深刺夹脊穴配合穴位注射治疗腰椎间盘突出症的效果及对白细胞介素的影响

Effect of deep acupuncture at jiaji acupoint and acupoint injection on lumbar disc herniation and the influence on the levels of interleukins

目的:探讨深刺夹脊穴配合穴位注射对腰椎间盘突出症的临床疗效及对白细胞介素6(interleukin-6,IL-6)、白细胞介素8(interleukin-8,IL-8)的影响。方法:采用深刺夹脊穴配合穴位注射的方法,与针刺背俞穴配合穴位注射相对照。采用Mcgill简化量表和自制症状和体征评分表来评价两组的治疗效果,并观察治疗前后IL-6,IL-8的变化。结果:治疗组的总有效率明显高于对照组(χ2=6.852,P<0.05);Mcgill量表中的疼痛评估指数(thepainratingindex,PRI)感觉分(t=2.871)、PRI情绪分(t=3.15)、PRI总分(t=4.40)、直观模拟量表(visualana-loguescales,VAS)(t=4.92)、现在疼痛程度(thepresentpainintensity,PPI)(t=3.06)治疗前后两组之间差值有显著性意义(P均<0.01);自制评分量表也显示治疗前后两组之间差值有显著性意义(P<0.01和P<0.05);治疗组显著优于对照组。治疗前后两组血清中IL-6,IL-8差异无显著性意义。结论:深刺夹脊穴配合穴位注射治疗腰椎间盘突出症效果优于针刺背俞穴配合穴位注射组。

AIM:To study the clinical effect of deep acupuncturing jiaji acupoint combined with acupoint injection on lumbar disc herniation(LDH) and its influence on the levels of interleukin 6(IL 6) and interleukin 8(IL 8) levels. METHODS:Deeply acupuncturing jiaji acupoint combined with acupoint injection for trial group was compared with acupuncturing back shu acupoint combined with acupoint injection for control group to treat LDH.The therapeutic effects of the two group were evaluated by using simplified Mcgill scale and self designed scoring scale for symptom and physical sign.The changes of IL 6 and IL 8 levels were observed. RESULTS:The total efficiency of the trial group was significantly higher than that of the control group(χ2=6.852,P< 0.05).There were significant differences between the two groups in the sensory and emotional scores of the pain rating index(PRI)(t=2.871 and 3.15 respectively),total score of PRI(t=4.40),visual analogue scales(t=4.92) and the present pain intensity(t=3.06) in the simplified Mcgill scale(all P< 0.01).The differences of pre treatment and post treatment in the symptom and physical sign were found significant between the two groups(P< 0.01 and P< 0.05),and the former group were better than the latter group.The changes of IL 6 and IL 8 levels in the serum of pre treatment and post treatment had no significant differences. CONCLUSION:The clinical effect of deep acupuncturing jiaji acupoint combined with acupoint injection is better than that of acupuncturing back shu acupoint combined with point injection.