摘要
目的:观察超微肿痛贴配合牵引治疗腰椎间盘突出症的疗效并对血清TNF-α的影响。方法:选取符合标准的腰椎间盘突出症患者60例,完全随机分法分为对照组及观察组,每组各30例。对照组行腰椎牵引治疗,观察组行超微肿痛贴外敷配合腰椎牵引法治疗。10d为一疗程,共治疗1疗程。比较2组临床疗效、日本骨科协会腰痛功能评价表评分(JOA)视觉模拟评分(VAS)及血清肿瘤坏死因子-α(TNF-α)水平。结果:治疗前2组患者JOA评分、VAS评分及TNF-α水平均无明显差异(P>0.05),治疗后观察组JOA评分均比对照组高,VAS评分及血清TNF-α比对照组低,差别均具有统计学意意义(P<0.05)。结论:采取超微肿痛贴外敷并配合牵引的治疗方法可明显改善临床症状,也明显降低了血清中TNF-α的含量,其效果优于单纯腰椎牵引治疗。
Objective:To observe the therapeutic effect of ultra-swollen and painful patches combined with traction on lumbar disc herniation and its effect on serum TNF-α.Methods:60 patients with lumbar disc herniation that met the criteria were selected and completely divided into a control group and an observation group with 30 patients in each group.The control group was treated with lumbar traction,and the observation group was treated with ultra-small swelling and pain application combined with lumbar traction.10d is a course of treatment,a total of 1 course of treatment.Compare the clinical efficacy of the two groups,the Japanese Orthopaedic Association low back pain function evaluation table score(JOA)visual analog score(VAS)and serum tumor necrosis factor-α(TNF-α)levels.Results:Before treatment,there was no significant difference in the JOA score,VAS score and TNF-αlevel(P>0.05).After treatment,the JOA score of the observation group was higher than that of the control group,and the VAS score and serum TNF-αwere lower than the control group.The differences are statistically significant(P<0.05).Conclusion:The application of ultra-small swelling and pain application with traction can significantly improve clinical symptoms,and also significantly reduce the serum TNF-αcontent.Its effect is better than simple lumbar traction treatment.
作者
文哲
吴官保
冯帅华
WEN Zhe;WU Guanbao;FENG Shuaihua(Hunan University Of Chinese Medicine,Hunan Changsha 410208,China;Affiliated Hospital of Hunan Academy of Chinese Medicine,Hunan Changsha 410006,China)
出处
《中医药临床杂志》
2020年第4期704-707,共4页
Clinical Journal of Traditional Chinese Medicine
关键词
超微肿痛贴
腰椎牵引
腰椎间盘突出症
TNF-α
Chaowei Zhongtong paste
Lumbar traction
Lumbar intervertebral disc herniation
TNF-α
