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作 者:李非铭 赵俊莺 方海博 舒雅[1] LI Feiming;ZHAO Junying;FANG Haibo;SHU Ya(The First Affiliated Hospital of Xi’an Medical University, Xi’an 710077, China)
机构地区:[1]西安医学院第一附属医院,陕西西安710077
出 处:《针灸临床杂志》2022年第4期23-26,共4页Journal of Clinical Acupuncture and Moxibustion
摘 要:目的:探讨筋膜内热针联合腰三针治疗腰椎间盘突出症的疗效及对血清IL1β、TNF-α和PGE2水平影响。方法:选取本院收治的腰椎间盘突出症患者分为对照组(51例,腰三针疗法)和治疗组(51例,筋膜内热针联合腰三针疗法),对比治疗后的临床疗效、血清TNF-α、IL-6、IL-1β水平、VAS评分、WHOQOL-100评分和临床症状情况。结果:治疗后治疗组总有效率较高(P<0.05)。两组治疗前JOA评分、DOI评分和WHOQOL-BREF评分无统计学意义(P>0.05);两组治疗后DOI评分明显降低,WHOQOL-BREF评分和JOA评分明显升高(P<0.05),且治疗组改善较多(P<0.05)。两组治疗前腰痛和下肢放射痛评分、腰背肌后伸IMS和ROM差异无统计学意义(P>0.05);两组治疗后腰背肌后伸ROM和IMS较治疗前明显升高,下肢放射痛及腰痛评分较治疗前明显降低(P<0.05),且治疗组改善较多(P<0.05)。两组治疗后血清IL1β、TNF-α和PGE2水平明显降低(P<0.05),且治疗组降低较多(P<0.05)。结论:腰椎间盘突出症采用筋膜内热针联合腰三针治疗具有较好的治疗效果。Objective:To investigate the therapeutic effect of intrafascial heat acupuncture combined with lumbar triple needling in the treatment of lumbar disc herniation(LDH)and its influence to serum levels of IL-1β,TNF-αand PGE2.Methods:The patients with LDH were divided into the control group(n=51)and the treatment group(n=51).The control group was treated with lumbar triple needling;on which basis,the treatment group was also treated with intrafascial heat acupuncture.The clinical efficacy,the serum levels of TNF-α,IL-6 and IL-1β,the scores of VAS and WHOQOL-100,as well as the clinical symptoms were compared between the two groups after the treatment.Results:The total effective rate was higher in the treatment group than that in the control group(P<0.05).There were no statistical differences in the scores of JOA,DOI and WHOQOL-BREF between the two groups before the treatment(P>0.05);the score of DOI was significantly decreased,and the scores of JOA and WHOQOL-BREF were significantly increased after the treatment compared to those before the treatment in the two groups(P<0.05);of which the improvements were more significant in the treatment group(P<0.05).There were no statistical differences in the scores of anterior low back pain,lower limb radiotherapy pain,as well as IMS and ROM of lumbar dorsal muscle extension between the two groups before the treatment(P>0.05);IMS and ROM of lumbar dorsal muscle extension were significantly increased,and the scores of lower back pain and lower limb radiating pain were significantly decreased after the treatment in the two groups(P<0.05);of which the improvements were more significant in the treatment group(P<0.05).The serum levels of IL-1β,TNF-αand PGE2 were significantly decreased after the treatment in the two groups(P<0.05);of which the decreases were more significant in the treatment group(P<0.05).Conclusion:Intrafascial heat acupuncture combined with lumbar triple needling has better therapeutic effect in the treatment of LDH.
分 类 号:R246.2[医药卫生—针灸推拿学]
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