龙虎交战针法联合悬吊训练对腰椎间盘突出症患者腰背伸肌群功能、神经传导速度和血清炎症因子的影响

Effects of Dragon Tiger Engagement Acupuncture Combined with Suspension Training on Dorsolumbar Extensor Muscle Function,Nerve Conduction Velocity and Serum Inflammatory Factors in Patients with Lumbar Disc Herniation

目的:观察龙虎交战针法联合悬吊训练对腰椎间盘突出症(LDH)患者腰背伸肌群功能、神经传导速度和血清炎症因子的影响。方法:纳入我院2018年4月-2021年8月期间接收的LDH患者82例。按照随机数字表法将患者分为对照组(悬吊训练,n=41)和实验组(龙虎交战针法联合悬吊训练,n=41)。观察两组患者腰椎功能恢复情况、疼痛症状改善情况以及腰背伸肌群功能、神经传导速度和血清炎症因子的变化情况。结果:实验组的临床总有效率高于对照组(P<0.05)。治疗后,两组日本骨科协会下腰痛评价表(JOA)评分升高,且实验组高于对照组(P<0.05)。治疗后,两组Oswestry功能障碍指数(ODI)、视觉疼痛模拟评分法(VAS)评分下降,且实验组低于对照组(P<0.05)。治疗后,两组平均功率、腰背伸状态下峰力矩升高,且实验组高于对照组(P<0.05)。治疗后,两组腰背屈伸比下降,且实验组较对照组低(P<0.05)。治疗后,两组腓总神经和胫神经的传导速度均升高,且实验组较对照组高(P<0.05)。治疗后,两组血清白细胞介素-1β(IL-1β)、白介素-1(IL-1)、基质金属蛋白酶3(MMP-3)、肿瘤坏死因子-α(TNF-α)水平均下降,且实验组低于对照组(P<0.05)。结论:龙虎交战针法联合悬吊训练可促进LDH患者腰椎功能改善,减轻疼痛症状,改善腰背伸肌群功能和腓总神经、胫神经的神经传导速度,降低机体血清炎症因子水平,具有较好的临床应用价值。

Objective:To observe the effects of dragon tiger engagement acupuncture combined with suspension training on dorsolumbar extensor muscle function,nerve conduction velocity and serum inflammatory factors in patients with lumbar disc herniation(LDH).Methods:82 patients with LDH who were received in our hospital from April 2018 to August 2021 were included.The patients were randomly divided into control group(suspension training,n=41)and experimental group(dragon tiger engagement acupuncture combined with suspension training,n=41).The recovery of lumbar function,the improvement of pain symptoms,the dorsolumbar extensor muscle function,nerve conduction velocity and serum inflammatory factors were observed in two groups.Results:The total clinical effective rate of experimental group was higher than that of control group(P<0.05).After treatment,the Japanese Orthopaedic Association low back Pain Evaluation Scale(JOA)score increased in both groups,and the experimental group was higher than the control group(P<0.05).After treatment,Oswestry disability index(ODI)and visual analogue pain scale(VAS)scores in both groups decreased,and the experimental group was lower than the control group(P<0.05).After treatment,the average power and peak torque under lumbar and dorsal extension of the two groups were increased,and the experimental group was higher than the control group(P<0.05).After treatment,the ratio of lumbar and dorsal flexion and extension in both groups decreased,and the experimental group was lower than the control group(P<0.05).After treatment,the conduction velocity of common peroneal nerve and tibial nerve in both groups increased,and the experimental group was higher than the control group(P<0.05).After treatment,levels of serum interleukin-1β(IL-1β),interleukin-1(IL-1),matrix metalloproteinase 3(MMP-3)and tumor necrosis factor-α(TNF-α)in two groups were decreased,and the experimental group was lower than the control group(P<0.05).Conclusion:Dragon tiger engagement acupuncture combined with suspension training can promote the improvement of lumbar function in patients with LDH,reduce pain symptoms,improve the dorsolumbar extensor muscle function and the nerve conduction velocity of common peroneal nerve and tibial nerve,and reduce the level of serum inflammatory factors,and it has good clinical application value.