强肾通督针灸结合悬吊牵引改善康复期腰椎间盘突出症患者腰椎功能的效果观察

Effect of Strengthening⁃kidney and Getting⁃through Du⁃channel Acupuncture Combined with Suspension Traction in Improving Lumbar Function for Patients with Lumbar Disc Protrusion during Convalescence

目的:观察"强肾通督"针灸结合悬吊牵引改善康复期腰椎间盘突出症(LDP)患者腰椎功能的临床效果。方法:选取我院康复科2017年6月~2019年12月接受治疗的124例LDP患者,采用简单信封法分为观察组(n=68)与对照组(n=56),其中对照组给予常规药物及悬吊牵引治疗,观察组在以上基础给予"强肾通督"针灸,两组均治疗4周。观察两组临床康复效果,并记录治疗前后临床症状改善情况与关节疼痛程度、腰椎功能、血清炎性因子、生存质量等变化。结果:观察组总有效率[88.24%(60/68)]高于对照组[73.21%(41/56)],差异有统计学意义(P<0.05);治疗后观察组腰痛麻木改善指数、直腿抬高角度(SLR)、日本骨科学会腰突症病情(JOA)评分及生存质量测定量表(WHOQOL)评分均高于对照组(P<0.05),且视觉模拟量表(VAS)评分及腰椎功能障碍指数(Oswestry)评分均低于对照组(P<0.05);治疗后观察组肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)及C反应蛋白(CRP)水平均优于对照组(P<0.05)。结论:在常规药物及悬吊牵引治疗基础上给予"强肾通督"针灸,不仅能有效改善LDP患者临床症状,在改善关节疼痛程度及腰椎功能的基础上还能降低血清炎症因子水平,对于促进患者康复具有显著作用,具有临床应用前景。

Objective: To observe the clinical effect of strengthening-kidney and getting-through Du-channel acupuncture combined with suspension traction in improving the lumbar function for patients with lumbar disc protrusion(LDP) during convalescence. Methods: A total of 124 patients with LDP treated in the department of rehabilitation of the hospital from June 2017 to December 2019 were selected and randomly divided into a treatment group(68 cases) and a controlled group(56 cases). The controlled group were treated with conventional drugs and suspension traction. On this basis, the treatment group were treated with strengthening-kidney and getting-through Du-channel acupuncture. Both groups received 4 weeks of treatment. The clinical rehabilitation effects of the two groups were observed. The improvement of clinical symptoms, changes in joint pain degree, lumbar function, serum inflammatory factors, and quality of life before and after treatment were recorded. Results: The total response rate of the treatment group was 88.24%(60/68),higher than 73.21%(41/56) in the controlled group(P<0.05). After treatment, the improvement index for lower back pain and numbness, straight leg raising(SLR) angle, Japanese Orthopedic Association(JOA) lumbar disc protrusionscores, and the World Health Organization Quality of Life(WHOQOL) scores of the treatment group were higher and larger than those of the controlled group(P<0.05),while the visual analogue scale(VAS) scores and lumbardysfunction index(Oswestry) scores were lower than those of the controlled group(P<0.05). After treatment, the levels of tumor necrosis factor-α(TNF-α),interleukin-6(IL-6) and C-reactive protein(CRP) in the treatment groups were better than those in the controlled group(P<0.05). Conclusion: Based on the treatment with conventional drugs and suspension traction, strengthening-kidney and getting-through Du-channel acupuncture can not only effectively improve the clinical symptoms of patients with LDP but also reduce the levels of serum inflammatory factors while improving joint pain and lumbar function. Besides, it can significantly promote the patients’ recovery.