穴位推拿配合腰三针治疗腰椎间盘突出症临床观察

Clinical Observation on Acupoint Tuina Combined with Lumbar Three Needles for Lumbar Disc Herniation

目的:观察穴位推拿配合腰三针治疗对腰椎间盘突出症疼痛、功能障碍的改善效果及对血清超氧化物歧化酶(SOD)、α1-酸性糖蛋白(α1-AGP)水平的影响效果。方法:将76例腰椎间盘突出症患者按随机数字表法随机分为2组各38例。对照组采用电脑中频理疗配合穴位推拿治疗,观察组采用穴位推拿配合腰三针治疗。治疗1月为1疗程,均治疗3疗程后观察患者的临床疗效,并测量SOD和α1-AGP水平,用视觉模拟评分法(VAS)及Oswestry功能障碍指数(ODI)问卷调查的方式对患者进行疼痛及功能障碍评分。结果:临床疗效总有效率对照组73.7%,观察组97.4%,2组比较,差异有统计学意义(P<0.05)。与治疗前比较,治疗后2组SOD及α1-AGP水平均有改善,差异均有统计学意义(P<0.05);且观察组患者SOD水平高于对照组,α1-AGP水平低于对照组,差异均有统计学意义(P<0.01)。治疗后,2组疼痛强度情况比较,差异有统计学意义(P<0.05),观察组优于对照组。与治疗前比较,治疗后2组VAS评分、ODI总分均降低,差异均有统计学意义(P<0.05)。且治疗后观察组VAS评分、ODI总分均低于对照组,差异均有统计学意义(P<0.05)。观察组活动、睡眠、旅游、生活评分都低于对照组,差异均有统计学意义(P<0.05)。2组患者治疗期间无明显不良反应发生。结论:穴位推拿配合腰三针治疗腰椎间盘突出症可显著缓解患者疼痛、改善功能障碍,调节血清SOD、α1-AGP水平,改善机体的氧化应激反应和炎症反应。

Objective：To observe the improvement of acupoint tuina combined with lumbar three needles for pain and dysfunction of lumbar disc herniation,and observe the effect of the therapy on the levels of superoxide dismutase（SOD）andglycoproteinin serum.Methods：Divided 76 cases of patients with lumbar disc herniation into two groups according to the random number table method,38 cases in each group.The control group was treated with computer medium frequency therapy combined with acupoint tuina,while the observation group received acupoint tuina combined with lumbar three needles for treatment.The two groups received treatment for three courses,one month being one course.After treatment,observed the clinical effect of patients,measured levels of SOD and,and scored the pain and dysfunction of patients through the method of visual analogue score（VAS）and the questionnaire of Oswestry disability index（ODI）.Results：The total effective rate was 73.7%in the control group and was 97.4%in the observation group,the difference being significant（P〈0.05）.After treatment,levels of SOD andwere improved when compared with those before treatment,differences being significant（P〈0.05）.The SOD level in the observation group was higher than that in the control group,and the level ofwas lower than that in the control group,differences being significant（P〈0.01）.After treatment,the comparison of pain degree between the two groups showed significance in the difference（P〈0.05）,and the pain degree in the observation group was better than that in the control group.The VAS score and total scores of ODI in the two groups were decreased when compared with those before treatment,differences being significant（P〈0.05）.After treatment,the VAS score and total scores of ODI in the observation group were lower than those in the control group,differences being significant（P〈0.05）.Scores of activity,sleep,travel and life in the observation group were lower than those in the control group,differences being significant（P〈0.05）.No obvious adverse reactions occurred during the treatment in patients of the two groups.Conclusion：The therapy of acupoint tuina combined with lumbar three needles for lumbar disc herniation can significantly relieve the pain of patients,improve functional disorder,regulate levels of SOD andin serum,and improve oxidative stress reactions and inflammatory responses in the body.