理筋促通手法配合膀胱经走罐对腰肌劳损急性发作患者血清IL-6、TNF-α水平及疗效影响

Curative Effect and Serum Levels of IL-6,TNF-α of Lijin Cutong Technique Combined with Cupping Therapy on Bladder Meridian on the Treatment of Acute Attack of the Strain of Lumbar Muscles

目的:探讨理筋促通推拿手法配合膀胱经走罐治疗腰肌劳损急性发作的疗效及作用机制。方法:将80例腰肌劳损患者按随机数字表分为治疗组和对照组各40例,治疗组予理筋促通推拿手法配合膀胱经走罐治疗,对照组予给予壮骨关节丸口服,两组治疗3个疗程后,进行模拟视觉疼痛评分法(visual analogue scale,VAS)、腰痛症状评分及血清白细胞介素-6(interleukin-6,IL-6)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)水平的评定。结果:理筋促通手法配合膀胱经走罐与口服药物治疗腰肌劳损急性发作,在VAS、腰部症状量化评分、血清IL-6、TNF-α水平较治疗前明显降低,而理筋促通手法配合膀胱经走罐治疗较口服药物治疗下降的水平更加显著(P<0.001)。结论:理筋促通手法配合膀胱经走罐治疗腰痛的作用机制可能是降低血清IL-6、TNF-α水平,减少或抑制了炎性因子的释放,抑制了炎性反应,使症状减轻和消除。

To explore the curative effect of cutong technique combined with cupping therapy on bladder meridian on the treatment of acute attack of the strain of lumbar muscles. Methods： 80 cases were randomly divided into treatment group and control group,each group was 40 cases. The treatment group was given Cutong technique combined with cupping therapy on bladder meridian,while the control group was given Zhuangguguanjie pills. 3 courses later,evaluated simulate visual pain scoring method（ visual analogue scale,VAS）,lumbago symptom scores and serum interleukin 6（ IL-6）,tumor necrosis factor-α（ TNF-α） level of assessment. Results： Cutong technique combined with cupping therapy on bladder meridian on the treatment of acute attack of the strain of lumbar muscles,the VAS,waist symptoms quantitative score,serum levels of IL-6,TNF-α significantly lower than before treatment,while jin promote sense of bladder by walking tank and technique for the treatment of the level of oral drug treatment decreased more significantly（ P〈0. 01）.Conclusion： Cutong Lijin technique combined with cupping therapy on bladder meridian on the treatment of acute attack of the strain of lumbar muscles can reduce the serum IL-6 and TNF-α level,are likely to reduce or inhibit the release of inflammatory factors inhibiting the inflammatory reaction,relieve symptoms and elimination.