正骨推拿治疗单纯腰椎间盘突出症疗效观察及对血清IL-1β、hs-CRP 水平的影响
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Observation on Curative Effect of Orthopedic Tuina for Simple Disc Herniation and Its Effect on Levels of Il-1β And hs-CRP in Serum
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    摘要:

    目的:观察正骨推拿治疗单纯腰椎间盘突出症的临床疗效及对血清白细胞介素-1β(IL-1β)、超 敏C-反应蛋白(hs-CRP) 水平的影响。方法:将166 例单纯腰椎间盘突出症患者随机分为对照组和观察 组各83 例。对照组行常规腰椎牵引治疗,观察组给予正骨推拿治疗。比较2 组日本骨科协会评估量 表(JOA) 评分、疼痛视觉模拟评分法(VAS) 评分、血清IL-1β 及hs-CRP 水平、临床疗效。结果:观察组 总有效率为89.16%,对照组为74.70%,2 组比较,差异有统计学意义(P<0.05)。治疗前,2 组JOA 量表中 主观症状、临床体征、日常活动受限度评分比较,差异无统计学意义(P>0.05);治疗后,2 组主观症状、临 床体征、日常活动受限度评分均较治疗前升高(P<0.05),且观察组上述各项评分均高于对照组(P<0.05)。 治疗前,2 组VAS 评分比较,差异无统计学意义(P>0.05);治疗后,2 组VAS 评分均较治疗前降低(P< 0.05),且观察组VAS 评分低于对照组(P<0.05)。治疗前,2 组血清IL-1β、hs-CRP 水平比较,差异无统计 学意义(P>0.05);治疗后,2 组IL-1β、hs-CRP 水平均较治疗前降低(P<0.05),且观察组IL-1β、hs-CRP 水平均低于对照组(P<0.05)。结论:正骨推拿治疗单纯腰椎间盘突出症疗效显著,能减轻机体炎症反应,有 效改善患者腰椎功能,缓解腰痛症状。

    Abstract:

    Abstract: Objective: To observe the clinical effect of orthopedic tuina for simple disc herniation and its effect on levels of interleukin- 1β (IL- 1β) and hypersensitive C- reactive protein (hs- CRP) in serum. Methods:A total of 166 cases of patients with simple disc herniation were randomly divided into the control group and the observation group,with 83 cases in each group. The control group was treated with routine lumbar traction,and the observation group was treated with orthopedic tuina. The Japanese Orthopaedic Association Assessment Scale (JOA) scores, Visual Analogue Scale (VAS) scores of pain, IL- 1β levels, hs-CRP levels,and clinical effects were compared between the two groups. Results:The total effective rate was 89.16% in the observation group and 74.70% in the control group,the difference being significant (P<0.05). Before treatment, there was no significant difference being found in the comparison of the scores of subjective symptoms,clinical signs,and limitations on daily activities in JOA scale between the two groups (P>0.05). After treatment,the scores of subjective symptoms,clinical signs,and limitations on daily activities in JOA scale in the two groups were increased when compared with those before treatment (P<0.05),and the above scores in the observation group were higher than those in the control group (P<0.05). Before treatment, there was no significant difference being found in the comparison of VAS scores between the two groups (P>0.05). 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). Before treatment,there was no significant difference being found in the comparison of the levels of IL- 1β and hs-CRP in serum between the two groups (P> 0.05). After treatment,the levels of IL-1β and hs-CRP in the two groups were decreased when compared with those before treatment (P<0.05),and the levels of IL-1β and hs-CRP in the observation group were lower than those in the control group (P<0.05). Conclusion: Orthopedic tuina has a significant curative effect in the treatment of simple disc herniation, which can reduce inflammation, effectively improve lumbar function,and relieve symptoms of lumbago.

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王雷.正骨推拿治疗单纯腰椎间盘突出症疗效观察及对血清IL-1β、hs-CRP 水平的影响[J].新中医,2023,55(18):169-173

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  • 在线发布日期: 2023-09-22
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