腰椎定点微调整脊手法配合穴位注射治疗腰椎间盘突出症临床研究  

Clinical Study of Orthopaedicspinal Technique of Lumbar Vertebra Fixed Point Fine Adjustment Combined with Point Injection for Lumbar Disc Herniation

作　　者：郑晓斌[1] 林远方 张楚惠[1] 刘特熹[1] 佘瑞涛[1] 王书勤[1] 刘国科[1] 

机构地区：[1]深圳市中医院,广东深圳518033

出　　处：《新中医》2018年第2期96-99,共4页New Chinese Medicine

基　　金：广东省中医药局科研课题(20162127)

摘　　要：目的:观察腰椎定点微调整脊手法配合穴位注射治疗腰椎间盘突出症的临床疗效及对其免疫水平的影响。方法:将符合纳入标准的130例腰椎间盘突出症患者随机分为2组各65例。治疗组采用腰椎定点微调整脊手法配合穴位注射治疗;对照组采用口服布洛芬片配合腰椎电动牵引治疗。2组治疗前后采用日本骨科学会(JOA)腰痛疾患疗效评定标准进行观察,并对2组治疗前后IgG、IgM、IgA的数据进行统计分析,客观评价腰椎定点微调整脊手法配合穴位注射治疗本病的临床疗效及对其免疫水平的影响。结果:2组总有效率比较,差异无统计学意义(P>0.05);但临床控制率和显效率治疗组高于对照组,差异均有统计学意义(P<0.05)。治疗后,2组IgG、IgM分别与治疗前比较,差异均有统计学意义(P<0.05);IgA含量变化前后比较,差异无统计学意义(P>0.05);治疗组与对照组比较,IgG、IgM含量变化差异均有统计学意义(P<0.05,P<0.01),IgA含量变化,差异无统计学意义(P>0.05)。结论:腰椎定点微调整脊手法配合穴位注射治疗疗效明确,能减轻突出的椎间盘周围组织的免疫反应,缓解疼痛。Objective： To observe the clinical effect of orthopaedicspinal technique of lumbar vertebra fixed point fine adjustment combined with point injection for lumbar disc herniation and its effect on the immune level. Methods：Divided 130 cases of patients with lumbar disc herniation into the treatment group and the control group randomly, 65 cases in each group. The treatment group received orthopaedicspinal technique of lumbar vertebra fixed point fine adjustment combined with point injection for treatment,while the control group received ibuprofen tablets orally combined with lumbar electric traction.Observed patients in both groups before and after treatment according to the criterion of curative effect of low back pain of Japanese Orthopedic Association（JOA）. Analyzed IgG, IgM and IgA in both groups before and after treatment. Objectively evaluated the clinical effect of orthopaedicspinal technique of lumbar vertebra fixed point fine adjustment combined with point injection for lumbar disc herniation and its effect on the immune level. Results：No significant difference was found in the comparison of the total effective rate between the two groups（P〉0.05）,but the clinical control rate and the obvious effective rate in the treatment group were higher than those in the control group,differences being significant（P〈0.05）. The respective comparisons of IgG and IgM before and after treatment between the two groups showed significance in differences（P〈0.05）.No significant difference was found in the comparison of IgA content before and after treatment between the two groups（P〉0.05）. The comparison of content differences of IgG and IgM between the two groups showed significance in differences（P〈0.05,P〈0.01）. No significant difference was found in the comparison of the change of IgA content between the two groups（P〉0.05）. Conclusion：The therapy of orthopaedicspinal technique of lumbar vertebra fixed point fine adjustment combined with point injection for lumbar disc herniat

关 键 词：腰椎间盘突出症 腰椎定点微调整脊手法 穴位注射 免疫球蛋白G 免疫球蛋白M 

分 类 号：R681.53[医药卫生—骨科学]