头针及推拿治疗腰椎间盘突出症及其对自身免疫水平的影响

Scalp acupuncture and massage for treatment of prolapse of lumbar intervertebral disc and effects on immune functions

目的 :探讨头针及推拿治疗腰椎间盘突出症 (LDH)的临床疗效及自身免疫机制。方法 :将5 0例LDH病人随机分为头针推拿组、推拿组各 2 5例 ,同时设立正常组 2 0例。测定治疗前后和正常组外周血T淋巴细胞亚群 ,血清IgM、IgG。结果 :头针及推拿治疗LDH临床疗效优于推拿组 (P <0 0 5 )。 5 0例LDH病人均存在不同程度的T淋巴细胞亚群比值下调 ,血清IgG、IgM浓度增高 ,经头针及推拿治疗后T淋巴细胞亚群比值上调 (P <0 0 5 ) ,血清IgG、IgM恢复正常 (P <0 0 1) ,与推拿组治疗后相比差异均具有显著性意义 (P <0 0 5 )。结论 :头针及推拿治疗腰椎间盘突出症疗效显著 。

Objective To study clinical effectiveness and the immune mechanism of scalp acupuncture and massage for prolapse of lumbar intervertebral disc. Methods Fifty cases were divided at random into a scalp acupuncture plus massage group and a massage group, 25 cases in each group, and a control group of 20 cases was set up. Peripheral lymphocyte subsets and serum IgM and IgG levels before and after treatment and in the control group were determined. Results The clinical effectiveness in the scalp acupuncture plus massage group was superior to that in the massage group ( P <0 05). The ratio of T lymphocyte subsets in the patient of prolapse of lumbar intervertebral disc decreased and serum IgG and IgM levels increased, and after scalp acupuncture and massage treatment, the ratio of T lymphocyte subsets increased ( P <0 05) and the serum IgG and IgM levels restored normal ( P <0 01), with significant difference as compared with that after treatment in the massage group ( P <0 05). Conclusion Scalp acupuncture and massage has an obvious therapeutic effect on prolapse of lumbar intervertebral disc, and they exert the therapeutic effect possibly through regulative action on immune functions.