龙虎交战针法联合悬吊训练对腰椎间盘突出症患者腰背伸肌群功能、神经传导速度和血清炎症因子的影响  

Effects of Dragon Tiger Engagement Acupuncture Combined with Suspension Training on Dorsolumbar Extensor Muscle Function,Nerve Conduction Velocity and Serum Inflammatory Factors in Patients with Lumbar Disc Herniation

作　　者：黄雷[1] 王丰[1] 廖仕川 李涛 金洪波 HUANG Lei;WANG Feng;LIAO Shi-chuan;LI Tao;JIN Hong-bo(Second Department of Neck,Shoulder,Waist and Leg Pain,Sichuan Province Orthopedic Hospital,Chengdu,Sichuan,610041,China;Department of Acupuncture and Massage,Affiliated Sports Hospital of Chengdu Institute of Physical Education,Chengdu,Sichuan,610041,China)

机构地区：[1]四川省骨科医院颈肩腰腿痛二科,四川成都610041 [2]成都体育学院附属体育医院针灸推拿科,四川成都610041

出　　处：《现代生物医学进展》2022年第20期3936-3940,共5页Progress in Modern Biomedicine

基　　金：四川省医学科研课题计划项目(S16065)。

摘　　要：目的:观察龙虎交战针法联合悬吊训练对腰椎间盘突出症(LDH)患者腰背伸肌群功能、神经传导速度和血清炎症因子的影响。方法:纳入我院2018年4月-2021年8月期间接收的LDH患者82例。按照随机数字表法将患者分为对照组(悬吊训练,n=41)和实验组(龙虎交战针法联合悬吊训练,n=41)。观察两组患者腰椎功能恢复情况、疼痛症状改善情况以及腰背伸肌群功能、神经传导速度和血清炎症因子的变化情况。结果:实验组的临床总有效率高于对照组(P<0.05)。治疗后,两组日本骨科协会下腰痛评价表(JOA)评分升高,且实验组高于对照组(P<0.05)。治疗后,两组Oswestry功能障碍指数(ODI)、视觉疼痛模拟评分法(VAS)评分下降,且实验组低于对照组(P<0.05)。治疗后,两组平均功率、腰背伸状态下峰力矩升高,且实验组高于对照组(P<0.05)。治疗后,两组腰背屈伸比下降,且实验组较对照组低(P<0.05)。治疗后,两组腓总神经和胫神经的传导速度均升高,且实验组较对照组高(P<0.05)。治疗后,两组血清白细胞介素-1β(IL-1β)、白介素-1(IL-1)、基质金属蛋白酶3(MMP-3)、肿瘤坏死因子-α(TNF-α)水平均下降,且实验组低于对照组(P<0.05)。结论:龙虎交战针法联合悬吊训练可促进LDH患者腰椎功能改善,减轻疼痛症状,改善腰背伸肌群功能和腓总神经、胫神经的神经传导速度,降低机体血清炎症因子水平,具有较好的临床应用价值。Objective:To observe the effects of dragon tiger engagement acupuncture combined with suspension training on dorsolumbar extensor muscle function,nerve conduction velocity and serum inflammatory factors in patients with lumbar disc herniation(LDH).Methods:82 patients with LDH who were received in our hospital from April 2018 to August 2021 were included.The patients were randomly divided into control group(suspension training,n=41)and experimental group(dragon tiger engagement acupuncture combined with suspension training,n=41).The recovery of lumbar function,the improvement of pain symptoms,the dorsolumbar extensor muscle function,nerve conduction velocity and serum inflammatory factors were observed in two groups.Results:The total clinical effective rate of experimental group was higher than that of control group(P<0.05).After treatment,the Japanese Orthopaedic Association low back Pain Evaluation Scale(JOA)score increased in both groups,and the experimental group was higher than the control group(P<0.05).After treatment,Oswestry disability index(ODI)and visual analogue pain scale(VAS)scores in both groups decreased,and the experimental group was lower than the control group(P<0.05).After treatment,the average power and peak torque under lumbar and dorsal extension of the two groups were increased,and the experimental group was higher than the control group(P<0.05).After treatment,the ratio of lumbar and dorsal flexion and extension in both groups decreased,and the experimental group was lower than the control group(P<0.05).After treatment,the conduction velocity of common peroneal nerve and tibial nerve in both groups increased,and the experimental group was higher than the control group(P<0.05).After treatment,levels of serum interleukin-1β(IL-1β),interleukin-1(IL-1),matrix metalloproteinase 3(MMP-3)and tumor necrosis factor-α(TNF-α)in two groups were decreased,and the experimental group was lower than the control group(P<0.05).Conclusion:Dragon tiger engagement acupuncture combined with suspension traini

关 键 词：龙虎交战针法 悬吊训练 腰椎间盘突出症 腰背伸肌群功能 神经传导速度 炎症因子 

分 类 号：R681.53[医药卫生—骨科学]