脊柱调衡手法联合热敏灸治疗老年腰三横突综合征临床疗效观察  

Clinical Observation of Spinal Balance Manipulation Combined with Heat-Sensitive Moxibustion in Treatment of Third Lumbar Transverse Process Syndrome

作　　者：范淼 邢海辉 周小阳[2] 杨志鹏 FAN Miao;XING Haihui;ZHOU Xiaoyang;YANG Zhipeng(Nanjing Gaochun Hospital of TCM,Nanjing 211300,China;Jiangsu Integrated Hospital of Traditional Chinese and Western Medicine,Nanjing 210028,China)

机构地区：[1]南京市高淳中医院,江苏南京211300 [2]江苏省中西医结合医院,江苏南京210028

出　　处：《中医药学报》2023年第3期77-80,共4页Acta Chinese Medicine and Pharmacology

基　　金：江苏省社会发展(重点研发)项目计划(BE2019765)。

摘　　要：目的:研究脊柱调衡手法联合热敏灸治疗老年腰三横突综合征的效果。方法:选取2018年3月—2021年2月南京市高淳中医院76例老年腰三横突综合征患者,根据随机数字表法分为热敏灸组、联合组,各38例。所有患者均进行常规治疗,热敏灸组采用热敏灸治疗,联合组采用脊柱调衡手法联合热敏灸治疗。比较两组疗效,并对比治疗前、治疗4周后疼痛程度[视觉模拟量表(VAS评分)]、腰椎功能[Oswestry功能障碍指数(ODI评分)]、腰椎关节活动度(前屈与后伸)、炎症因子水平[白介素-6(IL-6)、前列腺素E2(PGE2)]。结果:联合组总有效率94.74%(36/38),高于热敏灸组的78.95%(30/38)(P<0.05);治疗4周后两组VAS、ODI评分均低于治疗前,且联合组低于热敏灸组(P<0.05);治疗4周后两组腰椎前屈、后伸活动度均大于治疗前,且联合组大于热敏灸组(P<0.05);治疗4周后两组IL-6、PGE2均低于治疗前,且联合组低于热敏灸组(P<0.05)。结论:脊柱调衡手法联合热敏灸治疗老年腰三横突综合征疗效显著,能减轻疼痛程度,改善腰椎功能及关节活动度,减轻炎症反应。Objective:To study the effect of spinal balance manipulation combined with heat-sensitive moxibustion in treatment of third lumbar transverse process syndrome in elder people.Methods:76 elderly patients with third lumbar transverse process syndrome were randomly divided into the control group and the study group,with 38 cases in each group.Both groups were given basic treatment.The control group was treated with heat-sensitive moxibustion;on which basis,the study group was also treated with spinal balance manipulation.The curative effects of the two groups were compared,and the pain degree(including VAS score and ODI score),the lumbar joint activity(flexion and extension)and the levels of IL-6 and PGE2 were also compared between before and after 4 weeks of treatment in the two groups.Results:The total effective rate in the study group was 94.74%,which was significantly higher than 78.95%in the control group(P<0.05).After 4 weeks of treatment,VAS score and ODI score were lower than those before treatment in the two groups,of which the study group was lower than the control group(P<0.05).After 4 weeks of treatment,the lumbar flexion and extension activities were greater than those before treatment in the two groups,and those in the study group were greater than those in the control group(P<0.05).After 4 weeks of treatment,the levels of IL-6 and PGE2 were lower than those before treatment in the two groups,and those in the study group were lower than those in the control group(P<0.05).Conclusion:Spinal balance manipulation combined with heat-sensitive moxibustion is effective in treatment of third lumbar transverse process syndrome in elder people.It can alleviate pain,improve lumbar function and joint mobility and reduce inflammatory reaction.

关 键 词：腰三横突综合征 脊柱调衡手法 热敏灸 临床疗效 

分 类 号：R246.9[医药卫生—针灸推拿学]