陈氏挑针与牵旋疗法对腰椎间盘突出症患者疗效及血液流变指标的影响  

Clinical Observation of Needle Pricking Therapy and Rotating Pulling Manipulation on Lumbar Intervertebral Disc Protrusion with Numbness Symptoms and the Influence of Nerve Roots

作　　者：陈栋[1] 林纪新 袁晟 王刚伟[3] 钟键 陈卓铭[1] 林敏婵[1] 丘晨[1] CHEN Dong;LIN Jixin;YUAN Sheng;WANG Gangwei;ZHONG Jian;CHEN Zhuoming;LIN Minchan;QIU Chen(The First Affiliated Hospital of Jinan University,Guangzhou 510630,China;The Lecong Hospqital of Shunde district of Foshan city,Foshan 528000,China;The Third Affiliated Hospital,Sun Yat-sen University,Zhongshan 510630,China;The Second Affiliated Hospital of Shantou University Medical College,Shantou 515000,China)

机构地区：[1]暨南大学附属第一医院,广东广州510630 [2]佛山市顺德区乐从医院,广东佛山528000 [3]中山大学附属第三医院,广东广州510630 [4]汕头大学医学院第二附属医院,广东汕头515000

出　　处：《云南中医药大学学报》2023年第5期45-48,53,共5页Journal of Yunnan University of Chinese Medicine

基　　金：广东省自然科学基金项目(2019SKJ021)。

摘　　要：目的探讨陈氏挑针与牵旋法对腰椎间盘突出症(prolapse of lumbar intervertebral disc,LIDP)患者血液流变指标及疗效的影响。方法将218例LIDP患者按数字表法随机分为观察组各109例,最终观察组脱落4例,对照组脱落8例;分别为观察组105例,对照组101例。其中观察组挑针与牵旋法治疗腰椎间盘突出相应节段椎旁神经根;对照组单纯牵旋治疗,每个疗程10次,两组均治疗2个疗程后,对比两组治疗前后血液黏稠度改变、胫腓神经F波传导速度和JOA评分,并观察针挑对患者神经根、症状缓解和疗效情况。结果与治疗前比较,观察组治疗后的胫腓神经F波传导速度、JOA评分均明显高于治疗前(P<0.01),且观察组高于对照组(P<0.01或P<0.05)。观察组治疗后全血表观黏度及血浆度值均明显下降(P<0.05);观察组总有效率明显优于对照组(P<0.05)。结论陈氏挑针与牵旋法可明显改善LIDP患者临床症状,调节血液流变学指数。同时,可提升由于LIDP神经根病损所致患肢胫、腓神经F波传导速度,缓解下肢症状群。Objective To discuss the curative effect of Needle Pricking Therapy and Rotating Pulling Manipulation on blood rheological index and efficacy in patients with lumbar disc herniation(prolapse of lumbar intervertebral disc,LIDP).Methods 206 patients were randomly divided into the observation group,105 cases and the control group,101 cases in each group.The observation group was Needle Pricking Therapy and Rotating Pulling Manipulation the nerve root at corresponding segments,and the control group was Rotating Pulling Manipulation.A course of treatment was for 10 times.After 20 times treatment,we compare the changes in F wave velocity,JOA-score and blood viscosity before and after treatments,and observe the nerve root,symptom relief and efficacy of patients.Results There were statistical significance between the therapeutic group and the control group(P<0.01).Conclusion Needle Pricking Therapy and Rotating Pulling Manipulation can significantly improve the pain symptoms or activity degree,At the same time,it can improve the F wave conduction velocity of tibia and peroneal nerve caused by LIDP,reduce the blood viscosity and the F wave conduction velocity of tibia and peroneal in patients with LIDP.

关 键 词：腰椎间盘突出症 血液流变指标 F波传导速度 疗效 针挑整脊疗法 

分 类 号：R246.9[医药卫生—针灸推拿学]