夹脊穴温针灸联合推拿疗法治疗腰椎间盘突出症的回顾性分析
Retrospective Analysis of Jiaji Point Warm Acupuncture Combined with Massage Therapy for Lumbar Disc Herniation
陈璇 1宁振振 1赵情行 1王浩1
作者信息
- 1. 北京中西医结合医院(北京,100039)
- 折叠
摘要
目的:探讨基于腰椎稳定理论的夹脊穴温针灸联合经筋理论指导下推拿疗法治疗腰椎间盘突出症的效果.方法:选取2020年9月至2023年9月就诊的腰椎间盘突出症患者48例,应用基于腰椎稳定理论的夹脊穴温针灸联合经筋理论指导下推拿疗法治疗,持续治疗4周,对患者的临床疗效进行观察分析.结果:48例患者经治疗后有9例(18.75％)痊愈,29例(60.42％)显效,3例(6.25％)有效,7例(14.58％)无效,总有效率为85.42％.治疗后患者的疼痛介质水平均比治疗前低,日常生活活动、自觉症状及客观体征评分均比治疗前高,差异有统计学意义(P＜0.05).治疗后患者的腰部关节活动度、直腿抬高度与治疗前相比改善明显,差异有统计学意义(P＜0.05).治疗后患者的IL-6及TNF-α水平与治疗前相比显著降低,差异有统计学意义(P＜0.05).治疗后患者的中医症状评分为(13.43±1.46)分,显著低于治疗前的中医症状评分(20.12±2.56)分,差异有统计学意义(t=11.982,P＜0.05).患者总治疗时间为(18.80±4.44)d,生活质量评分为(64.40±2.70)分.48例患者共有4例(8.33％)发生不良反应,包括2例胃肠道反应,1例失眠,1例烦乱不安.结论:针对腰椎间盘突出症的治疗,采用基于腰椎稳定理论的夹脊穴温针灸联合经筋理论指导下推拿疗法体现出明显效果,显著降低疼痛症状和炎性因子水平及治疗周期,改善肢体功能和生活质量,且不良反应少,具有突出的应用价值.
Abstract
Objective:To investigate the efficacy of massage therapy on lumbar disc herniation under the guidance of Jiaji point warm acupuncture and moxibustion combined with Jingjin theory based on lumbar stability theory.Methods:48 patients with lumbar disc herniation from September 2020 to September 2023 were treated with Jiaji point warm acupunc-ture and moxibustion based on the theory of lumbar stability on this basis.48 patients were treated for 4 weeks,and the clinical efficacy was observed and analyzed.Results:After treatment,9 patients(18.75％)were recovered,29 patients(60.42％)were showed obvious efficacy,3 patients(6.25％)were effective,and 7 patients(14.58％)were ineffective.The total effective rate was 85.42％.After treatment,the levels of pain mediators were lower than before,and the scores of daily living activities,conscious symptoms and objective signs were higher than before(P＜0.05).After treatment,the patients'lumbar joint motion and straight leg lifting height were significantly improved compared with those before treat-ment(P＜0.05).The levels of IL-6 and TNF-α after treatment were significantly decreased compared with those before treatment(P＜0.05).The score of TCM symptom after treatment was(13.43±1.46)points,which was significantly lower than that before treatment(20.12±2.56)points(t=11.982,P＜0.05).The total treatment time were(18.80± 4.44)d,and the quality of life scores were(64.40±2.70)points.Among the 48 patients,a total of 4(8.33％)had adverse reactions,including 2 gastrointestinal reactions,1 insomnia,and 1 upset.Conclusion:For the treatment of lumbar disc herniation,the massage therapy based on the theory of lumbar stability Jiaji point warm acupuncture and acupuncture combined with the theory of Jingjin shows obvi-ous efficacy,significantly reduces the level of pain symptoms and inflammatory factors and treatment cycle,effectively improves limb function and quality of life,and has fewer adverse reactions,and outstanding application value.
关键词
夹脊穴温针灸/经筋理论/推拿疗法/腰椎间盘突出症Key words
Jiaji point warm acupuncture/Jingjin theory/massage therapy/lumbar disc herniation引用本文复制引用
基金项目
首都卫生发展科研专项(首发2022-4-7044)
出版年
2024
国家科技期刊平台
NSTL
万方数据