumbar intervertebral disc,it can release the pain symptom effectively and significantly improve the content of serum 6- k- PGF1α.

关 键 词：腰椎间盘突出症 针刀疗法 电针 6-K-PGF1Α 

分 类 号：R246.1[医药卫生—针灸推拿学]