针灸推拿联合活血营养神经药治疗腰椎间盘突出症的临床观察

Observation on treating lumbar disc protrusion by acupuncture and massage by the promoting blood circulation and nourishing nerves medicine

目的:观察分析针灸推拿联合活血营养神经药治疗腰椎间盘突出症的临床效果。方法:选择在我院进行治疗的腰椎间盘突出症患者120例,具体选择时间为2018年5月-2019年5月,随机将患者分为常规组和研究组,每组各60例。常规组患者进行活血营养神经药物治疗,研究组在此基础上进行针灸推拿治疗,比较分析两组患者的疼痛程度、腰椎功能评分、生活质量及临床疗效、复发率、运动功能评分、炎性反应递质、神经肽、P物质以及神经生长因子。结果:常规组患者的疼痛程度、腰椎功能评分较研究组更高,生活质量较研究组更低,差异具有统计学意义(P<0.05)。常规组患者有效率较研究组明显更低,差异具有统计学意义(P<0.05)。治疗后,研究组超氧化物歧化酶和谷胱甘肽水平均高于常规组,血清丙二醛低于常规组,差异显著(P<0.05);治疗后,研究组白细胞介素-6、白细胞介素-1β以及超敏C反应蛋白水平均低于常规组,差异显著(P<0.05)。结论:对腰椎间盘突出症患者进行针灸推拿联合活血营养神经药物的治疗,能有效改善腰椎功能,缓解腰椎处的疼痛感,显著提高患者的生活质量及治疗效果,值得临床推广使用。

Objective:To observe and analyze the clinical effects of acupuncture and massage with the promoting blood circulation and nourishing nerves medicine on lumbar disc herniation.Methods:120 patients were randomly divided into the general group and study group,with 60 cases in each group.Patients in the general group were treated with the promoting blood circulation and nourishing nerves medicine.On this basis,the study group was treated by acupuncture and massage more.Results:The pain degree and lumbar function scores in the general group were higher than the study group,and the quality of life was lower than that in the study group(P<0.05).The effective rate in the general group was significantly lower than that in the study group(P<0.05).After treatment,the levels of superoxide dismutase and glutathione in the study group were higher than the general group.And serum malondialdehyde was lower than that in the general group(P<0.05).After treatment,the levels of interleukin-6,The levels of interleukin-1βand hypersensitivity C-reactive protein were lower than those in the general group(P<0.05).Conclusion:Acupuncture and massage with the promoting blood circulation and nourishing nerves medicine can effectively improve the lumbar function,relieve the pain in the lumbar spine,and significantly improve the quality of life.It is worthy of clinical promotion.