中医手法治疗对缓解腰椎间盘突出症疼痛及功能障碍的影响：一项随机对照试验性研究

Effect of traditional Chinese manual therapy on alleviating pain and dysfunction of lumbar disc herniation: a randomized controlled pilot study.

作者信息

Cao Ben, Zhou Xin, Zhang Shuai-Pan, Zhu Qing-Guang, Kong Ling-Jun, Fang Min

机构信息

Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine Shanghai, China.

Institute of Tuina, Shanghai Institute of Traditional Chinese Medicine Shanghai, China.

出版信息

Am J Transl Res. 2022 Oct 15;14(10):6941-6952. eCollection 2022.

DOI:

PMID:36398213

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9641462/

Abstract

OBJECTIVE

To investigate the effect of traditional Chinese manual therapy (TCMT) in alleviating pain and dysfunction in patients with lumbar disc herniation (LDH).

METHODS

Sixty-six patients with LDH were recruited as the study cohort and randomly assigned to an observation group and a control group. The patients in the observation group underwent TCMT, whereas those in the control group underwent conventional lumbar traction (LT). The observed indexes comprised primary index, which referred to clinical efficacy, and secondary indexes, which include Simplified McGill Pain Questionnaire, Oswestry Disability Index (ODI), range of motion (ROM) of the lumbar spine, difference in muscle tone (MT) and pressure pain threshold (PPT) of the bilateral erector spinae, and serum inflammatory factor levels.

RESULTS

The total effective rate was significantly higher in the observation group than in the control group (96.67% vs. 66.67%, < 0.001). Compared with the control group after treatment, patients in the observation group had significantly lower ODI, pain rating index, visual analog scale and present pain intensity scores (all < 0.05), and had significantly smaller differences in MT and PPT of the bilateral erector spinae (both < 0.001), but had remarkably greater ROM of the lumbar spine ( < 0.001). In addition, interleukin (IL)-6, IL-8, and interferon-γ concentrations in the observation group were significantly lower than those in the control group after treatment (all < 0.05).

CONCLUSION

TCMT has positive effects on alleviating pain and improving dysfunction of patients with LDH and helps in reducing serum inflammatory factor levels.

摘要

目的

探讨中医手法治疗（TCMT）对缓解腰椎间盘突出症（LDH）患者疼痛及功能障碍的效果。

方法

招募66例LDH患者作为研究队列，随机分为观察组和对照组。观察组患者接受TCMT治疗，而对照组患者接受常规腰椎牵引（LT）治疗。观察指标包括主要指标（即临床疗效）和次要指标，次要指标包括简化麦吉尔疼痛问卷、Oswestry功能障碍指数（ODI）、腰椎活动度（ROM）、双侧竖脊肌肌张力（MT）差异和压痛阈值（PPT），以及血清炎症因子水平。

结果

观察组总有效率显著高于对照组（96.67%对66.67%，<0.001）。与治疗后的对照组相比，观察组患者的ODI、疼痛评分指数、视觉模拟量表和当前疼痛强度评分均显著更低（均<0.05），双侧竖脊肌的MT和PPT差异均显著更小（均<0.001），但腰椎ROM显著更大（<0.001）。此外，治疗后观察组白细胞介素（IL）-6、IL-8和干扰素-γ浓度显著低于对照组（均<0.05）。