岐黄针联合朱氏正骨手法对腰椎间盘突出症患者急性疼痛和腰椎功能的影响  

Effects of Qihuang Needling Combined with ZHU's Bone-Setting Technique on Acute Pain and Lumbar Function in Patients with LDH

作　　者：张云霞[1] 祁龙 陈赟琪[1] 陈伟峰[1] 许泽昱 侯为林[1] 吕志刚[1] ZHANG Yunxia;QI Long;CHEN Yunqi;CHEN Weifeng;XU Zeyu;HOU Weilin;LYU Zhigang(Changzhou Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Traditional Chinese Medicine,Changzhou 213000,China)

机构地区：[1]南京中医药大学附属常州市中医医院,江苏常州213000

出　　处：《针灸临床杂志》2024年第9期21-25,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：江苏省中医药科技项目,编号:YB201832。

摘　　要：目的:探讨岐黄针联合朱氏正骨手法对腰椎间盘突出症患者急性疼痛和腰椎功能的影响。方法:选择2020年8月—2023年8月本院收治的100例腰椎间盘突出症患者,随机将患者分为两组。对照组50例采用朱氏正骨手法治疗,观察组50例采用朱氏正骨手法和岐黄针治疗。比较两组疗效,疼痛程度、腰椎功能、生活质量、血清疼痛物质和炎症指标差异。结果:观察组治疗总有效率高于对照组(P<0.05)。两组治疗后疼痛视觉模拟评分(VAS)、ODI评分、血清P物质(SP)、神经肽Y(NPY)及神经生长因子(NGF)、白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)水平较治疗前降低(P<0.05),简明健康问卷(SF-36)评分、JOA评分、屈曲、伸展和侧屈活动度较治疗前增高(P<0.05)。观察组治疗后VAS评分、ODI评分、血清SP、NPY、NGF、IL-1β、IL-6及TNF-α水平低于对照组(P<0.05),SF-36评分、JOA评分、屈曲、伸展和侧屈活动度高于对照组(P<0.05)。结论:岐黄针联合朱氏正骨手法治疗腰椎间盘突出症可更显著改善疼痛症状,腰椎功能和生活质量,提高临床疗效。Objective:To investigate the effects of Qihuang needling combined with ZHU's bone-setting technique on acute pain and lumbar function in patients with lumbar disc herniation(LDH).Methods:100 patients with LDH were randomly divided into the control group and the observation group,with 50 patients in each group.The control group was treated with ZHU's bone-setting technique;on which basis,the observation group was also treated with Qihuang needling.Therapeutic effects,pain degree,lumbar function,quality of life,serum pain substances and inflammatory indicators were compared between the two groups.Results:The total effective rate of the observation group was higher than that of the control group(P<0.05).The scores of VAS and ODI,and the serum levels of SP,NPY,NGF,IL-1β,IL-6 and TNF-αwere decreased after the treatment compared with those before the treatment in the two groups(P<0.05).The scores of SF-36 and JOA,as well as the motility of flexion,extension and lateral flexion were increased after the treatment than those before the treatment in the two groups(P<0.05).The scores of VAS and ODI,and the serum levels of SP,NPY,NGF,IL-1β,IL-6 and TNF-αwere lower in the observation group than those in the control group after the treatment(P<0.05);whereas the scores of SF-36 and JOA,as well as the motility of flexion,extension and lateral flexion were higher in the observation group than those in the control group after the treatment(P<0.05).Conclusion:Qihuang needling combined with ZHU's bone-setting technique can significantly improve pain symptoms,lumbar function and quality of life,and improve clinical efficacy.

关 键 词：腰椎间盘突出症 岐黄针 朱氏正骨手法 腰椎功能 疼痛 

分 类 号：R246.2[医药卫生—针灸推拿学]