三通推拿法联合骶管封闭治疗腰椎间盘突出症临床研究  

Clinical Study on Santong Tuina Method Combined with Sacral Canal Blocking for Lumbar Intervertebral Disc Herniation

作　　者：于乐惠 陈剑强 YU Lehui;CHEN Jianqiang

机构地区：[1]浙江省荣军医院

出　　处：《新中医》2019年第7期257-260,共4页New Chinese Medicine

摘　　要：目的:观察三通推拿法联合骶管封闭治疗腰椎间盘突出症的临床疗效。方法:选取136例腰椎间盘突出症患者,采用随机数字表法分为观察组与对照组,每组68例。2组均采用一般治疗,对照组联合骶管封闭治疗,观察组在对照组基础上联合三通推拿法治疗。对比2组临床疗效、疼痛指数、血浆血栓素B2及血清炎症因子水平。结果:总有效率观察组95.59%,高于对照组的82.35%,差异有统计学意义(P <0.05)。治疗后,2组疼痛指数及血浆血栓素B2水平与治疗前比较,差异均有统计学意义(P <0.05);观察组疼痛指数高于对照组,血浆血栓素B2水平低于对照组,差异均有统计学意义(P <0.05)。治疗后,2组肿瘤坏死因子-α(TNF-α)、白细胞介素-6 (IL-6)及C-反应蛋白(CRP)水平均较治疗前下降,差异均有统计学意义(P <0.05);观察组3项炎症因子水平均低于对照组,差异均有统计学意义(P <0.05)。结论:三通推拿法联合骶管封闭治疗腰椎间盘突出症,能提高临床疗效,减轻疼痛,降低患者的血浆血栓素B2及血清炎症因子水平。Objective:To observe the clinical effect of Santong Tuina method combined with sacral canal blocking in the treatment of lumbar intervertebral disc herniation. Methods:A total of 136 patients with lumbar intervertebral disc herniation were selected and divided into the observation group and the control group according to random number table method,68 patients in each group. The two groups were treated with general therapy, the control group was additionally treated with sacral canal blocking,and the observation group treated with Santong Tuina method based on the treatment of the control group. Clinical effect, pain degree and levels of plasma thrombin B2 and inflammatory factors in serum were compared between the two groups. Results:The total effective rate was 95.59% in the observation group,higher than that of 82.35%in the control group,the difference being significant(P < 0.05). After treatment,pain degree and levels of plasma thrombin B2 in the two groups were compared with those before treatment,differences being significant(P < 0.05). The pain degree in the observation group was higher than that in the control group,and the level of plasma thrombin B2 was lower than that in the control group, differences being significant(P < 0.05). After treatment, levels of tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)and C-reactive protein(CRP)in both groups were decreased when compared with those before treatment,differences being significant(P < 0.05). The levels of the above three inflammatory factors in the observation group were lower than those in the control group, differences being significant(P < 0.05). Conclusion: The therapy of Santong Tuina method combined with sacral canal blocking in the treatment of lumbar intervertebral disc herniation,can improve the clinical effect,lessen pain,and reduce the levels of plasma thrombin B2 and inflammatory factors in serum.

关 键 词：腰椎间盘突出症 三通推拿法 骶管封闭 疼痛指数 血栓素B2 炎症因子 

分 类 号：R681.53[医药卫生—骨科学]