【作者】 李勇；

【导师】 王道全；

【作者基本信息】 山东中医药大学 ， 针灸推拿学， 2004， 硕士

【摘要】 目的：本研究从免疫学方面探索推拿肾俞穴治疗老年肾虚腰痛的作用机制。方法：设推拿治疗组与药物对照组各60例，治疗组以推拿肾俞穴为主，肾阳虚加擦腰骶部及肾俞、命门一线，肾阴虚加擦涌泉。对照组肾阳虚腰痛口服桂附八味丸，肾阴虚腰痛口服六味地黄丸。观察治疗前后临床症状体征改善情况、腰痛程度、NO、Ig含量、T淋巴细胞亚群和血液流变学等的变化。结果：这一研究表明，治疗组与对照组在治疗老年肾虚腰痛方面，均有不同程度的疗效，而治疗组在降低疼痛程度方面与对照组比较有显著性差异(P<0． 01) 。推拿治疗组患者的血液流变学指标治疗后与治疗前相比有显著性差异。而且治疗后NO、Ig、CD3、 CD4、 CD4/CD8较治疗前明显提高，与对照组相比具有显著性差异(P<0． 01) 。说明推拿肾俞穴能改善微循环，调节机体免疫功能。结论：本研究结果充分表明，免疫功能低下可能是引起老年腰痛的病因之一，推拿肾俞穴可以提高免疫功能和加快血液循环、改善微循环。因此可以认为推拿肾俞穴治疗老年肾虚腰痛机理，除与其镇痛作用和改善微循环障碍以外，还与其调节老年人的免疫功能有关。更多还原

【Abstract】 Objective: To disclose the therapeutic mechanism on the immunity of lumago for aged patients caused by kidney deficiency, the study used modernistic lab examine .Methods: 120 patients selected from outpatients and wardpatients of the Shandong Traditional Chinese Medicine hospital were devided randomly into tuina group and controll group. Tuina group took Shenshu point as the dominant method, rubbing waist?sacrum and Shenshu to Mingmen points additionally in the type of insufficiency of kidney-yang while rubbing Yongquan point in the type of insufficiency of kidney-yin. There are 15days in a period of treatment and the trerapy was manipulated in 20 minutes once a day between 2 coursrs continusly. In the controll group patients of insufficiency of kidney-yang and insufficiency of kidney-yin took different boluses in the same course of treatment. Looking on clinical curative effect?complex evaluateon of pain? NO?the content of Immune globulin?T lymphocyte and the transformation ofblood flow as observation indexes, observed before and afer therapy.Results: The results showed that there was significant difference between the Tuina group and the controlling group(P <0.01) in clinical curativeeffect?complex evaluateon of pain?NO, the content of Immune globulin?T lymphocyte(CD3?CD4?CD4/CD8) and the transformation of blood flow . The tuina group was superior to that of the control group in treating lumbago for aged patients caused by kidney deficiency .Conc I us ions:The study confirms that lower immuneity may be one of the pathogenies causing lumbago for aged people. The therapeutic mechanism of Tuina in treating lumago for aged patients caused by kidney deficiency lies not only on its analgesic effect and amending the microcircle, but also on improveing the abnormal immunity function.更多还原