热敏灸联合穴位推拿治疗腰椎间盘突出症临床研究  

Clinical Study on Heat-Sensitive Moxibustion Combined with Point Tuina for Lumbar Disc Herniation

作　　者：贺芳 章淑萍 HE Fang;ZHANG Shuping

机构地区：[1]绍兴市中心医院医共体总院康复科,浙江绍兴312030

出　　处：《新中医》2021年第23期197-200,共4页New Chinese Medicine

摘　　要：目的:观察热敏灸联合穴位推拿治疗腰椎间盘突出症的临床效果。方法:选择74例腰椎间盘突出症患者,按随机数字表法分为研究组和对照组各37例。对照组采取常规对症治疗,研究组在对照组基础上采取热敏灸联合穴位推拿治疗。比较2组临床疗效,采用日本骨科协会下腰痛评分量表(JOA)和视觉模拟评分法(VAS)评价2组治疗前后的腰椎功能和疼痛情况,检测2组治疗前后血清白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)以及单核细胞趋化蛋白-1(MCP-1)含量。结果:研究组总有效率为97.30%,高于对照组83.78%,差异有统计学意义(P<0.05)。治疗前,2组JOA评分、VAS评分比较,差异无统计学意义(P>0.05)。治疗后,2组JOA评分高于治疗前,且研究组JOA评分高于对照组(P<0.05);2组VAS评分低于治疗前,且研究组VAS评分低于对照组(P<0.05)。治疗前,2组血清IL-6、TNF-α、MCP-1含量比较,差异无统计学意义(P>0.05)。治疗后,2组血清IL-6、TNF-α、MCP-1含量低于治疗前,且观察组血清IL-6、TNF-α、MCP-1含量低于对照组,差异均有统计学意义(P<0.05)。结论:热敏灸联合穴位推拿治疗腰椎间盘突出症患者疗效较好,可有效缓解患者疼痛,恢复腰椎功能,降低炎症反应。Objective:To observe the clinical effect of the therapy of heat-sensitive moxibustion combined with point tuina on lumbar disc herniation.Methods:A total of 74 patients with lumbar disc herniation were divided into the study group and the control group according to the random number table method,with 37 cases in each group.The control group was treated with routine symptomatic treatment,and the study group was additionally treated with heat-sensitive moxibustion combined with point tuina based on the treatment of the control group.The clinical effects in the two groups were compared.Before and after treatment,the lumbar function and pain in the two groups were evaluated by the Japanese Orthopaedic Association(JOA)Back Pain Evaluation Questionnaire and the Visual Analogue Scale(VAS),and the levels of serum interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)and monocyte chemoattractant protein-1(MCP-1)were detected.Results:The total effective rate was 97.30%in the study group,higher than that of 83.78%in the control group,the difference being significant(P<0.05).Before treatment,there was no significant difference being found in the comparison of the scores of JOA and VAS between the two groups(P>0.05).After treatment,the JOA scores in the two groups were increased when compared with those before treatment,and the JOA score in the study group was higher than that in the control group(P<0.05);the VAS scores in the two groups were decreased when compared with those before treatment,and the VAS score in the study group was lower than that in the control group(P<0.05).Before treatment,there was no significant difference being found in the comparison of levels of serum IL-6,TNF-αand MCP-1 between the two groups(P>0.05).After treatment,the levels of serum IL-6,TNF-αand MCP-1 in the two groups were lower than those before treatment,and the above levels in the observation group were lower than those in the control group,differences being significant(P<0.05).Conclusion:The therapy of heat-sensitive moxibustion combined w

关 键 词：腰椎间盘突出症 热敏灸 穴位推拿 日本骨科协会下腰痛评分量表 视觉模拟评分法 炎症因子 

分 类 号：R681.53[医药卫生—骨科学]