[1]窦群立,杨萍,董博,等.腕踝针结合针刺夹脊穴对腰椎间盘突出症患者痛阈?血浆5-HT的影响[J].现代中医药,2020,(06):046-49.[doi:10.13424/j.cnki.mtcm.2020.06.011]
 Dou Qunli,Yang Ping,Yuan Puwei,et al.Effect of Wrist - Ankle Acupuncture Combined with Acupuncture at Jiaji Acupoints on the Threshold of Pain and Plasma 5 – HT in Patients with Lumbar Disc Herniation[J].Modern Traditional Chinese Medicine,2020,(06):046-49.[doi:10.13424/j.cnki.mtcm.2020.06.011]
点击复制

腕踝针结合针刺夹脊穴对腰椎间盘突出症患者痛阈?血浆5-HT的影响()
分享到:

《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2020年06期
页码:
046-49
栏目:
出版日期:
2023-11-20

文章信息/Info

Title:
Effect of Wrist - Ankle Acupuncture Combined with Acupuncture at Jiaji Acupoints on the Threshold of Pain and Plasma 5 – HT in Patients with Lumbar Disc Herniation
文章编号:
1672-0571(2020)06-0046-04
作者:
窦群立1杨萍1董博1袁普卫1朱添2刘继华1李小群1
1.陕西中医药大学附属医院,陕西咸阳712000;
2.陕西中医药大学第二附属医院,陕西咸阳712000
Author(s):
Dou Qunli 1 Yang Ping 1 Yuan Puwei 1 Zhu Tian 2 Liu Jihua 1 Li Xiaoqun 1
1. The Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang Shaanxi 712000;
2. The Second Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang Shaanxi 712000
关键词:
夹脊穴腕踝针腰椎间盘突出症痛阈值5-HT
Keywords:
Jiaji acupoint wrist - ankle acupuncture lumbar disc herniation threshold of pain 5 - HT
分类号:
R245.31
DOI:
10.13424/j.cnki.mtcm.2020.06.011
文献标志码:
A
摘要:
目的观察腕踝针结合针刺夹脊穴对腰椎间盘突出症腰痛患者痛阈?血浆中5-羟色胺(5-HT)的影响?方法将82例符合纳入标准的腰椎间盘突出症患者随机分为针刺夹脊穴联合腕踝针组(治疗组41例)和针刺夹脊穴治疗组(对照组41例),观察治疗前后两组的痛阈值?血浆中5-HT含量?结果①末次治疗后两组患者的痛阈值均有明显提高(P<0.05),治疗组优于对照组(P<0.05)?②两组患者末次治疗后血浆中的5-HT含量均低于治疗前(P<0.05),治疗组降低更明显,两组比较具有显著差异(P<0.05)?结论针刺夹脊穴联合腕踝针疗法能显著提高腰椎间盘突出症患者痛阈值,其作用机理可能与降低外周血浆中的5-HT含量有关?
Abstract:
Objective To observe the effect of wrist - ankle acupuncture combined with acupuncture of Jiaji acupoints on the threshold of pain and plasma serotonin ( 5 - HT) in patients with lumbar disc herniation. Methods 82 patients with lumbar disc herniation who met the inclusion criteria were randomly divided into acupuncture Jiaji acupoints combined with wrist ankle acupuncture group ( treatment group 41 cases) and acupuncture Jiaji points treatment group ( control group 41 cases) , then observe the value of pain threshold and 5 - HT volume in plasma of the two groups before and after treatment . Results ① After the final treatment, the pain threshold of the two groups were significantly increased ( P <0.05) , and the treatment group was better than the control group ( P <0. 05) . ②The levels of 5 - HT in the plasma of the two groups of patients after the final treatment were lower than those before the treatment ( P <0. 05) , and the decrease in the treatment group was more obvious. There was a significant difference between the two groups ( P <0. 05) . Conclusion Acupuncture at Jiaji acupoints combined with wrist - ankle acupuncture can significantly increase the pain threshold of patients with lumbar disc herniation and the mechanism of action may be related to the reduction of 5 - HT volume in peripheral plasma.

参考文献/References:

[1] Turk S A , Rasch L A , Dirkjan V S , et al. Pain, sleep and emotional well - being explain the lack of agreement between physician - and patient - perceived remission in early rheumatoid arthritis[J]. BMC Rheumatology, 2018,2(1):16.
[2] Cohen SP, Hooten WM. Advances in the diagnosis and management of neck pain [J]. BMJ ( Clinical Research Ed. ) ,2017,358: j3221.
[3]崔婷婷,李松柏.腰椎间盘突出症患者受压神经根DTI与临床表现的相关性[J].中国医学影像技术,2017,33(12):1869-1873.
[4]吴涛.射频热凝靶点消融术治疗腰椎间盘突出症研究进展[J].中国中西医结合外科杂志,2018,24(6):806-809.
[5]邵晨,袁伶俐,朱勋兵,等.复发腰椎间盘突出症的病因及治疗进展[J].中国骨与关节损伤杂志,2019,34(5):558-559.
[6] Komori H, Shinomiya K, Nakai O, et al. The natural history of herniated nucleus pulposus with radiculopathy [J] .Spine,1996,21(2):225-229. [7]张容超,王瑞辉,王东,等.腕踝针疗法的临床应用探析[J].四川中医,2019,37(8):21-23.
[8]高娟,蒋谷芬.腕踝针治疗腰椎间盘突出症的疗效观察[J].中医药导报,2019,25(5):108-109,123.
[9]田岳风.《内经》皮部理论浅析[J].针灸临床杂志,1995,11(7):13-14.
[10]魏锋.脊髓背角痛觉传递和调制的一些化学解剖学观察[J].生理科学进展,1996,40(4):327-330.
[11]宁尚圣,张梦婷,欧阳建军.夹脊穴临床应用概述[J].亚太传统医药,2018,14(10):105-107.
[12]邵萍,杜震,忻志平,等.电针夹脊穴治疗腰椎间盘突出症:随机对照研究[J].世界针灸杂志(英文版),2018,28(3):167-173,I0003.
[13]南军.5-羟色胺与机体痛觉相关性研究[D].延吉:延边大学,2015.
[14]庞志强,王振华,相宜,等.炎症介质5-羟色胺与疼痛发生机理的研究进展[J].中国实验诊断学,2014,18(12):2077-2080.
[15]文益云,唐吉伟,戴如萍,等.肿瘤坏死因子α在完全弗氏佐剂致痛大鼠脊髓的表达[J].临床麻醉学杂志,2010,26(9):794-796.
[16]林斌珍,钟南,尹小锋,等.椎间孔镜手术治疗腰椎间盘突出症患者术后血清DA?5-HT及炎性细胞因子的影响[J].医学理论与实践,2018,31(18):2758-2760.
[17]左镇华,朱明,张时文,等.PTED治疗腰椎间盘突出的手术效果及对CPK?IL-1β?CRP?5-HT水平的影响[J].解放军预防医学杂志,2018,36(8):1022-1024,1059.
[18] Lund I, Lundeberg T, Kowalski J, et al. Evaluation of variations in sensory and pain threshold assessments by electrocutaneous stimulation [J] . Physiotherapy Theory and Practice,2005,21(2):81-92.

相似文献/References:

[1]池响峰 谢水平 郑晓彤 张丽华.双侧 C3 - C5 夹脊穴叩刺治疗中风后顽固性呃逆 27 例[J].现代中医药,2019,(01):026.[doi:10.13424/j.cnki.mtcm.2019.01.010]
 Chi Xiangfeng Xie Shuiping Zheng Xiaotong Zhang Lihua.Clinical Observation of Bilateral C3 - C5 Jiaji Point Tapping in the Treatment of Intractable Hiccup after Stroke[J].Modern Traditional Chinese Medicine,2019,(06):026.[doi:10.13424/j.cnki.mtcm.2019.01.010]

备注/Memo

备注/Memo:
基金项目:陕西省重点科技创新团队项目(2013KJT-26);全国名老中医药专家传承工作室建设项目(国中医药人教发[2018]134号);关中李氏骨伤流派传承工作室项目(陕中医药发[2018]40号)]
通讯作者:杨萍,本科,主管护师?E-mail:1178683337@qq.com
更新日期/Last Update: 2020-11-26