[1]钟 鉴,李曰文,代承忠.郑氏手法推拿联合针刺治疗腰椎间盘突出症疗效及对患者MRI影像学影响[J].陕西中医,2023,(11):1620-1622,1627.[doi:DOI:10.3969/j.issn.1000-7369.2023.11.031]
　ZHONG Jian,LI Yuewen,DAI Chengzhong.Effect of Zheng's manual massage combined with acupuncture in treatment of lumbar disc herniation and influence on MRI parameters[J].,2023,(11):1620-1622,1627.[doi:DOI:10.3969/j.issn.1000-7369.2023.11.031]
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郑氏手法推拿联合针刺治疗腰椎间盘突出症疗效及对患者MRI影像学影响
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年11期
页码:
1620-1622,1627
栏目:
针灸经络
出版日期:
2023-11-05

文章信息/Info

Title:
Effect of Zheng's manual massage combined with acupuncture in treatment of lumbar disc herniation and influence on MRI parameters
作者:
钟 鉴; 李曰文; 代承忠
(四川省骨科医院,四川 成都 610041)
Author(s):
ZHONG Jian; LI Yuewen; DAI Chengzhong
(Sichuan Provincial Orthopaedic Hospital,Chengdu 610041,China)
关键词:
腰椎间盘突出症;  郑氏手法推拿;  针刺;  核磁共振成像;  疼痛视觉模拟评分法;  腰椎功能
Keywords:
Lumbar disc herniation;  Zheng's manual massage;  Acupuncture;  Magnetic resonance imaging;  Visual analogue scale;  Lumbar vertebral function
分类号:
R 681.5
DOI:
DOI:10.3969/j.issn.1000-7369.2023.11.031
文献标志码:
A
摘要:
目的:分析郑氏手法推拿联合针刺对腰椎间盘突出症患者磁共振(MRI)影像学参数的影响。方法:将138例腰椎间盘突出症患者按随机数字表法分为两组,试验组、对照组,各69例。对照组采用牵引治疗,试验组采用郑氏手法推拿联合针刺治疗。两组均治疗3个月后,比较两组患者疗效、临床症状评分、核磁共振成像(MRI)影像学指标、血清指标。结果:治疗后,试验组总有效率高于对照组(P<0.05)。治疗后,试验组疼痛视觉模拟评分法(VAS)评分低于对照组,试验组日本骨科协会(JOA)评分高于对照组(均P<0.05)。治疗后,两组患者MRI影像学指标均有不同程度降低,且试验组椎间隙高度、硬膜外压痕矢径值、硬膜外压痕纵轴值低于对照组(均P<0.05)。治疗后,两组患者血清指标水平均有不同程度降低,且试验组肿瘤坏死因子-α(TNF-α)、白细胞介素-1(IL-1)、前列腺素E2(PGE2)低于对照组(均P<0.05)。结论:郑氏手法推拿联合针刺治疗腰椎间盘突出症患者疗效较好,可改善患者MRI影像学指标,降低炎症反应和疼痛程度,提升腰椎功能。
Abstract:
Objective:To analyze influence of Zheng's manual massage combined with acupuncture on magnetic resonance imaging parameters of patients with lumbar disc herniation(LDH).Methods:138 patients with LDH were divided into experimental group and control group by random number table method,with 69 patients in each group.The control group were given traction treatment,while the experimental group were given Zheng's manual massage combined with acupuncture treatment.All patients underwent 3 months of treatment.Efficacy,clinical symptom scores,MRI parameters and serum indicators were compared between the two groups.Results:After treatment,the total response rate in the experimental group was higher than that in the control group(P<0.05).After treatment,the VAS score of the experimental group was lower than that in the control group,and JOA score was higher than that in the control group(all P<0.05).After treatment,MRI parameters of the two groups decreased.Intervertebral space height,sagittal diameter of epidural indentation and longitudinal axis value of epidural indentation in the experimental group were smaller than those in the control group(all P<0.05).After treatment,the levels of serum indicators in the two groups decreased.The levels of tumor necrosis factor-α(TNF-α),interleukin-1(IL-1)and prostaglandin E2(PGE2)in the experimental group were lower than those in the control group(all P<0.05).Conclusion:Zheng's manual massage combined with acupuncture can achieve significant therapeutic effect on LDH.The treatment can significantly improve MRI parameters,reduce inflammatory reactions and pain level,and improve lumbar function.

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备注/Memo

备注/Memo:
基金项目:四川省中医药管理局科学技术研究专项课题(2020LC0174)
更新日期/Last Update: 2023-11-09