摘要
目的:观察灵龟八法针刺联合温肾化瘀推拿对急性腰扭伤患者疼痛、腰椎功能及炎症细胞因子水平的影响,总结临床疗效及安全性。方法:选取2018年1月至2019年2月于武汉市第三医院中医科接受治疗的急性腰扭伤患者112例,按照随机数字表法分为对照组和治疗组各56例。两组均行温肾化瘀推拿法治疗,治疗组在此基础上联合灵龟八法针刺治疗,7 d为1个疗程,均连续治疗2个疗程。治疗前后,分别记录两组疼痛程度视觉模拟评分法(VAS)评分、Roland-Morris腰椎功能障碍调查表(RMDQ)评分、腰椎活动度(ROM)评分、骶棘肌肌电信号,检测血清白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平,并据以评价临床疗效;观察两组不良反应发生情况。结果:治疗后,两组VAS评分、RMDQ评分和ROM评分均较治疗前明显降低(P<0.05),且治疗组三项评分均低于对照组(P<0.05);两组骶棘肌波幅和肌电反转次数均较治疗前明显增加(P<0.05),且治疗组骶棘肌波幅和肌电反转次数均高于对照组(P<0.05);两组血清IL-6、TNF-α水平均较治疗前明显降低(P<0.05),且治疗组两因子水平均低于对照组(P<0.05);治疗组和对照组总有效率分别为98.21%、87.50%,差异有统计学意义(P<0.05);除对照组1例出现皮下血肿外,余患者无不良反应发生。结论:灵龟八法针刺联合温肾化瘀推拿能够明显改善急性腰扭伤患者疼痛程度及腰椎功能,降低血清炎症细胞因子水平,且疗效显著、安全性高。
Objective:To study the effect of Linggui Bafa acupuncture combined with warming kidney and removing blood stasis massage on pain,lumbar function and levels of inflammatory cytokines in patients with acute lumbar sprain,and summarize the clinical efficacy and safety. Methods:Total 112 patients with acute lumbar sprain who were treated in the Department of Traditional Chinese Medicine of Wuhan Third Hospital from January 2018 to February 2019 were selected and randomly divided into the control group and treatment group,with 56 patients in each group. Both groups received massage therapy of warming kidney and removing blood stasis.On this basis,the treatment group was treated with Linggui Bafa acupuncture,with 7 days as one course of treatment,and both groups received two courses of treatment continuously. Visual analogue scale(VAS)score,Roland-Morris lumbar dysfunction questionnaire(RMDQ) score,lumbar range of motion(ROM) score,and sacrospinous myoelectric signal were recorded before and after treatment. Serum levels of interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α) were measured and used to evaluate clinical efficacy. The occurrence of adverse reactions in the two groups was observed. Results:After treatment,VAS score,RMDQ score and ROM score in both groups were significantly decreased(P< 0.05),and the three scores in the treatment group were all lower than those in the control group(P< 0.05). The frequency of sacrospinous muscle amplitude and myoelectric inversion was significantly increased in the two groups(P< 0.05),and the frequency of sacrospinous muscle amplitude and myoelectric inversion in the treatment group was higher than that in the control group(P< 0.05). Serum levels of IL-6 and TNF-α were significantly decreased in both groups(P< 0.05). The levels of both factors in the treatment group were lower than those in the control group(P< 0.05). The total effective rates of the treatment group and the control group were 98.21% and 87.50%,respectively,with statistically significant differences(P< 0.05). Except one case of subcutaneous hematoma in the control group,no adverse reactions occurred in the other patients. Conclusions:Linggui Bafa acupuncture combined with warming kidney and removing blood stasis massage can significantly improve the pain degree and lumbar function in patients with acute lumbar sprain,and reduce the serum levels of inflammatory cytokines,with significant curative effect and high safety.
作者
朱明
黄威
ZHU Ming;HUANG Wei(Department of Traditional Chinese Medicine,Wuhan Third Hospital,Wuhan 430060,China)
出处
《山东中医药大学学报》
2020年第6期658-662,共5页
Journal of Shandong University of Traditional Chinese Medicine
基金
湖北省科学研究与技术开发计划项目(编号:2018ADC296)。
关键词
急性腰扭伤
灵龟八法针刺
温肾化瘀法
推拿
疼痛程度
腰椎功能障碍调查表
腰椎活动度
骶棘肌肌电信号
炎症细胞因子
acute lumbar sprain
Linggui Bafa acupuncture
warming kidney and removing blood stasis method
massage
pain degree
lumbar dysfunction questionnaire
lumbar range of motion
sacrospinous myoelec-tric signal
inflammatory cytokines
