热敏灸联合循经取穴推拿对腰椎间盘突出症患者血清炎性因子、腰椎功能的影响

Effects of Heat Sensitive Moxibustion Combined with Acupoint Selection and Massage Along Meridians on Serum Inflammatory Factors and Lumbar Function in Patients with Lumbar Disc Herniation

目的探讨热敏灸联合循经取穴推拿治疗腰椎间盘突出症(LDH)的临床效果。方法选取我院2020年8月—2022年8月收治的78例LDH患者为研究对象,按随机数字表法将其分为对照组与观察组,各39例。对照组采用塞来昔布治疗,观察组加用热敏灸联合循经取穴推拿治疗,持续治疗4周。比较两组临床疗效、疼痛评分、日常生活能力、血清炎性因子、腰椎功能。结果观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。治疗后,观察组的疼痛视觉模拟评分为(2.85±0.32)分,低于对照组的(3.71±0.38)分,巴氏量表评分为(89.63±5.34)分,高于对照组的(82.41±5.22)分,组间差异有统计学意义(P<0.05);观察组白细胞介素-6、C反应蛋白、肿瘤坏死因子-α水平分别为(76.52±6.39)μg/L、(5.89±1.13)mg/L、(1.02±0.18)μg/L,均低于对照组的(82.14±6.45)μg/L、(7.24±1.15)mg/L、(1.35±0.22)μg/L,组间差异有统计学意义(P<0.05);观察组日本骨科协会评估治疗分数中主观症状、临床特征、日常活动受限评分及总分分别为(7.39±1.05)分、(4.86±0.57)分、(12.17±1.14)分、(24.42±2.58)分,均高于对照组的(6.04±0.87)分、(3.89±0.48)分、(10.14±1.08)分、(20.07±2.47)分,组间差异有统计学意义(P<0.05)。结论热敏灸联合循经取穴推拿可提高LDH的治疗效果,减轻炎症损伤,加快腰椎功能恢复,改善日常活动能力。

Objective To explore the clinical effect of heat sensitive moxibustion combined with acupoint selection and massage along the meridian in the treatment of lumbar disc herniation(LDH).Methods 78 patients with LDH admitted to our hospital from August 2020 to August 2022 were selected as the research objects and randomly divided into a control group and an observation group with 39 patients each.The control group was treated with oral celecoxib,while the observation group was treated with heat sensitive moxibustion combined with acupoint selection and massage along the meridian for 4 weeks.The clinical efficacy,pain score,daily living ability,serum inflammatory factors,and lumbar function were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).After treatment,the pain Visual Analogue Scale of the observation group was(2.85±0.32)points,lower than(3.71±0.38)points of the control group,and the Barthel Index score was(89.63±5.34)points,higher than(82.41±5.22)points of the control group,the difference was statistically significant(P<0.05);the levels of interleukin-6,C-reactive protein and tumor necrosis factor-αin the observation group were(76.52±6.39)μg/L,(5.89±1.13)mg/L and(1.02±0.18)μg/L,respectively,which were lower than(82.14±6.45)μg/L,(7.24±1.15)mg/L,(1.35±0.22)μg/L in the control group,and the differences between groups were statistically significant(P<0.05);in the observation group,the subjective symptoms,clinical features,daily activity limitation scores and total scores assessed by the Japanese Orthopaedic Association were(7.39±1.05)points,(4.86±0.57)points,(12.17±1.14)points and(24.42±2.58)points,respectively,they were higher than(6.04±0.87)points,(3.89±0.48)points,(10.14±1.08)points,(20.07±2.47)points of the control group,and the differences between groups were statistically significant(P<0.05).Conclusion Heat sensitive moxibustion combined with acupoint selection and massage along the meridian can improve the therapeutic effect of LDH,alleviate inflammatory damage,accelerate the recovery of lumbar function,and improve daily activity.