刃针治疗腰椎间盘突出症的多中心回顾性研究  

A Multicenter Retrospective Study of Blade Needle in Treatment of Lumbar Disc Herniation

作　　者：陈磊[1] 姚球 占大全 邓忠明[1] 赵铭峰[1] 陈秀华[1] CHEN Lei;YAO Qiu;ZHAN Da-Quan;DENG Zhong-Ming;ZHAO Ming-Feng;CHEN Xiu-Hua(Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510120 Guangdong,China;Huidong County Hospital of Traditional Chinese Medicine,Huidong 516300 Guangdong,China;Shenzhen Bao’an Traditional Chinese Medicine Hospital,Shenzhen 518100 Guangdong,China)

机构地区：[1]广东省中医院,广东广州510120 [2]惠东县中医院,广东惠东516300 [3]深圳市宝安区中医院集团,广东深圳518100

出　　处：《广州中医药大学学报》2021年第11期2434-2440,共7页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】分析刃针治疗腰椎间盘突出症(LDH)的临床疗效。【方法】采用多中心回顾性的研究方法,选取2017年6月至2019年1月期间在广东省中医院、深圳市宝安区中医院、惠东县中医院就诊的180例腰椎间盘突出症患者,根据是否运用刃针疗法治疗分为观察组和对照组,每组各90例。观察组给予刃针疗法治疗,对照组给予传统针刀疗法治疗。疗程为1个月,2个月后随访。观察2组患者治疗前后血清白细胞介素(IL)-6及IL-10水平的变化情况,以及日本骨科协会评估治疗分数(JOA)评分、腰椎疼痛数字评分法(NRS)评分、Oswestry功能障碍指数(ODI)评分的情况。比较2组患者治疗前后生活质量量表(SF-36)评分的变化情况。【结果】(1)治疗1个月和2个月后,2组患者的IL-6、IL-10水平明显改善(P<0.05),且观察组在改善IL-6、IL-10水平方面明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗1个月和2个月后,2组患者的JOA评分、ODI评分、NRS评分均明显改善(P<0.05),且观察组在改善JOA评分、ODI评分、NRS评分方面均明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗1个月和2个月后,2组患者的SF-36评分明显改善(P<0.05),且观察组在改善SF-36评分方面明显优于对照组,差异有统计学意义(P<0.05)。【结论】刃针治疗腰椎间盘突出症疗效显著,其疗效优于传统针刀疗法。Objective To analyze the clinical effect of blade needle on lumbar disc herniation. Methods A multicenter retrospective study was conducted to select 180 cases of lumbar disc herniation(LDH)treated in Guangdong Provincial Hospital of Traditional Chinese Medicine,Shenzhen Bao’an Traditional Chinese Medicine Hospital,and Huidong County Hospital of Traditional Chinese Medicine from June 2017 to January 2019. The patients were divided into observation group and control group according to whether applying blade needle therapy or not,with90 cases in each group. The observation group was treated with bladed needle therapy,and the control group was treated with traditional acupotomology therapy. The course of treatment was 1 month,followed up 2 months later.The changes of serum interleukin(IL)-6 and IL-10 levels before and after treatment,as well as the scores of the Japanese Orthopaedic Association(JOA)evaluation and treatment score,lumbar pain numerical score(NRS)and Oswestry Disability Index(ODI)were observed in two groups. The changes of quality of life scale(SF-36)score were compared between the two groups before and after treatment. Results(1)After 1 month and 2 months of treatment, the levels of IL-6 and IL-10 in the two groups were significantly improved(P < 0.05), and the observation group was significantly superior to the control group in improving the levels of IL-6 and IL-10,and the difference was statistically significant(P < 0.05).(2)After 1 month and 2 months of treatment,JOA score,ODI score and NRS score of two groups were significantly improved(P < 0.05),and the observation group was significantly superior to the control group in improving JOA score,ODI score and NRS score,the difference being statistically significant(P < 0.05).(3)After 1 month and 2 months of treatment,the SF-36 score of the two groups was significantly improved(P < 0.05),and the observation group was significantly superior to the control group in improving the SF-36 score,the difference being statistically significant(P < 0.05). Con

关 键 词：刃针 针刀疗法 腰椎间盘突出症 生活质量 刃针疗法 回顾性研究 

分 类 号：R246.9[医药卫生—针灸推拿学]