腹肌冲击推拿法治疗急性期腰椎间盘突出症的临床观察

Clinical Observation of Abdominal Muscle Impact Tuina Therapy for Acute Lumbar Disc Herniation

目的:观察腹肌冲击推拿法治疗急性期腰椎间盘突出症患者的临床疗效。方法:选取2022年10月—2023年10月于黑龙江中医药大学附属第二医院推拿四科收治的腰椎间盘突出症(LDH)急性期患者70例,随机分为试验组和对照组,每组35例。试验组选用腹肌冲击推拿法治疗10 d,对照组选用常规推拿手法治疗10 d,比较两组的临床疗效、VAS疼痛评分、JOA腰背痛评分、中医证候评分以及白介素-6(IL-6)水平。结果:试验组的总有效率为100%(35/35),高于对照组的总有效率85.7%(30/35),差异具有统计学意义(P<0.01)。治疗后两组的VAS疼痛评分和中医证候评分均低于治疗前(P<0.05),且试验组低于对照组(P<0.01);治疗后两组的JOA腰背痛评分均高于治疗前(P<0.05),且试验组高于对照组(P<0.01)。治疗后两组IL-6水平均有降低趋势,差异均有统计学意义(P<0.01),试验组下降程度优于对照组(P<0.01)。结论:腹肌冲击推拿法治疗急性期腰椎间盘突出症比常规推拿法更有效,能够缓解腰椎间盘突出症患者症状,减轻患者疼痛,提高治愈时间,稳定患者的脊椎平衡,可为腰椎间盘突出患者提供新的诊疗思路。

Objective:To observe the clinical efficacy of abdominal muscle impact tuina therapy in patients with acute lumbar disc herniation(LDH).Methods:Seventy patients with acute LDH admitted to the Tui Na Department of the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine from October 2022 to October 2023 were selected and randomly divided into an experimental group and a control group,with 35 cases in each group.The experimental group received abdominal muscle impact tuina therapy for 10 days,while the control group received conventional tuina therapy for 10 days.Clinical efficacy,VAS pain score,JOA low back pain score,TCM syndrome score,and interleukin-6(IL-6)levels were compared between the two groups.Results:The total effective rate in the experimental group was 100%(35/35),which was higher than that in the control group(85.7%,30/35),with a statistically significant difference(P<0.01).After treatment,the VAS pain scores and TCM syndrome scores of both groups were lower than before treatment(P<0.05),and the scores in the experimental group were lower than those in the control group(P<0.01).The JOA low back pain scores of both groups were higher after treatment(P<0.05),and the scores in the experimental group were higher than those in the control group(P<0.01).The IL-6 levels in both groups showed a decreasing trend after treatment,with statistically significant differences(P<0.01),and the decrease was more pronounced in the experimental group.Conclusion:Abdominal muscle impact tuina therapy is more effective than conventional tuina therapy in treating acute LDH.It can alleviate symptoms,reduce pain,improve recovery time,and stabilize spinal balance,providing a new therapeutic approach for LDH patients.