理筋促通手法治疗腰椎间盘突出症疗效观察 及对炎症因子水平的影响

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[关键词］腰椎间盘突出症；理筋促通手法；炎症因子；腰椎功能

[中图分类号] ［文献标志码］A [文章编号]0256-7415（2025）20-0104-05

DOl:10.13457/j.cnki.jncm.2025.20.019

Observation on Clinical Efficacy of Tendon-Regulating and Meridian-Dredging Manipulation for Lumbar Disc Herniation and Its Effect on Inflammatory Factor Levels

YANG Wenguang，JIN Luwei，XU Dingli，SONG Fengjun DepartmentofAcupuncture，Tuina，andPhysiotherapy，WenzhouTCMHospitalof Zhejiang ChineseMedicalUniversity，Wenzhou Zhejiang 325000，China

Abstract:Objective：To observe the clinical eficacyof tendon-regulating and meridian-dredging manipulation inthe treatmentof lumbardisc herniation（LDH)and its efecton inflammatoryfactorlevels.Methods：A total of 150 LDH patients admited to Wenzhou TCM Hospital of Zhejiang Chinese Medical University from December 2022 to December 2O23 weredivided into the western medicine group andthe manipulation group using the random number table method，with 75 cases in each group.The western medicine group received oral Celecoxib，while the manipulation groupunderwent tendon-regulatingand meridian-dredging manipulation.The changes in pain severity[Visual Analogue Scale（VAS）score]，lumbar function [Japanese Orthopaedic Association（JOA）score]，levelsof inflammatory factors [interleukin-1(IL-1），interleukin-6(IL-6)]，and clinical eficacy werecomparedbetween the two groups. Results:After treatment， the total effective rate was 90.67% (68/75） in the manipulation group and 65.33% (49/75) in the western medicine group，showing a statistically significant diference ( P

Keywords:Lumbar disc herniation；Tendon-regulating and meridian-dredging manipulation；Inflammatory factors；Lumbar function

腰间盘突出症(LDH)是临床骨科常见疾病之一，是一种由于椎间盘变性、纤维环破裂、髓核突出等因素引起的神经根、马尾神经压迫或刺激的脊柱退行性改变[-2]。（剩余8611字）