针灸配合推拿治疗腰椎间盘突出症的临床疗效观察

Clinical Observation on the Treatment of Lumbar Disc Herniation with Acupuncture and Massage

目的分析研讨针灸配合推拿治疗腰椎间盘突出症的临床疗效。方法病例入选方式为随机抽签法,从我院2014年11月至2016年4月期间我院收治的腰椎间盘突出症患者中,抽取50例纳入到此讨论领域中,入选患者再次依据入院顺序分两组,25例对照组患者接受单纯推拿治疗,25例研究组患者接受针灸配合推拿治疗。将两组患者临床疗效、病情评分纳入对比讨论中。结果治疗前两组VAS评分、TNF-α和IL-1β水平均无明显差意义(P>0.05)。经治疗一段时间后,研究组总有效率92.00%比对照组76.00%要高,组间数据有统计学意义(P<0.05);研究组VAS评分明显低于对照组,组间数据有统计学意义(P<0.05);研究组患者起效时间明显短于对照组,组间数据有统计学意义(P<0.05);研究组患者治疗维持时间明显较对照组长,组间数据有统计学意义(P<0.05);研究组患者TNF-α和IL-1β水平均明显低于对照组,组间数据有统计学意义(P<0.05)。治疗过程中两组均无不良反应情况发生。结论针灸配合推拿治疗腰椎间盘突出症,有效改善了病人临床症状,镇痛效果显著,临床推广价值高。

Objective To study clinical efficacy of acupuncture and massage treatment of lumbar disc herniation. Methods The cases were randomly selected for, from the period from November 2014 to April 2016 in our hospital of lumbar disc herniation patients, selected 50 cases included in this discussion in the field of patients according to the order of admission in two again group, 25 patients in control group treated with massage therapy, 25 cases of patients in the study group received acupuncture combined with massage therapy. The clinical efficacy of the two groups, the disease score into the comparative discussion. Results The two groups before treatment VAS score, TNF-alpha and IL-1 beta levels were not significantly difference significance(P>0.05). After a period of treatment, the total effective rate is 92% higher than that of the control group 76%, the data between the two groups was statistically significant(P<0.05); the VAS scores of the study group was significantly lower than the control group, there was statistical significance between groups of data(P < 0.05); patients in the study group, the onset time was significantly shorter than the control group, there was statistical significance between groups of data(P<0.05); patients in study group than in the control group obviously maintenance time, the data between the two groups was statistically significant(P<0.05); patients in the study group of TNF-alpha and IL-1 beta levels were significantly lower than the control group and the data between the two groups was statistically significant(P<0.05). During the treatment of the two groups had no adverse reactions. Conclusion Acupuncture and massage treatment of lumbar disc herniation, effectively improve clinical symptoms of patients, significant analgesic effect, high clinical value.