走罐疗法治疗腰背痛的疗效评价及对外周血IL-2、IL-8的影响

Curative effects of moving cupping therapy on chronic back pain and related changes in IL-2 and IL-8

  • 摘要: 目的 评估走罐治疗慢性腰背痛的疗效并观察血清中白细胞介素2(interleukin 2,IL-2)、白细胞介素8(interleukin 8,IL-8)的变化。方法 招募2018年8-10月在解放军总医院第一医学中心针灸科门诊就诊的45例慢性腰背痛患者,其中男16例,女29例,年龄21 ~ 50(28.7±5.9)岁。走罐观察组(n=24)予背部膀胱经一、二侧线位置行走罐治疗,1次/4 d,3次为1个疗程;针刺对照组(n=21)予背部膀胱经一、二侧线位置行针刺治疗,1次/2 d,5次为1个疗程;比较两组治疗前与整个疗程结束后VAS评分、JOA评分、走罐观察组的腰椎活动度,外周血IL-2、IL-8的变化。结果 走罐观察组和针刺对照组VAS评分在治疗前为(5.33±0.80)分、(5.33±1.62)分,治疗后为(2.24±0.54)分、(2.33±0.66)分;走罐观察组和针刺对照组JOA评分在治疗前为(18.24±2.32)分、(17.10±3.13)分,治疗后为(26.57±1.78)分、(25.62±1.40)分;两组的VAS、JOA评分治疗前后组内差异均有统计学意义(P<0.001),但组间差异无统计学意义(P>0.05)。观察组前屈角度在治疗前后为(20.71±6.31)°、(26.27±6.33)°;后仰角度在治疗前后为(21.02±6.33)°、(25.02±4.75)°;左侧屈角度在治疗前后为(18.82±6.15)°、(27.17±13.84)°;右侧屈角度在治疗前后为(20.83±9.13)°、 (23.06±3.76)°;腰椎活动度各项指标治疗前后差异均有统计学意义(P<0.001)。IL-2水平治疗后较治疗前升高(3.83±1.35 ng/ml vs 7.79±1.41 ng/ml,P<0.001)。IL-8水平治疗后较治疗前降低(89.76±22.99 pg/ml vs 55.79±22.94 pg/ml,P<0.001)。结论 走罐治疗可显著改善疼痛症状、功能障碍及腰椎活动度,外周血IL-2较治疗前明显升高,IL-8较治疗前明显降低。说明走罐可以有效缓解慢性腰背痛的临床症状,改善功能障碍,其机制可能与IL-2、IL-8的调节相关。

     

    Abstract: Objective To evaluate the curative effect of moving cupping on patients with back pain and investigate the correlation between therapeutic effects and changes in serum interleukin 2 (IL-2),interleukin 8 (IL-8) levels. Methods Forty-five patients with chronic back pain treated in the first medical center of Chinese PLA General Hospital from August 2018 to December 2018 were included in this study,with 24 cases in moving cupping group and 21 cases in acupuncture group,and average age of (28.7±5.9) years.The VAS score,JOA score and changes in serum IL-2,IL-8 level before and after treatment were compared between the two groups. Results After treatment,VAS score in the moving cupping group (2.24±0.54 vs 5.33±0.80) and the acupuncture group (2.33±0.66 vs 5.33±1.62) were lower than those before treatment (P<0.001,respectively),but the differences between the two groups were not significant;JOA score in moving cupping group (18.24±2.32 vs 26.57±1.78) and acupuncture group (17.10±3.13 vs25.62±1.40) were lower than those before treatment (P<0.001),without intergroup significant difference.In moving cupping group,lumbar mobility improved after treatment in ROM of flexion (20.71±6.31)° to (26.27±6.33)°,extension (21.02±6.33)° to (25.02±4.75)°,left lateral flexion (18.82±6.15)° to (27.17±13.84)° and right lateral flexion (20.83±9.13)° to (23.06±3.76)°(all P<0.01);IL-2 significantly increased (3.83±1.35) ng/ml to (7.79±1.41) ng/ml,P<0.01,while IL-8 decreased significantly (89.76±22.99) pg/ml to (55.79±22.94) pg/ml,P<0.01. Conclusion Moving cupping therapy can relieve pain,improve lumbar mobility for chronic back pain patients,which may be related with changes in IL-2,IL-8.

     

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