全程健康教育结合中医综合治疗和麦肯基疗法对腰椎间盘突出症患者神经肽、期望效力和疗效的影响OA

Objective:To observe the effects of whole-course health education combined with TCM comprehensive treatment and McKenzie therapy on neuropeptide,expectation effectiveness and clinical efficacy in patients with lumbar disc herniation(LDH).Methods:A total of 64 LDH patients meeting the inclusion criteria were divided into control group(n=32)and observation group(n=32)by random number table method.Both groups re-ceived two weeks of TCM comprehensive treatment,and six weeks of McKenzie therapy exercise was recommended.The control group received routine health education,and the observation group received whole-course health education.Serum neuropeptide substance P(SP),calcitonin gene-related peptide(CGRP)and neuropeptide Y(NPY)levels in two groups before and after treatment were detected by ELISA method.A self-made emotional titer and expectation value line scales were used to evaluate the expectation effectiveness in patients.The threshold of lumbar tenderness was detected by a pressure pain meter.The visual analogue scale(VAS)and the Oswestry disability index(ODI)were used to evaluate the degree of lumbago and leg pain and lumbar function.Results:The excellence rate of observation group was 84.4%,which was higher than 56.3%that of con-trol group(P<0.05).With the increase of time,the levels of SP,NPY,CGRP,lumbago and leg pain VAS scores and lumbar ODI index of two groups were decreased(P<0.01),and the threshold of lumbar tenderness were increased(P<0.01).The expectation effectiveness of the observation group had no significant change with time(P>0.05),but the control group showed a decreasing trend(P<0.01).After treatment and at 4 weeks of follow-up,the expectation effectiveness of the observation group were higher than those of the control group(P<0.05),the levels of SP and NPY,the lumbago and leg pain VAS scores and the lumbar spine ODI index in the observation group were lower than those of the control group(P<0.05),and the threshold of lumbar tenderness were higher than those of the control group(P<0.01).The total compliance rate of observation group was 75.0%,which was higher than 21.9%that of control group(P<0.01).Conclusion:TCM comprehensive treatment combined with McKenzie therapy can re-duce the level of neuropeptide in patients with lumbar disc herniation and relieve the symptoms of lumbar and leg arthralgia.Whole-course health education can improve the compliance of McKenzie therapy exercise for patients with LDH,maintain the expectation effectiveness,and thus relieve the symptoms of lumbago and lumbar function,and improve the clinical efficacy.