华佗夹脊穴联合腰部核心肌力训练对腰椎间盘突出症患者腰椎功能及血清CD4^+CD8^+水平的影响  

The Influence of Huatuojiaji in Combination with Lumbar Core Muscle Strength Training on Lumbar Function and Serum CD4^+ CD8^+ level in Patients with Lumbar Disc Herniation

作　　者：徐毅 XU Yi(Zhengzhou Hospital of TCM,Zhengzhou,Henan,China,450000)

机构地区：[1]郑州市中医院

出　　处：《河南中医》2019年第6期931-935,共5页Henan Traditional Chinese Medicine

摘　　要：目的:研究华佗夹脊穴联合腰部核心肌力训练对腰椎间盘突出症(lumbar dis cherniation,LDH)患者腰椎功能及T淋巴细胞亚群水平的影响。方法:选取2017年1月至2018年6月在本院就诊的96例LDH患者,按随机数字表法分为对照组和研究组各48例。对照组采用牵引、推拿加常规康复训练治疗,研究组采用华佗夹脊穴联合腰部核心肌力训练治疗,两组均持续治疗4周。比较两组患者临床疗效、治疗前后腰椎功能(ODI及JOA评分)、疼痛程度(VAS评分)、血清T淋巴细胞亚群水平、炎性因子[白细胞介素-6(interleukin-6,IL-6)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)]水平及生活质量(SF-36)评分。结果:对照组有效率为79.17%,研究组有效率为95.83%,两组有效率比较,差异有统计学意义(P<0.05);治疗2周、4周后,研究组ODI评分低于对照组,JOA评分高于对照组(P<0.05);治疗2周、4周后,两组VAS评分均低于治疗前,且研究组低于对照组(P<0.05);治疗后两组血清CD3^+、CD4^+、CD4^+/CD8^+水平均高于治疗前,且研究组高于对照组(P<0.05);治疗后两组血清IL-6、TNF-α水平均低于治疗前,且研究组低于对照组(P<0.05);治疗后两组SF-36评分均高于治疗前,且研究组高于对照组(P<0.05)。结论:华佗夹脊穴联合腰部核心肌力训练能有效缓解LDH疼痛,改善其免疫功能,减轻其炎症反应,提高其生活质量。Objective: To study the influence of Huatuojiaji ( Extra) in combination with lumbar core muscle strength training on lumbar function and serum CD4^+ CD8^+ level in patients with lumbar disc herniation ( LDH). Methods: Ninety-six patients with LDH treated in our hospital from January 2017 to June 2018 were selected and divided into the control group and the research group according to random number table method,with 48 cases in each group. The control group was treated with traction,massage and routine rehabilitation training,while the research group was treated with Huatuojiaji ( Extra) combined with lumbar core muscle strength training. Both groups were treated continuously for 4 weeks. The clinical efficacy,lumbar vertebral functions ( including ODI and JOA scores),pain degree ( VAS scores),serum T lymphocyte subsets,inflammatory factors including interleukin- 6 ( IL-6),tumor necrosis factor-α( TNF-α) levels and quality of life ( SF-36) scores were compared between the two groups before and after treatment. Results: The effective rate of the control group was 79. 17%,and that of the researchers was 95. 83%. There was a significant difference between the two groups ( P < 0. 05). After 2 and 4 weeks of treatment,the ODI score of the research group was lower than that of the control group,and its JOA score was higher than that of the control group ( P < 0. 05). The VAS scores of the two groups were lower than those before the treatment,and the research group was lower than the control group ( P < 0. 05). After the treatment,the serum levels of CD3^+,CD4^+,CD4^+/CD8^+ in the two groups were higher than those before the treatment,and the research group was higher than the control group ( P < 0. 05). The levels of IL-6 and TNF-α in both groups were lower than those before the treatment,and the research group was lower than the control group ( P < 0. 05). The SF-36 scores in the two groups after treatment were higher than those before the treatment,and the research group was higher than the control group ( P < 0.

关 键 词：腰椎间盘突出症 华佗夹脊穴 腰部核心肌力训练 

分 类 号：R274.981.53[医药卫生—中西医结合]