全息刮痧疗法在治疗腰椎间盘突出症患者中的临床疗效及其相关机制研究分析

Analysis of the Clinical Efficacy and Related Mechanism of Holographic Scraping Therapy in the Treatment of Lumbar Disc Herniation

目的探讨与分析全息刮痧疗法在治疗腰椎间盘突出症患者中的临床疗效及其相关机制。方法选择2020年6月~2022年1月扬州市中医院骨伤科、中医经典科收治的腰椎间盘突出症患者100例作为研究对象,根据随机数表法分为全息组与传统组,各50例。传统组给予传统刮痧疗法治疗,全息组给予全息刮痧疗法治疗,两组均治疗观察24 d。观察两组治疗后总显效率,治疗前后疼痛视觉模拟(visual analogue scale,VAS)评分、氧化应激指标及炎症因子IL-1β、IL-6、TNF-α的含量。结果全息组治疗后的总显效率为98.00%,明显高于传统组的80.00%(P<0.05)。两组治疗后的疼痛VAS评分明显低于治疗前(P<0.05),且全息组明显低于传统组(P<0.05)。两组治疗后的血清超氧化物歧化酶(superoxide dismutase,SOD)明显高于治疗前(P<0.05),且全息组高于传统组(P<0.05)。两组治疗后的血清白细胞介素(interleukin,IL)-1β、IL-6、肿瘤坏死因子-α(tumour necrosis factor-α,TNF-α)含量低于治疗前(P<0.05),且全息组明显低于传统组(P<0.05)。结论全息刮痧疗法在治疗腰椎间盘突出症患者中的应用改善机体的氧化应激平衡状况,抑制炎症因子的表达,能促进疼痛缓解,提高患者的治疗效果。

Objective To explore and analysis the clinical effi cacy and related mechanism of holographic scraping therapy in the treatment of patients with lumbar disc herniation.Methods From June 2020 to January 2022,100 cases of patients with lumbar intervertebral disc herniation treated in the Department of Orthopedics and Traumatology of Yangzhou Hospital of Traditional Chinese Medicine were selected as the research objects,and divided into the holographic group and the traditional group accorded to the random number table method with 50 patients in each groups.The traditional group was given traditional scraping therapy,the holographic group was given holographic scraping therapy,and both groups were treated for 24 days.The total eff ective rate,visual analogue scale(VAS)score of pain and the contents of infl ammatory factors IL-1β,IL-6 and TNF-αbefore and after treatment in the two groups were observed.Results The total eff ective rates of the holography group after treatment was 98.00%,which were signifi cantly higher than 80.00%of the traditional group(P<0.05).After treatment,the VAS score in the two groups was signifi cantly lower than that before treatment(P<0.05),and the holographic group was signifi cantly lower than that in the traditional group(P<0.05).The serum superoxide dismutase(SOD)levels in the two groups after treatment were signifi cantly higher than those before treatment(P<0.05),and the holography group was higher than the traditional group(P<0.05).The levels of serum interleukin(IL)-1β,IL-6,tumour necrosis factor-α(TNF-α)in the two groups after treatment were lower than those before treatment(P<0.05),and the holographic group was signifi cantly lower than that in the traditional group(P<0.05).Conclusion The application of holographic scraping therapy in the treatment of patients with lumbar intervertebral disc herniation can improve the balance of oxidative stress in the body,inhibit the expression of infl ammatory factors,promote pain relief,and improve the therapeutic eff ect of patients.