海南医科大学学报

目的:分析下腰痛(LBP)患者经中医推拿治疗后其腰部疼痛(VAS)、腰椎功能(JOA)、肌组织温度及血清中5-羟色胺(5-HT)和β-内啡肽水平(β-EP)的变化。方法:将64例在本院推拿科治疗的LBP患者,随机分为观察组32例、对照组32例。对照组采用传统毫针刺法治疗,观察组采用推拿手法治疗。比较两组患者治疗前和治疗后其下腰部疼痛、腰椎功能、肌组织温度及5-HT和β-EP水平的差异。结果:治疗后,观察组下腰部疼痛VAS评分、腰椎功能JOA评分均明显低于对照组(P<0.01),观察组与对照组体温上升明显(P<0.01),且观察组肌组织温度高于对照组,二者差异具有统计学意义(P<0.05);治疗前后5-HT和β-EP水平的差异具有统计学意义(P<0.01),且观察组5-HT、β-EP水平明显高于对照组,差异具有统计学意义(P<0.05)。结论:推拿治疗LBP临床疗效显著,采用医用红外热成像技术和血清疼痛物检测技术,有助于客观分析推拿治疗疾病的确切疗效和对相关指标的影响。

Objective:To analyze the level changes of the degree of back pain by visual analogue scale(VAS),lumbar function(Japanese orthopaedic association scores,JOA),muscle temperature,serum serotonin 5-hydroxytryptamine(5-HT)and β-endorphin（β-EP）in patients with low back pain(LBP).Methods:A total of 64 LBP patients treated in the Massage Department of The Ffirst Affiliated Hospital of Hainan Medical University were randomly divided into observation group(32 cases)and control group(32 cases).The control group was treated with traditional filiform acupuncture needling;the observation group was treated with Chinese tuina.VAS,JOA,muscle temperature,5-HT,and β-EP were tested before and after treatment.Results:After treatment,the VAS and JOA score in the observation group were significantly lower than those in the control group(P<0.01),the muscle temperature in the observation group and the control group increased significantly(P<0.01),and muscle temperature in the observation group was higher than that in the control group(P<0.05);5-HT and β-EP were significantly different before and after treatment(P<0.01),and the level in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Chinese tuina has a significant clinical efficacy in the treatment of LBP.The medical infrared thermal imaging technology and serum pain detection technology are conducive to objectively analyzeing the exact efficacy of tuina in the treatment of LBP and its impact on relevant indexes.