摘要
目的:探讨针刀松解治疗腰三横突综合征的临床疗效及红外热像温差变化。方法:选取2021年1月至2022年6月治疗的腰三横突综合征患者43例,均采用针刀松解治疗。比较患者治疗前及治疗后1周、1个月、3个月疼痛视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)变化、炎性因子(白介素1β(IL-1β)、白介素6(IL-6))、疼痛介质(多巴胺(DA)、前列腺素E2(PGE2)和5-羟色胺(5-HT))及红外热像分布情况的变化,以评价其疗效。结果:治疗后VAS评分与ODI评分均较治疗前明显降低,差异有统计学意义(P<0.01);治疗后1周、1个月、3个月相比,差异无统计学意义(P>0.05)。治疗后炎性因子(IL-1β、IL-6)、疼痛因子(DA、PGE2、5-HT)及腰三横突红外热像温度差值较治疗前明显下降,随着随访时间的延长,呈持续下降趋势,但治疗后1个月与治疗后3个月相比,差异无统计学意义(P>0.05)。结论:针刀松解治疗腰三横突综合征,能减轻患者临床症状,改善腰椎功能活动,促进炎性因子代谢及吸收,调节局部温度,3个月内疗效较好,值得临床推广应用。
Objective:To investigate the clinical efficacty of acupotomy on the treatment of lumbar tri-transverse process syndrome and the temperature difference of infrared image.Methods:43 patients with lumbar tri-transverse process from January 2021 to June 2022 were selected and treated in the first section of spinal orthopedics,acupuncture knife was used to release the treatment.To compare pain visual analogue scale(VAS)scores,Oswestry dysfunction index(ODI)changes,infrared thermal distribution of inflammatory factors(interleukin 1β(IL-1β),interleukin 6(IL-6)),pain mediators(dopamine(DA),prostatin E2(PGE2)and 5-serotonin(5-HT))before treatment and 1 week,1 month,3 months after treatment to evaluate efficacy.Results:VAS and ODI scores after treatment were significantly lower than those before treatment(P<0.01).There was no statistical significance in 1 week,1 month and 3 months after treatment(P>0.05).After treatment,the temperature difference of inflammatory factors(IL-1β,IL-6)and the infrared thermal image of the lumbar tri-transverse process syndrome decreased significantly compared with that before treatment,and showed a continuous decreasing trend with the extension of follow-up time,there was no significant difference between 1 month after treatment and 3 months after treatment(P>0.05).Conclusion:Acupotomy on the treatment of lumbar tri-transverse process syndrome can alleviate the clinical symptoms of patients,improve lumbar functional activities,promote the metabolism and absorption of inflammatory factors,and improve local temperature.The curative efficacy is good within 3 months,and is worthy of clinical promotion.
作者
夏子茗
黄承军
王润生
王继
苏正义
温广浩
XIA Ziming;HUANG Chengjun;WANG Runsheng;WANG Ji;SU Zhengyi;WEN Guanghao(Liuzhou Traditional Chinese Medicine Hospital,Liuzhou 545001,Guangxi China)
出处
《中国中医骨伤科杂志》
CAS
2024年第1期54-58,75,共6页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
基金
广西壮族自治区卫生厅中医药科技专项课题(GZKZ-Z1106)
广西中医药大学校级课题面上项目(2021MS050)
广西中医药管理局自筹项目(GXZYZ20210145)。
关键词
腰三横突综合征
针刀
炎性因子
疼痛介质
红外热像
lumbar tri-transverse process syndrome
acupotomy
inflammatory factor
pain mediators
infrared image
