华佗夹脊穴治疗腰椎间盘突出症优化方案的评价及对免疫应答机理的探讨  

Study on the Optimization of the Treatment of Lumbar Disc Herniation by Huatuo Jiaji Point and the Mechanism of Immune Response

作　　者：王胜军[1] 

机构地区：[1]长春中医药大学附属医院中医骨伤科,长春130021

出　　处：《中国中医药现代远程教育》2017年第11期54-55,共2页Chinese Medicine Modern Distance Education of China

摘　　要：目的探讨华佗夹脊穴治疗腰椎间盘突出症的方案优化及疗效,分析其对免疫应答的机理。方法选择腰椎间盘突出症患者116例,随机将其分为2组,即对照组(58例)和观察组(58例),对照组给予针刺华佗夹脊穴治疗,观察组给予针刀华佗夹脊穴治疗,评价2组患者治疗后腰椎功能和疼痛程度,并分析免疫应答机理。结果治疗后,2组患者JOA评分、VAS评分、CD^(4+)T淋巴细胞以及血清IgG、IgM水平较治疗前均有所改善,且观察组均明显优于对照组(均P<0.05)。结论针刀华佗夹脊穴治疗腰椎间盘突出症具有显著疗效,可帮助改善腰椎功能,减轻疼痛,并且可以通过细胞免疫和体液免疫来消除炎症反应,改善微循环,促进突出物的自然吸收。Objective To explore the optimization and effect of Huatuo Jiaji point in the treatment of lumbar disc herniation, and to analyze its mechanism of immune response. Methods One hundred and sixteen cases of patients with lumbar disc herniation were se-lected and randomly divided into control group（ 58 cases） and observation group（ 58 cases）. The control group was given acupuncture Huatuo Jiaji point therapy, and the observation group was given needle knife Huatuo Jiaji point therapy. The degree of lumbar function and pain after treatment in both groups were evaluated, and the mechanism of immune respons was analyzed. Results After treatment, JOA score, VAS score, CD^4＋ T lymphocyte and serum Ig G and Ig M levels were improved in both groups comparing with those before treatment, and the observation group was significantly better than the control group（ P〈0.05）. Conclusion The needle knife Huatuo Jiaji point therapy for lumbar disc herniation has a significant effect, which can help improve lumbar function,reduce pain, and can be immune and humoral immunity to eliminate the inflammatory response, improve microcirculation, and pro-mote the natural absorption of the protrusions.

关 键 词：腰椎间盘突出症 华佗夹脊穴 优化方案 免疫应答 针刀医学 

分 类 号：R246.9[医药卫生—针灸推拿学]