张斌乾 郝翠玲

    【摘 要】目的：探讨牵引复位及推拿配合针刺对腰椎间盘突出症的疗效及机制。方法：筛选出75例腰椎间盘突出症患者均是在我院治疗且符合本研究要求，根据随机方法分成两组，对照组38例给予腰椎牵引、功能锻炼、卧床休息等常规治疗，观察组37例加用针刺及推拿治疗，对比两组疗效、干预前后的VAS评分、JOA评分及炎性细胞因子水平。结果：观察组的有效率为94.59%，对照组为71.05%，观察组的有效率比对照组增长很多(P<0.05)。治疗后，两组的JOA评分明显升高，VAS评分、IL-1β及TNF-α水平明显降低，且观察组的变化比对照组更大，优势更明显(P<0.05)。结论：牵引复位及推拿配合针刺可提高腰椎间盘突出症的疗效，可能与其可改善患者的炎症因子有关。

    【关键词】牵引复位；推拿；针刺；腰椎间盘突出症

    Therapeutic effect and mechanism of traction reduction and massage combined with acupuncture on lumbar disc herniation

    ZHANG Binqian1， HAO Cuiling2

    1.Department of traditional Chinese medicine， Yuxi Baixin hospital， Yuxi， Yunnan 653100， China 2.Department of orthopedics and traumatology， Yuxi Second People’s Hospital， Yuxi， Yunnan 653100， China

    【Abstract】Objective： To explore the effect and mechanism of traction reduction and massage combined with acupuncture on lumbar disc herniation. Methods： 75 patients with lumbar disc herniation were treated in our hospital and met the requirements of this study. They were randomly divided into two groups. 38 patients in the control group were given routine treatment such as lumbar traction ......