督灸联合牵引治疗腰椎间盘突出症临床研究
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R246.2

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河南省中医药文化与管理研究项目(TCM2020016);河南省中医药文化与管理研究项目(TCM2020019)


Clinical Study on Governor Vessel Moxibustion Combined with Traction Therapy for Lumbar Disc Herniation
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    摘要:

    目的:观察督灸联合牵引治疗腰椎间盘突出症的临床疗效。方法:选取80 例腰椎间盘突出症患者,按照随机数字表法分为观察组和对照组,每组40 例。对照组采用牵引治疗,观察组采用督灸联合牵引治疗,2 组均治疗6 周。比较2 组临床疗效;比较2 组治疗前后视觉模拟评分法(VAS) 评分、日本骨科协会评估治疗分数(JOA 评分)、腰背伸肌群表面肌电信号[积分肌电值(IEMG)、平均功率频率(MPF)]和炎性因子水平。结果:治疗后,2 组VAS 评分均较治疗前降低(P<0.05),观察组VAS 评分低于对照组(P<0.05);2 组JOA 评分均较治疗前升高(P<0.05),观察组JOA 评分高于对照组(P<0.05)。治疗后,2 组腰背伸肌群MPF、IEMG 均较治疗前增大(P<0.05),观察组腰背伸肌群MPF、IEMG 均大于对照组(P<0.05)。治疗后,2 组血清白细胞介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)、血栓素B2 (TXB2) 水平均较治疗前降低(P<0.05),观察组血清IL-1β、TNF-α、TXB2 水平均低于对照组(P<0.05)。观察组总有效率为97.50%,高于对照组的80.00%(P<0.05)。结论:督灸联合牵引治疗腰椎间盘突出症能够有效缓解患者疼痛,改善其腰椎功能,增强其腰背伸肌力,降低炎性因子水平。

    Abstract:

    Abstract: Objective: To observe the clinical effect of governor vessel moxibustion combined with traction therapy for lumbar disc herniation. Methods:A total of 80 cases of patients with lumbar disc herniation were selected and divided into the observation group and the control group according to random number table method, 40 cases in each group. The control group was given traction therapy, and the observation group was given governor vessel moxibustion and traction therapy. Both groups were treated for six weeks. Clinical effect was compared between the two groups. Before and after treatment, scores of Visual Analogue Scale(VAS) and Japanese Orthopaedic Association(JOA), surface electromyography signals of lumbar extensor muscles [integrated electromyography(IEMG), mean power frequency(MPF)], and levels of inflammatory factors were compared between the two groups. Results:After treatment,VAS scores in the two groups were decreased when compared with those before treatment(P<0.05),and VAS score in the observation group was lower than that in the control group(P<0.05); JOA scores in the two groups were increased when compared with those before treatment(P< 0.05),and JOA score in the observation group was higher than that in the control group(P<0.05). After treatment,MPF and IEGM of lumbar extensor muscles were increased when compared with those before treatment(P<0.05),and the above two indexes in the observation group were larger than those in the control group(P<0.05);there were no significant differences being found in the comparison of MPF and IEMG of bilateral lumbar extensor muscles in the observation group(P>0.05). After treatment, levels of leuktin- 1β(IL- 1β), tumor necrosis factor- α(TNF- α), thromboxane B2(TXB2) in serum in the two groups were decreased when compared with those before treatment(P<0.05),and the three levels in the observation group were lower than those in the control group(P<0.05). The total effective rate was 97.50% in the observation group,higher than that of 80.00% in the control group(P<0.05). Conclusion:The therapy of governor vessel moxibustion combined with traction therapy for lumbar disc herniation can effectively relieve pain,improve the lumbar vertebra function,strength lumbar extensor muscle,and reduce levels of inflammatory factors.

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秦合伟,李彦杰,郭宁.督灸联合牵引治疗腰椎间盘突出症临床研究[J].新中医,2021,53(18):135-138

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  • 在线发布日期: 2021-09-24
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