摘要
目的观察温针灸配合牵引治疗寒湿型急性腰椎间盘突出症的临床疗效。方法将148例急性腰椎间盘突出症患者随机分为治疗组和对照组,每组74例。对照组给予单纯牵引治疗,治疗组在对照组基础上加用温针灸治疗。观察两组治疗前后简式疼痛量表(McGill)评分、功能障碍程度(ODI)、Myotonometer肌张力(压力-位移下面积)、腓总神经传导速度(CPNMCV)、胫神经传导速度(NTMCV)和血清TGF-β1、PGE2、TNF-α水平的变化情况,并比较两组临床疗效。结果治疗组总有效率为97.3%,对照组为89.2%,两组比较差异具有统计学意义(P<0.05)。两组治疗后McGill各项评分、ODI、压力-位移下面积、CPNMCV、NTMCV及血清TGF-β1、PGE2、TNF-α水平与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后McGill各项评分、ODI、压力-位移下面积、CPNMCV、NTMCV及血清TGF-β1、PGE2、TNF-α水平与对照组比较,差异均具有统计学意义(P<0.05)。结论温针灸配合牵引是一种治疗寒湿型急性腰椎间盘突出症的有效方法,可缓解疼痛,改善腰椎功能,提高运动神经传导速度,并抑制TGF-β1、PGE2、TNF-α的表达。
Objective To observe the clinical efficacy of warm needling plus traction in treating acute lumbar intervertebral disc herniation (LIDH) of cold-damp pattern.Method A total of 148 patients with acute LIDH were randomized into a treatment group and a control group,with 74 cases in each group.The control group was only intervened by traction,while the treatment group was additionally given warm needling.The simplified McGill Pain Questionnaire (MPQ),Oswestry Dysfunction Index (ODI),muscle tone [area under the curve (OUC) of pressuredisplacement], common peroneal nerve conduction velocity (CPNCV),tibial nerve conduction velocity (TNCV),and the levels of serum transforming growth factor (TGF)-β1,prostaglandin E2 (PGE2) and tumor necrosis factor (TNF)-α of the two groups were observed before and after treatment.The clinical efficacies were also compared.Result The total effective rate was 97.3% in the treatment group versus 89.2% in the control group,and the between-group difference was statistically significant (P<0.05).After treatment,the MPQ and ODI scores,OUC,CPNCV,TNCV,and the levels of serum TGF-β1,PGE2 and TNF-α changed significantly in both groups (P<0.05).The MPQ and ODI scores,OUC,CPNCN,TNCV,and the levels of serum TGF-β1,PGE2 and TNF-α in the treatment group were significantly different from those in the control group after treatment (P<0.05).Conclusion Warm needling plus traction is an effective approach for acute LIDH of cold-damp pattern.It can mitigate pain,improve lumbar vertebral function,enhance motor nerve conduction velocity,and inhibit the expressions of TGF-β1,PGE2 and TNF-α.
作者
郭志彬
GUO Zhi-bin(Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,China)
出处
《上海针灸杂志》
2019年第9期1030-1034,共5页
Shanghai Journal of Acupuncture and Moxibustion
基金
广东省佛山市卫生和计生局资助项目(20180087)
关键词
针灸疗法
温针疗法
椎间盘移位
腰椎
牵引
Acupuncture-moxibustion
Needle warming therapy
Intervertebral disc herniation,Lumbar
Traction
