【摘要】 目的 观察一指禅推拿法治疗急性腰椎间盘突出症的临床疗效。方法 将106例急性腰椎间盘突出症患者随机分为观察组与对照组各53例，两组均给予常规治疗，观察组在此基础上加用一指禅推拿治疗，疗程为1周。于治疗前后采用简明疼痛问卷（SF-MPQ）、Oswestry功能障碍指数（ODI）、日本骨科学会（JOA）腰背痛评分、Roland-Morris功能障碍问卷（RMDQ）评估疼痛和功能障碍改善情况，测量腰椎活动度，检测血清白细胞介素-6(IL-6)、白细胞介素-1β(IL-1β)、肿瘤坏死因子-α(TNF-α)水平，测定胫神经和腓总神经传导速度，并评估临床疗效。结果 治疗后，两组SF-MPQ评分（包括VAS评分、RPI评分、PPI评分）、ODI和RMDQ评分均较治疗前降低（P <0.05）,JOA评分、腰椎屈曲、伸展及侧曲活动度较治疗前升高（P <0.05），且观察组改善优于对照组（P <0.05）。治疗后，两组IL-6、IL-1β、TNF-α水平较治疗前降低（P <0.05），胫神经和腓总神经传导速度较治疗前升高（P <0.05），且观察组优于对照组（P <0.05）。观察组总有效率为94.40%，高于对照组的81.32%(P <0.05)。结论 一指禅推拿法能有效缓解急性腰椎间盘突出症患者的疼痛，改善腰椎功能，提高腰椎活动度，降低炎症因子水平，促进神经功能恢复，临床疗效确切。更多还原

【Abstract】 Objective:To observe the clinical efficacy of Yizhichan Tuina in treating acute lumbar disc herniation. Methods:106 patients with acute lumbar disc herniation were randomly divided into an observation group(n = 53)and a control group(n = 53). Both groups received conventional treatment,while the observation group additionally received Yizhichan Tuina for one week. Before and after treatment,pain and functional impairment were assessed using the Short-Form McGill Pain Questionnaire(SF-MPQ),Oswestry Disability Index(ODI),Japanese Orthopedic Association(JOA)score for low back pain,and Roland-Morris Disability Questionnaire(RMDQ). Lumbar range of motion was measured,serum levels of interleukin-6(IL-6),IL-1β,tumor necrosis factor-alpha(TNF-α)were detected,and tibial nerve and common peroneal nerve conduction velocities were determined. Clinical efficacy was also evaluated. Results:After treatment,the SF-MPQ scores(including VAS,RPI,PPI scores),ODI,and RMDQ scores in both groups were significantly lower than before treatment(P < 0.05),while JOA scores and lumbar flexion,extension,and lateral bending ranges of motion were higher(P < 0.05). Improvements in the observation group were better than those in the control group(P < 0.05). After treatment,levels of IL-6,IL-1β,and TNF-α in both groups decreased(P < 0.05),and tibial nerve and common peroneal nerve conduction velocities increased(P < 0.05),with the observation group having better outcomes(P < 0.05). The total effective rate in the observation group was 94.40%,which was higher than 81.32% in the control group(P < 0.05). Conclusion:Yizhichan Tuina effectively alleviates pain,improves lumbar function,enhances lumbar range of motion,reduces inflammatory factor levels,and promotes neurological recovery in patients with acute lumbar disc herniation,which shows clear clinical efficacy.更多还原