三维整脊手法与中药导入治疗腰椎间盘突出症的疗效
The Therapeutic Effect of Three-Dimensional Spinal Manipulation and Traditional Chinese Medicine Introduction for Lumbar Disc Herniation
王旭 1李明明 1李冠彦1
作者信息
- 1. 广州中医药大学第八临床医学院(广东佛山,528000)
- 折叠
摘要
目的:探讨三维整脊手法与中药导入联合治疗腰椎间盘突出症的疗效.方法:选取初诊的腰椎间盘突出症患者70例,分为对照组和观察组(各35例),对照组患者给予中药离子导入疗法治疗,观察组患者加用三维整脊手法治疗,比较两组患者腰椎功能、疼痛症状和疼痛介质及下肢功能、不良反应发生情况.结果:治疗后观察组患者日本骨科协会(JOA)评分、腰椎曲度、直腿抬高角度高于对照组,视觉模拟量表(VAS)评分、血清5-羟色胺(5-HT)、前列腺素E2(PGE2)及白介素6(IL-6)水平低于对照组,差异有统计学意义(P＜0.05);两组患者不良反应发生率比较差异无统计学意义(P＞0.05).结论:三维整脊手法与中药离子导入治疗可显著改善腰椎间盘突出症患者腰椎功能,降低患者体内疼痛因子表达,减轻疼痛症状,促进下肢功能恢复,疗效确切,值得临床推广应用.
Abstract
Objective:To explore the efficacy of three-dimensional spinal manipulation combined with traditional Chinese medicine(TCM)introduction in the treatment of lumbar disc herniation(LDH).Methods:70 newly diagnosed LDH patients were selected and divided into control group and observation group,with 35 cases in each group.The control group received TCM ion introduc-tion therapy,while the observation group received three-dimensional spinal manipulation treatment.The lumbar spine function,pain symptoms,pain mediators,lower limb function,and incidence of adverse reactions were compared between the two groups.Results:After treatment,the JOA score,lumbar curvature,and straight leg elevation angle of the observation group were higher than those of the control group,while the VAS score and serum levels of 5-HT,PGE2,and IL-6 were lower than those of the control group(P＜0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P＞0.05).Conclusion:The three-dimensional spinal manipulation and TCM iontophoresis therapy can significantly improve lumbar spine function in LDH patients,reduce the expression of pain factors in the patient's body,alleviate pain symptoms,promote lower limb function recovery,and have definite therapeutic effects.It is worth promoting and applying.
关键词
腰椎间盘突出症/三维整脊手法/中药离子导入/腰椎功能/疼痛介质Key words
lumbar disc herniation/three-dimensional spinal manipulation technique/traditional Chinese medicine ion introduction/lumbar spine function/pain mediators引用本文复制引用
出版年
2024
NETL
NSTL
万方数据