调理任督法推拿及温针灸对腰椎间盘突出患者腰背伸肌群功能及疼痛介质、氧化应激的影响  

Effects of Massage and Warm Acupuncture on Lumbar Extensor Muscle Function,Pain Mediators and Oxidative Stress in Patients with Lumbar Disc Herniation

作　　者：赵胤 ZHAO Yin(Shenyang Orthopedic Hospital Soft Trauma Department Shenyang,110044 shenyang,china)

机构地区：[1]沈阳市骨科医院软伤科,辽宁沈阳110044

出　　处：《中华灾害救援医学》2024年第4期464-467,共4页Chinese Journal of Disaster Medicine

摘　　要：目的探讨调理任督法推拿及温针灸对腰椎间盘突出患者腰背伸肌群功能及疼痛介质、氧化应激的影响。方法选取2022年4月至2023年1月在沈阳市骨科医院诊治的腰椎间盘突出患者168例,随机分对照组和研究组,每组各84例,对照组给予双氯芬酸钠口服治疗,研究组在对照组的基础上采取任督法推拿及温针灸治疗。比较两组治疗前后的腰背伸肌群功能及各项生化指标。结果治疗后,两组研究组中位频率斜率(MFs)、平均功率频率(MPF)、平均肌电波幅(AEMG)、平均功率、腰背伸状态下峰力矩比对照组更高,差异有统计学意义(P<0.05),研究组腰背屈伸比与对照组比较明显较低,差异有统计学意义(P<0.05)。研究组P物质(SP)、5-羟色胺(5-HT)、多巴胺(DA)、前列腺素E2(PGE2)与对照组比较明显更低,差异有统计学意义(P<0.05)。研究组谷胱甘肽过氧化物酶(GSH-PX)、超氧化物歧化酶(SOD)与对照组比较明显更高,丙二醛(MDA)、氧化型谷胱甘肽(GSSG)与对照组比较明显更低,差异有统计学意义(P<0.05)。结论调理任督法推拿及温针灸应用于腰椎间盘突出患者,可有效改善腰背伸肌群功能,降低疼痛介质,减轻氧化应激。Objective To investigate the effects of regulating Ren and Du meridians through Tuina massage and warm acupuncture on lumbar extensor muscle function,pain mediators,and oxidative stress of patients with lumbar disc herniation.Methods 168 patients with lumbar disc herniation diagnosed and treated in our hospital from April 2022 to January 2023 were randomly divided into 2 groups,with 84 cases in the control group and 84 cases in the study group.The control group was treated with conventional Western medicine treatment,and the study group was treated with regulating massage Ren and Du meridians through Tuina massage and warm acupuncture treatment on the basis of the control group.The oxidative stress indexes of lumbar and dorsal extensor muscles before and after treatment and other related biochemical indicators were compared between two groups.Results The median frequency slope(MFs),average power frequency(MPF),average electromyographic amplitude(AEMG),average power,and peak moment under lumbar and back extension state in the study group were significantly higher than those in the control group(P<0.05).The lumbar flexion-extension ratio of the study group was significantly lower compared to the control group,with a statistically significant difference(P<0.05).Substance P(SP),serotonin(5-HT),dopamine(DA),and prostaglandin E2(PGE2)in the study group were significantly lower than those in the control group(P<0.05).The glutathione peroxidase(GSH-PX)and superoxide dismutase(SOD)in the study group were higher than those in the control group(P<0.05).The MDA and GSSG in the study group were significantly lower than those in the control group(P<0.05).Conclusion The application of regulating Ren and Du meridians through Tuina massage and warm acupuncture treatment for patients with lumbar disc herniation can effectively improve the function of lumbar extensor muscle group,reduce pain mediators,and relieve oxidative stress.

关 键 词：椎间盘 推拿 脊柱 疼痛 

分 类 号：R242[医药卫生—中医临床基础]