傍针刺腰夹脊穴联合腰椎关节松动术治疗腰椎间盘突出症的疗效观察及对炎症因子的影响

Effects of proximate needling at the Jiaji points plus lumbar joint mobilization on lumbar disc herniation and its inflammatory factors

目的:观察傍针刺腰夹脊穴联合腰椎关节松动术治疗腰椎间盘突出症的疗效及对相关炎症因子的影响。方法:符合纳入标准的腰椎间盘突出症患者70例,按数字表法随机分成治疗组和对照组各35例,治疗组采用腰夹脊穴傍针刺法联合腰椎关节松动术治疗,对照组采取常规选穴针刺治疗,两组在针刺治疗结束后均常规行腰椎牵引治疗,每天1次,10天为一个疗程。1个疗程后观察两组的VAS评分以及血清IL-6、NO的变化。结果:治疗组总有效率明显高于对照组,两组比较差异有统计学意义(P<0.05)。结论:傍针刺腰夹脊穴联合腰椎关节松动术可减轻腰椎间盘突出症疼痛,改善VAS评分,降低血清IL-6和NO,缓解局部炎症。

Objective To observe the curative efect of proximate needling at the Jiaji points （夹脊穴） plus lumbar joint mobilization on lumbar disc herniation and infammatory factors. Methods： 70 patients were randomly divided into the treatment group and the control group according to the numerical table. The patients in the treatment group were treated with proximate needling at the Jiaji points of the lower back plus lumbar joint mobilization; the control group was treated with conventional acupuncture. All patients were treated with lumbar traction after the acupuncture treatment, once daily, 10 days for a course. VAS, serum IL-6 and NO in two groups were observed after one course of treatment. Results： The total effective rate in the treatment group was significantly higher than the control group, with a statistically signifcant diference （P〈0.05）. Conclusion： Proximate needling at the Jiaji points of the lower back plus lumbar joint mobilization can reduce the pain of lumbar disc herniation, improve the VAS, reduce serum IL-6 and NO, and alleviate local infammation.