温针灸联合推拿理筋手法治疗寒湿痹阻型腰痛患者的效果观察  

Observation on the Effect of Warm Acupuncture and Moxibustion Combined with Massage Tendon Regulating Manipulation in the Treatment of Patients with Cold Dampness Obstruction Type Lumbago

作　　者：韩杰 孙任涛 于正 HAN Jie;SUN Rentao;YU Zheng(Department of Massage,Jimo District Hospital of Traditional Chinese Medicine,Qingdao 266200,China)

机构地区：[1]山东省青岛市即墨区中医医院推拿科,山东青岛266200

出　　处：《中国伤残医学》2024年第18期122-126,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨温针灸联合推拿理筋手法治疗寒湿痹阻型腰痛患者的效果。方法:选取2022年10月-2024年4月青岛市即墨区中医医院收治的86例寒湿痹阻型腰痛患者为研究对象,采用随机数字表法分为研究组及对照组,各43例。对照组采用推拿理筋手法治疗,研究组采用温针灸联合推拿理筋手法治疗,均连续治疗2周。比较两组患者的临床疗效、腰痛评分、腰椎功能、腰部活动度、血液流变学指标及血清炎症因子水平。结果:研究组的治疗总有效率为93.02%,高于对照组的76.74%,差异有统计学意义(P<0.05)。治疗后,研究组的疼痛视觉模拟评分法、腰椎Oswestry功能障碍指数评分均低于对照组,日本骨科协会腰椎疾患评定量表评分高于对照组,差异均有统计学意义(P<0.05)。治疗后,研究组的腰部前屈、后伸、左侧屈、右侧屈活动度均大于对照组,差异均有统计学意义(P<0.05)。治疗后,研究组的全血高切黏度、全血低切黏度及血浆黏度均低于对照组,差异均有统计学意义(P<0.05)。治疗后,研究组的血清肿瘤坏死因子-α、白细胞介素-6、前列腺素E2水平均低于对照组,差异均有统计学意义(P<0.05)。结论:温针灸联合推拿理筋手法治疗寒湿痹阻型腰痛的效果较好,可显著改善患者的腰部活动度,减轻功能障碍,缓解腰痛症状,其作用机制可能与减轻炎症反应及改善血液流变学指标有关。Objective:To investigate the effect of warm acupuncture and moxibustion combined with massage tendon regulating manipulation on patients with cold dampness obstruction type lumbago.Methods:A total of 86 patients with cold dampness obstruction type lumbago admitted to Jimo District Qingdao Hospital of Traditional Chinese Medicine from October 2022 to April 2024 were selected as the research objects,and were divided into a study group and a control group by random number method,with 43 cases in each group.The control group was treated with massage tendon regulating manipulation,and the study group was treated with warm acupuncture and moxibustion combined with massage tendon regulating manipulation.Both groups were treated for 2 weeks.The clinical efficacy,low back pain score,lumbar function,lumbar motion,hemorheology index levels and serum inflammatory factor levels were compared between the two groups.Results:The total effective rate of the study group was 93.02%,higher than 76.74%of the control group,the difference was statistically significant(P<0.05).After treatment,the scores of pain visual analogue scale and lumbar Oswestry disability index of the study group were lower than those of the control group,while the Japanese Orthopaedic Association lumbar disorders rating scale score was higher than those of the control group,the differences were statistically significant(P<0.05).After treatment,the activity of lumbar flexion,backward extension,left flexion and right flexion in the study group were greater than those in the control group,the differences were statistically significant(P<0.05).After treatment,the whole blood high shear viscosity,whole blood low shear viscosity and plasma viscosity of the study group were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,the levels of tumor necrosis factor-α,interleukin-6 and prostaglandin E2 in the study group were lower than those in the control group,the differences were statistically significant(P<0.05)

关 键 词：腰痛 寒湿痹阻证 推拿理筋手法 温针灸 疗效 

分 类 号：R274.9[医药卫生—中西医结合]