| 王薪景,郁小红,黄 峰,罗仙忠,龚 燕.针刺结合火针对腰椎间盘突出症患者疼痛及血清炎性因子的影响[J].,2020,(17):3309-3312 |
| 针刺结合火针对腰椎间盘突出症患者疼痛及血清炎性因子的影响 |
| Effect of Acupuncture Combined with Fire Acupuncture on Pain and Serum Inflammatory Factor in Patients with Lumbar Disc Herniation |
| 投稿时间：2019-11-30 修订日期：2019-12-26 |
| DOI：10.13241/j.cnki.pmb.2020.17.024 |
| 中文关键词: 针刺 火针 腰椎间盘突出症 疼痛 炎性因子 疗效 |
| 英文关键词: Acupuncture Fire Acupuncture Lumbar Disc Herniation Pain Inflammatory Factor Therapeutic Effect |
| 基金项目:浙江省中医药科技计划基金资助项目（2016ZB1179） |
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| 中文摘要: |
| 摘要 目的：探讨针刺结合火针对腰椎间盘突出症患者疼痛及血清炎性因子的影响。方法：选取2017年2月~2019年2月期间空军杭州特勤疗养中心疗养三区收治的腰椎间盘突出症患者91例，将患者根据随机数字表法分为对照组（n=45）和研究组（n=46），对照组给予针刺治疗，研究组在对照组的基础上联合火针治疗，比较两组患者临床疗效、疼痛情况、日常生活能力、血清炎性因子水平及不良反应。结果：治疗后研究组临床总有效率为91.30%（42/46），高于对照组患者的75.56%（34/45）（P<0.05）。两组治疗前视觉疼痛模拟评分 （VAS）、改良日本骨科协会腰痛评分表（M-JOA）评分比较无差异（P>0.05），两组治疗后VAS评分下降，且研究组较对照组低（P<0.05），M-JOA评分升高，且研究组高于对照组（P<0.05）。两组治疗前血清白介素-6（IL-6）、白介素-1β（IL-1β）、肿瘤坏死因子-α（TNF-α）水平比较无差异（P>0.05），治疗后两组血清IL-6、TNF-α、IL-1β水平均下降，且研究组较对照组低（P<0.05）。治疗期间，对照组不良反应发生率为13.33%（6/45），研究组不良反应发生率为19.57%（9/46），两组不良反应发生率对比无统计学差异（P>0.05）。结论：针刺结合火针治疗腰椎间盘突出症患者疗效确切，可有效减轻疼痛，改善其日常生活能力，同时还可以降低机体炎性因子水平，且安全性较好，临床应用价值较高。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of acupuncture combined with fire on pain and serum inflammatory factors in patients with lumbar disc herniation. Methods: 91 patients with lumbar intervertebral disc herniation who were admitted to Air Force Hangzhou Special Service Recuperation Center from February 2017 to February 2019 were selected, they were divided into control group (n=45) and study group (n=46) according to random number table method. The control group was given acupuncture treatment, and the study group was given fire needle treatment on the basis of the control group. The clinical efficacy, pain, daily living ability, serum levels of inflammatory factors and adverse reactions were compared between the two groups Results: The total clinical effective rate of the study group was 91.30% (42/46), higher than 75.56% (34/45) of the control group (P<0.05). There was no significant difference in visual analogue pain score (VAS) and modified Japanese Orthopaedic Association low back pain score scale (M-JOA) before treatment between the two groups (P>0.05). After treatment, the VAS score of the two groups decreased, and the study group was lower than that of the control group (P<0.05), while the M-JOA score increased, and the study group was higher than that of the control group (P<0.05). The levels of serum interleukin-6 (IL-6), interleukin-1β (IL-1β) and tumor necrosis factor-α (TNF-α) were not significantly different between the two groups before treatment (P>0.05). After treatment, the levels of serum IL-6, TNF-α and IL-1β in the two groups decreased, and the level in the study group was lower than that in the control group (P<0.05). During the treatment period, the incidence of adverse reactions was 13.33% (6/45) in the control group and 19.57% (9/46) in the study group. There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion: Acupuncture combined with fire needling is effective in treating lumbar intervertebral disc herniation. It can effectively relieve pain and improve daily living ability, and also reduce the level of inflammatory factors. It is safe and has high clinical application value. |
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