四指推法对腰椎间盘突出症患者β-内啡呔和P物质的影响

Effect of Four-finger Massage on β-endorphine and P-Substance in Patients with Protrusion of Lumbar Intervertebral Disc

目的观察四指推法对腰椎间盘突出症患者β-内啡呔和P物质的影响。方法对60例确诊的腰椎间盘突出症患者,随机分为3组,每组20例,分别采用腰椎牵引法(对照组)、腰椎牵引加常规推拿治疗(治疗A组)、腰椎牵引加四指推法(治疗B组)进行治疗。在治疗前后,分别检测外周血浆中β-内啡呔和P物质的含量;同时评估患者治疗前后疼痛指数。结果3组患者治疗后外周血浆中P物质均有下降、β-内啡呔均有上升,各组患者疼痛均有缓解。但组间比较显示治疗组效果均明显优于对照组(P<0.01),其中治疗组B组腰椎牵引加四指推法治疗效果更优于A组腰椎牵引加常规推拿治疗(P<0.01)。结论四指推法能够降低腰椎间盘突出症患者外周血浆中P物质含量、提高β-内啡呔含量而发挥良好的镇痛效果,值得临床进一步推广。

To observe the effect of four-finger massage onβ-endorphine and P-substance in the patients suffering from protrusion of lumbar intervertebral disc. METHOD Sixty patients with protrusion of lumbar intervertebral disc were randomly divided into three groups, each with 20 patients, treated respectively with lumbar spine traction （control group）, lumbar spine traction and routine massage （treatment group A） and lumbar spine traction and four-finger massage （treatment group B）. RESULT After treatment, P-substance in the peripheral plasma was reduced, β-endorphine was increased and pain was relieved in all the three groups. The effect obtained in the treatment groups was better than the control groups （P 〈 0.01）, and the effect obtained in treatment group B was better than the treatment group A （ P 〈 0.01 ）. CONCLUSION Four-finger massage can reduce P-substance content and increase-endorphine content in the patients suffering from protrusion of lumbar intervertebral disc, thus relieving pain.