针灸联合推拿治疗腰椎间盘突出症疗效及对患者疼痛程度的影响

目的:探讨针灸联合推拿对腰椎间盘突出症疗效及对患者疼痛程度的影响.方法:选取90例腰椎间盘突出症患者,按随机数字表法分为对照组、研究组,各45例;对照组给予常规推拿治疗,研究组在对照组基础上给予针灸治疗.比较两组患者临床症状消失时间、临床疗效、疼痛视觉模拟量表(VAS)评分、日本骨科医师协会(JOA)评分、肿瘤坏死因子...

Effect of acupuncture and moxibustion combined with massage on patients with prolapse of lumbar intervertebral disc on the degree of pain

Objective:To investigate effect of acupuncture and moxibustion combined with massage on patients with prolapse of lumbar intervertebral disc and its influence on pain.Methods:90 patients with prolapse of lumbar intervertebral disc were divided into control group and study group,according to random number table method.The control group was given routine massage,and the study group was given acupuncture treatment on the basis of the control group.The time of symptom disappearance,clinical efficacy,visual analogue scale(VAS)score,Japanese orthopedic association(JOA),tumor necrosis factor-alpha(TNF-α)、interleukin 1β(IL-1β)、substance P(SP)、neuropeptide tyrosing(NPY)were compared between the two groups.Results:After treatment,the time of lumbago and leg pain,pain fixed,lumbar stiffness,lumbar tingling,pain refused to press,difficulty in pitch recover symptoms disappeared were significantly shortened in the two groups,and the study group was shorter than the control group(all P<0.05).The total effective rate of the study group was 97.78% higher than that of the control group 82.22%,differences statistically significant(P<0.05).After treatment,both groups' VAS scores decreased,JOA scores increased,and the study group's VAS scores were lower and JOA scores were higher than those in the control group(all P<0.05).After treatment,the levels of TNF-α, IL-1β,NPY and SP in the two groups decreased.The levels of TNF-α,IL-1β,NPY and SP in the study group were significantly lower than those in the control group(P<0.05).Conclusion:Acupuncture and moxibustion combined with massage can alleviate the clinical symptoms of patients with prolapse of lumbar intervertebral disc,reduce the degree of pain,improve nerve function,clinical efficacy is good.