针刺放血治疗瘀血型腰椎间盘突出症的临床观察

Clinical Observation on Acupuncture and Blood-letting for Treatment in Patients with Lumber Disc Herniation

目的:观察瘀血型腰椎间盘突出症患者针刺放血治疗前后肘静脉血与刺络拔罐血中疼痛指标变化及意义。方法:随机选取门诊患者40例采用针刺放血治疗,针刺隔日1次共治疗10次,在首次及末次行刺络放血并检测P物质、前列腺素E2、hs CRP、WBC。结果:治疗后疼痛指标均比治疗前降低,重度疼痛者P物质、前列腺素E2比中度疼痛者高,治愈组P物质、前列腺素E2比显效组浓度低,治疗前刺络拔罐血疼痛指标含量比肘静脉血高。结论:针刺放血治疗瘀血型腰椎间盘突出症能够降低血中疼痛指标的含量,P物质及前列腺素E2可以作为疼痛程度及镇痛疗效的检测指标。

Objective： To investigate the significance of the pain index in the vein blood and local blood-letting before and after acupuncture and blood-letting in patients with Lumber Disc Herniation of Blood Stasis Type. Methods： Forty cases are chose. Acupuncture was used every other day,ten times treatment was applied totally. Used blood-letting puncture at the first and last treatment. Test substance P,PGE2,hs CRP and WBC. Results： Substance P,PGE2,hs CRP in the vein blood and local blood both reduced significant after treatment. Substance P,PGE2 in severe pain patients was higher than those with moderate pain,and substance P,PGE2 in the analgesic effect of the cure group was lower than that of the effective group. Substance P,PGE2,hs CRP and WBC in the local blood is higher significant than that in the vein blood before treatment. Conclusion： Acupuncture and blood-letting for the patients can reduce pain index of the content in the blood. Substance P and PGE2 can be used as the detection index of pain and analgesic effect.