趾压踩跷法配合腰痛灵栓治疗腰椎间盘突出症微循环效应研究

作者	单位
张冲	四川省医学科学院四川省人民医院
罗才贵	成都中医药大学附属医院
罗建	成都中医药大学附属医院
邱玲	成都市第一人民医院

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中文摘要:

目的观察趾压踩跷(简称踩跷)法配合腰痛灵栓对腰椎间盘突出症患者腰部和下肢微循环的影响,并初步探讨其微循环效应机制。方法采用随机、药物双盲、手法单盲对照的方法,选取108例寒凝血瘀型腰椎间盘突出症患者,随机分为3组,每组36例。踩跷组采用踩跷法加安慰剂栓治疗、治疗组采用踩跷法加腰痛灵栓治疗、栓剂组采用腰痛灵栓加模拟趾压踩跷法治疗,经过1个疗程(2周)治疗后,观察各组治疗前后症状体征积分和及腰部、下肢微循环各位点的变化情况。结果治疗、踩跷及栓剂组治疗后症状体征积分和(分别为7.340±4.627、9.543±4.745及10.086±4.631)均明显下降,与治疗前(分别为22.108±2.562、22.523±2.846及22.419±2.950)比较,差异均有统计学意义(P<0.05);治疗组与踩跷组治疗后腰部及下肢微循环患侧各位点与治疗前比较,差异均有统计学意义(P<0.05);栓剂组患侧拇趾及二三趾间微循环治疗前后比较差异有统计学意义(P<0.05);踩跷组、治疗组各位点分别与栓剂组比较,差异均有统计学意义(P<0.05)。结论踩跷法配合腰痛灵栓治疗腰椎间盘突出症能显著改善腰部及下肢的微循环,纠正神经根营养障碍,其微循环的改善与临床症状体征的变化有关。

英文摘要:

Objective To observe the effect of hallux-trampling(HT)combined with Yaotongling suppository(YS)on the microcirculation at waist region and lower limbs in treating patients with lumbar intervertebral disc prolapse(LIDP),and to preliminarily explore its mechanism.Methods Adopting randomized,double-blinded medicine and single-blinded manipulation controlled method,108 patients with LIDP of cold-accumulation and blood-stasis syndrome were assigned equally to 3 groups in random.Group A was treated with HT plus YS,Group B treated with HT plus placebo suppository,and Group C treated with YS plus mock HT.After 2-week treatment,the changes in score of symptoms and signs as well as the microcirculation at various site-points of waist and lower limbs were observed before and after treatment.Results The total scores of symptoms and signs after treatment in Group A,B and C was 7.340±4.627,9.543±4.745 and 10.086±4.631 respectively,which was significantly lowered as compared with those before treatment respectively(P<0.05).Significant difference of microcirculation between pre-and post-treatment was shown at all site-points in Group A and B(P<0.05),but only shown at the site-points of lower limbs in Group C,so significant difference(P<0.05)was shown when compared the microcirculation in Group A or B with that in Group C(P<0.05).Conclusion HT combined YS in treating LIDP could markedly improve the microcirculation at waist and lower limbs to correct the nutritional disturbance of nerve root,and the improvement of microcirculation is correlated with the changes of clinical symptoms and signs.

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