中医骨伤手法配合针刺、体外冲击波疗法治疗腰椎间盘突出症患者的效果

Effect of Traditional Chinese Medicine Bone Injury Manipulation Combined with Acupuncture and Extracorporeal Shock Wave Therapy in the Treatment of Patients with Lumbar Disc Herniation

目的:观察并分析腰椎间盘突出症患者应用中医骨伤手法配合针刺、体外冲击波疗法的效果。方法:收集2022年2月—2023年5月厦门市第三医院收治的100例腰椎间盘突出症患者作为受试者,采用中心区组随机化方法,列出流水号为1~100所对应的治疗分配表进行分组处理(观察组和对照组),各50例。对照组给予针刺配合体外冲击波治疗,观察组在对照组基础上加用中医骨伤手法治疗,比较两组腰痛评分、运动功能、炎症指标。结果:治疗28 d后,两组视觉模拟评分法(visual analogue scale,VAS)评分、腰椎功能障碍指数评分量表(Oswestry disability index,ODI)评分及白细胞介素-8(interleukin-8,IL-8)、白细胞介素-6(interleukin-6,IL-6)、C反应蛋白(C-reactive Protein,CRP)水平低于治疗前,且观察组低于对照组,两组日本骨科协会(Japanese Orthopaedie Association,JOA)评分高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:腰椎间盘突出症患者应用中医骨伤手法配合针刺、体外冲击波疗法可有效缓解腰痛症状,改善腰椎功能及运动障碍,降低炎症因子水平,效果良好。

Objective:To observe and analyze the effect of traditional Chinese medicine bone injury manipulation combined with acupuncture and extracorporeal shock wave therapy in the treatment of patients with lumbar disc herniation.Method:A total of 100 patients with lumbar disc herniation who admitted to Xiamen Third Hospital from February 2022 to May 2023 were collected as subjects,the central group randomization method was used to list the corresponding treatment allocation table with serial number 1-100 for grouping treatment(the observation group and the control group),with 50 cases in each group.The control group was given acupuncture combined with extracorporeal shock wave therapy,and the observation group was given traditional Chinese medicine bone injury manipulation on the basis of the control group.The low back pain score,motor function and inflammation indexes were compared between two groups.Result:After 28 d of treatment,the visual analogue scale(VAS)score,Oswestry disability index(ODI)score,and the levels of interleukin-8(IL-8),interleukin-6(IL-6)and C-reactive protein(CRP)in two groups were lower than those before treatment,and those in the observation group were lower than those in the control group,the Japanese Orthopaedic Association(JOA)scores of two groups were higher than those before treatment,and that in the observation group was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion:The application of traditional Chinese medicine bone injury manipulation combined with acupuncture and extracorporeal shock wave therapy in patients with lumbar disc herniation can effectively relieve the symptoms of low back pain,improve lumbar function and movement disorders,reduce the level of inflammatory factors,and the effect is good.