西安交通大学学报（医学版）2025，Vol.46Issue(3)：532-537,6.DOI:10.7652/jdyxb202503022
"骨正筋柔"理论下针灸联合手法复位治疗老年退行性腰椎滑脱症的临床观察
Clinical observation on the treatment of senile degenerative lumbar spondylolisthesis by acupuncture and moxibustion combined with manual reduction under the Bone Strengthening and Tendon Softening Theory
摘要
Abstract
Objective To explore the effect of acupuncture combined with manual reduction on pain and lumbar function in elderly patients with degenerative lumbar spondylolisthesis under the guidance of the Bone Strengthening and Tendon Softening Theory.Methods Ninety elderly patients with lumbar spondylolisthesis treated in our hospital from January 2021 to April 2023 were selected as study subjects.Based on a random number table method,the participants were divided into experimental group and control group,each consisting of 45 cases.The control group received acupuncture treatment,while the experimental group received manual reduction treatment on top of that.Both groups underwent continuous treatment for 4 weeks.We compared the two groups in Traditional Chinese Medicine(TCM)syndrome score,Visual Analog Scale(VAS)score,Japanese Orthopaedic Association(JOA)lumbar function score,Oswestry Disability Index(ODI),serum inflammatory factor level,and clinical efficacy between before and after treatment.Results Before treatment,there was no statistically significant difference in TCM syndrome scores or VAS scores between the two groups(P＞0.05).After treatment,both TCM syndrome scores and VAS scores significantly decreased in both groups,with the experimental group showing significantly lower scores than the control group(P＜0.05).Before treatment,there was no statistically significant difference in JOA scores and ODI scores between the two groups(P＞0.05).After treatment,JOA scores significantly increased in both groups,with the experimental group showing significantly higher scores than the control group(P＜0.05).ODI scores significantly decreased in both groups,with the experimental group showing significantly lower scores than the control group(P＜0.05).Before treatment,the two groups did not differ significantly in serum IL-6,TNF-α,or CRP levels(P＞0.05).After treatment,serum IL-6,TNF-α,and CRP levels significantly decreased in both groups,with the experimental group showing lower levels than the control group(P＜0.05).The total effective rate in the experimental group was 88.89％,significantly higher than 68.89％ in the control group(P＜0.05).Conclusion Acupuncture combined with manual reduction guided by the Bone Straightening and Tendon Softening theory can effectively alleviate pain,improve various TCM syndromes,enhance lumbar function level,and show significant clinical efficacy in patients.关键词
退行性腰椎滑脱症(DLS)/手法复位/针灸/炎症因子/腰椎功能障碍指数Key words
degenerative lumbar spondylolisthesis(DLS)/manual reduction/acupuncture/inflammatory factor/Oswestry Disability Index分类
医药卫生引用本文复制引用
廉由之,詹红生,商海滨,李国中,石印玉.."骨正筋柔"理论下针灸联合手法复位治疗老年退行性腰椎滑脱症的临床观察[J].西安交通大学学报（医学版）,2025,46(3):532-537,6.基金项目
国家自然科学基金资助项目(No.82374481),上海市2020年度"科技创新行动计划"医学创新研究专项项目(No.20MC1920600),上海市临床重点专科建设项目(No.shslczdzk03901),上海市"科技创新行动计划"启明星扬帆专项(No.22YF1431900)Supported by the National Natural Science Foundation of China(No.82374481),Shanghai 2020"Science and Technology Innovation Action Plan"Medical Innovation Research Special Project(No.20MC1920600),Shanghai Clinical Key Specialty Construction Project(No.shslczdzk03901),and Shanghai Scientific and Technological Innovation Action Plan Star Sailing Project(No.22YF1431900) （No.82374481）
