壮医经筋多维解结治疗腰椎间盘突出症的临床效果

Clinical effect of trans⁃meridian multi⁃dimensional nodes disentangling of Zhuang Medicine for the treatment of lumbar disc herniation

目的探讨壮医经筋多维解结治疗腰椎间盘突出症(LDH)的临床效果。方法将70例LDH患者随机分为对照组和治疗组,每组35例。对照组患者接受中医推拿+普通针刺+火罐治疗,治疗组患者接受壮医经筋推拿+壮医火针针刺+火罐治疗,两组患者均隔日治疗1次,共治疗5次。比较治疗前后两组患者日本骨科协会(JOA)评分、疼痛视觉模拟量表(VAS)评分、血清肿瘤坏死因子α(TNF-α)水平,以及临床疗效。结果治疗组的治疗总有效率为94.29%,高于对照组的77.14%(P<0.05)。治疗后,两组患者的JOA评分较治疗前升高,疼痛VAS评分、血清TNF-α水平较治疗前降低,且与对照组比较,治疗组的JOA评分更高,疼痛VAS评分、血清TNF-α水平更低(P<0.05)。结论与常规中医治疗相比,壮医经筋多维解结治疗LDH患者的效果更佳,可明显改善患者的临床症状和疼痛程度,降低血清TNF-α水平,值得临床应用推广。

Objective To explore the clinical effect of trans⁃meridian multi⁃dimensional nodes disentangling of Zhuang Medicine for the treatment of lumbar disc herniation(LDH).Methods A total of 70 LDH patients were randomly divided into control group or treatment group,with 35 cases in each group.The control group was treated with Traditional Chinese Medicine massage plus ordinary acupuncture plus cupping,whereas the treatment group was treated with Zhuang Medicine trans⁃meridian massage plus Zhuang Medicine fire needle acupuncture plus cupping.Both groups were treated once every other day,for 5 times in total.The pre⁃and post⁃treatment Japanese Orthopaedics Association(JOA)score,Visual Analogue Scale(VAS)score for pain,serum level of tumor necrosis factorα(TNF⁃α),as well as clinical efficacy were compared between the two groups.Results The total effective rate of treatment in the treatment group was 94.29%,which was higher than that in the control group(77.14%,P<0.05).After treatment,JOA score of both groups was elevated,whereas VAS score for pain,and serum TNF⁃αlevel were decreased as compared with before treatment;moreover,compared with the control group,the treatment group yielded a higher JOA score and lower VAS score for pain and serum TNF⁃αlevel(P<0.05).Conclusion Compared with routine Traditional Chinese Medicine therapy,trans⁃meridian multi⁃dimensional nodes disentangling of Zhuang Medicine exerts superior effect to the treatment of LDH patients,and can significantly ameliorate patients′clinical symptoms and pain degree,decrease serum TNF⁃αlevel,which is worthy of clinical application and promotion.