银质针导热疗法对第三腰椎横突综合征患者的作用效果

Effect of Silver Needle Heat Conduction Therapy in the Third Lumbar Transverse Process Syndrome Patients

目的探讨银质针导热疗法在第三腰椎横突综合征中的应用效果。方法选择2019年10月至2022年2月于漯河市中医院治疗的116例第三腰椎横突综合征患者,以随机数字表法分组,各58例。常规组接受常规西医治疗,银质针导热组在常规西医治疗同时接受银质针导热疗法治疗,两组患者均连续治疗1个月,治疗前、后观察患者肿瘤坏死因子α(TNF-α)、丙二醛(MDA)、超氧化物歧化酶(SOD)、白细胞介素-17a(IL-17a)、单核细胞趋化蛋白-1(MCP-1)、总抗氧化能力(T-AOC)水平,检测患者腰椎后伸、前屈活动度及肌力,治疗前、后给予患者数字疼痛评分法(NRS)、腰椎Oswestry功能障碍指数(ODI)评价,比较两组的临床疗效。结果治疗后,银质针导热组患者IL-17a、MCP-1、TNF-α、MDA水平较常规组低(P<0.05),SOD、T-AOC水平较常规组高(P<0.05);银质针导热组腰椎后伸、前屈活动度及肌力较常规组高(P<0.05),ODI、NRS评分较常规组低(P<0.05)。银质针导热组患者总有效率(98.28%)较常规组高(87.93%)(P<0.05)。结论银质针导热疗法治疗第三腰椎横突综合征患者可降低炎症因子水平,抑制机体炎症,清除氧自由基,减少氧化应激损伤,缓解腰部疼痛,提升腰椎活动度和肌力,改善腰部功能,提升患者生活质量,临床效果较好。

Objective To observe the effect of silver needle heat conduction therapy in the third lumbar transverse process syndrome patients.Methods A total of 116 patients with transverse process syndrome of the third lumbar vertebra in Luohe Traditional Chinese Medicine Hospital from October 2019 to February 2022 were selected.They were divided by random number table method,with 58 patients in each group.The conventional group received conventional Western medicine treatment,the silver needle conduction group received silver needle conduction therapy on the basis of conventional Western medicine treatment.Tumor necrosis factor-α(TNF-α),malondialdehyde(MDA),superoxide dismutase(SOD),interleukin-17A(IL-17a),monocyte chemoattractant protein-1(MCP-1)and total antioxidant capacity(T-AOC)were observed before and after treatment.Lumbar posterior extension,anterior flexor motion and muscle strength were measured.Digital pain scale(NRS),lumbar Oswestry Disability index(ODI)were evaluated before and after treatment,and the clinical efficacy of the two groups were compared.Results The levels of IL-17a,MCP-1,TNF-αand MDA in the silver needle conduction group were lower than those in the conventional group(P<0.05).The levels of SOD and T-AOC in the silver needle conduction group were higher than those in the conventional group(P<0.05).Lumbar extension and flexion motion and muscle strength in the silver needle conduction group were higher than those in the conventional group(P<0.05),ODI and NRS scores in the silver needle conduction group were lower than those in the conventional group(P<0.05).The total effective rate of the silver needle conduction group(98.28%)was higher than that of the conventional group(87.93%)(P<0.05).Conclusion Silver needle heat conduction therapy in the treatment of patients with the third lumbar transverse process syndrome can reduce the level of inflammatory factors,inhibit body inflammation,remove oxygen free radicals,reduce oxidative stress damage,relieve lumbar pain,improve lumbar motion,muscle strength and lumbar function,with good efficacy.