调脊通督针法联合腰椎牵引治疗腰椎间盘突出症临床研究

Clinical Study on Tiaoji Tongdu Acupuncture Method Combined with Lumbar Verte⁃brae Traction for Lumbar Disc Herniation

目的:观察调脊通督针法联合腰椎牵引治疗腰椎间盘突出症(LDH)的临床疗效。方法:采用随机数字表法将80例LDH患者分为治疗组与对照组各40例。对照组给予腰椎牵引治疗,治疗组给予腰椎牵引联合调脊通督针法治疗。比较2组治疗前后中医证候积分、日本骨科协会(JOA)评分、视觉模拟评分法(VAS)评分及血清炎症因子水平,并评估2组临床疗效及不良反应发生情况。结果:治疗后,治疗组总有效率95.00%,高于对照组77.50%(P<0.05)。治疗后,2组治疗后中医证候积分、VAS评分低于治疗前(P<0.05),JOA评分高于治疗前(P<0.05);治疗组治疗后中医证候积分、VAS评分低于对照组(P<0.05),JOA评分高于对照组(P<0.05)。治疗后,治疗组血清白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平低于治疗前(P<0.05),且治疗后上述炎症因子水平低于对照组(P<0.05),但对照组治疗前后各血清炎症因子水平比较,差异无统计学意义(P>0.05)。2组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:调脊通督针法联合腰椎牵引治疗LDH,能有效改善患者腰椎功能,减轻疼痛程度及炎症反应,安全性较高。

Objective:To observe the clinical effect of Tiaoji Tongdu acupuncture method combined with lumbar vertebrae traction for lumbar disc herniation(LDH).Methods:A total of 80 cases of LDH patients were divided into the treatment group and the control group according to the random number table method,with 40 cases in each group.The control group was treated with lumbar vertebrae traction,and the treatment group was treated with Tiaoji Tongdu acupuncture method combined with lumbar vertebrae traction.Before and after treatment,the traditional Chinese medicine(TCM)syndrome scores,scores of of Japanese Orthopaedic Association(JOA),Visual Analogue Scale(VAS)scores,and levels of inflammatory factors in serum were compared between the two groups.The clinical effects and incidence of adverse reactions were evaluated in the two groups.Results:After treatment,the total effective rate was 95.00%in the treatment group,higher than that of 77.50%in the control group(P<0.05).After treatment,the TCM syndrome scores and VAS scores in the two groups were lower than those before treatment(P<0.05),and the JOA scores were higher than those before treatment(P<0.05).After treatment,the TCM syndrome score and VAS score in the treatment group were lower than those in the control group(P<0.05),and the JOA score was higher than that in the control group(P<0.05).After treatment,the levels of interleukin-1β(IL-1β),interleukin 6(IL-6),and tumor necrosis factor-α(TNF-α)in serum in the treatment group were lower than those before treatment,and the above levels of inflammatory factors were lower than those before treatment(P<0.05);there was no significant difference being found in the comparison of inflammatory factors in serum before and after treatment in the control group(P>0.05).There was no significant difference being found in the comparison of the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Tiaoji Tongdu acupuncture method combined with lumbar vertebrae traction for LDH can effectively improve the lumbar function of patients,reduce pain and inflammatory reactions,and have high safety.