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目的:观察快针结合运动疗法治疗老年腰椎间盘突出症的疗效.方法:将80例老年腰椎间盘突出症患者随机分为治疗组和对照组,各40例,治疗组采用快针结合运动疗法,对照组采用传统针灸疗法.比较两组疗效及血清TNF-α、IL-6的变化.结果:治疗组总有效率(92.5％)高于对照组(82.5％),血清TNF-α、IL-6水平均低于对照组,差异均有统计学意义(P＜0.05).结论:快针结合运动疗法治疗老年腰椎间盘突出症患者的疗效优于传统针灸,并能降低患者血清TNF-α、IL-6炎性因子水平.“,”Objective:To observe the effect of fast acupuncture combined with exercise therapy on the elderly patients with lumbar disc herniation.Methods:A total of 80 cases of elderly patients with lumbar disc herniation were randomly divided into treatment and control groups,40 cases in each.The patients were treated with fast acupuncture combined with exercise therapy in treatment group,and traditional acupuncture in control group.The curative effect and the changes of serum TNF-α and IL-6 were compared between the two groups.Results:The treatment group (92.5％)showed higher total effective rate than the control group (82.5％),as well as lower serum TNF-α and IL-6 level than the control group,with statistically significant difference (P＜0.05).Conclusion:Fast acupuncture combined with exercise therapy can provide better efficacy than the traditional acupuncture on the elderly patients with lumbar disc herniation,and reduce the level of serum TNF-α and IL-6.