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腹部推拿对腰椎间盘突出症患者 恢复期腰部疼痛的积极影响
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R246.9

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Positive influence of abdominal massage on lumbar pain in patients with lumbar disc herniation during recovery period
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    摘要:

    目的 探讨腹部推拿对腰椎间盘突出症(LDH)患者恢复期腰部疼痛与血清超敏 -C 反应蛋白(hs-CRP)、肿瘤坏死因子 -α (TNF-α)、前列腺素 -E2(PGE2)、基质金属蛋白酶 -3(MMP-3)水平的影响。方法 采用随机数字表法将 2019 年 8 月至 2021 年 8 月 北京大学首钢医院收治的 90 例 LDH 患者分为对照组(45 例)和观察组(45 例)。对照组患者采用传统腰背部与腿部推拿手法进行干 预,而观察组患者以对照组为基础实施腹部推拿干预方法。10 d 为 1 个疗程,两组患者均持续治疗 2 个疗程。比较两组患者治疗总有效 率,治疗前后中医证候积分、直腿抬高角度及简化 McGill 疼痛评分表(SF-MPQ)、改良 Oswestry 功能障碍指数(ODI)、日本骨科协 会评估治疗分数(JOA)评分,及治疗前后血清 hs-CRP、TNF-α、PGE2、MMP-3 水平。结果 观察组患者的治疗总有效率(95.56%)与 对照组(80.00%)比升高;治疗后两组患者腰痛、下肢麻痛评分,SF-MPQ、ODI 评分及血清 hs-CRP、TNF-α、PGE2、MMP-3 水平均低 于治疗前,且观察组低于对照组;直腿抬高角度与 JOA 评分均高于治疗前,且观察组高于对照组(均P<0.05)。结论 对 LDH 恢复期 腰部疼痛患者实施腹部推拿可有效缓解患者腰痛、下肢麻痛症状,还能够降低炎症反应,促进腰椎功能恢复,临床疗效显著。

    Abstract:

    Objective To explore the effect of abdominal massage on lumbar pain and serum hypersensitivity C-reactive protein (hsCRP), tumor necrosis factor-α (TNF-α), prostaglandin-E2 (PGE2), metal matrix protease-3 (MMP3) levels in patients with lumbar disc herniation (LDH) during recovery period. Methods A total of 90 cases LDH patients admitted to Peking University Shougang Hospital from August 2019 to August 2021 were divided into the control group (45 cases) and the observation group (45 cases) according to the random number table method. Patients in the control group were intervened with traditional back and leg massage manipulation, and patients in the observation group were treated with abdominal massage intervention based on the control group. 10 days was one course of treatment, patients in the both groups were treated for 2 courses continuously. The total effective rate of patients in the two groups after treatment, traditional chinese medicine(TCM) syndrome scores, straight leg raise angle, simplified McGill pain scale (SF-MPQ), modified Oswestry Disability Index (ODI), Japanese Orthopaedic Association (JOA) scores, and serum hs-CRP, TNF-α, PGE2, MMP3 levels before and after treatment of patients in the two groups were compared. Results The total effective rate of patients in the observation group and the control group were 95.56% and 80.00%, the observation group was higher than the control group; the scores of lumbar pain, lower limb numbness and pain, SF-MPQ, ODI, and the levels of serum hs-CRP, TNF-α, PGE2, MMP3 of patients in the two groups after treatment were lower than those before treatment, and the observation group was lower than the control group; straight leg raise angle and JOA scores of patients in the two groups after treatment were higher than those before treatment, and the observation group was higher than the control group (all P<0.05). Conclusion Abdominal massage in the treatemnt of LDH patients with lumbar pain during recovery period can effectively relieve the symptoms of lumbar pain, lower limb numbness and pain, and reduce the inflammation rseponse, promote lumbar function recovery, the clinical efficacy is significant.

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  • 在线发布日期: 2022-08-23
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