推拿手法治疗慢性腰肌劳损的疗效研究(1)
摘 要：目的 探讨推拿手法治疗慢性腰肌劳损患者的临床疗效。方法 选择2017年8月～2018年2月于本院诊治的60例慢性腰肌劳损患者随机平均分为推拿电针组、电针组和对照组，各组20例。推拿电针组给予TDP烤灯、电针及推拿治疗；电针组给予TDP烤灯和电针治疗；对照组仅给予TDP烤灯治疗，三组均隔日1次，治疗10次。观察三组患者ODI、VAS评分变化情况及治疗有效率。结果 推拿电针组，电针组和对照组有效率分别为95.00%，85.00%和65.00%；推拿电针组有效率高于电针组和对照组，同时电针组优于对照组，差异有统计学意义(P<0.05)。三组中治疗后ODI、VAS评分均较治疗前改善，差异有统计学意义(P<0.05)，且推拿电针组ODI、VAS评分均优于电针组和对照组，差异有统计学意义(P<0.05)。结论 电针配合推拿手法可改善慢性腰肌劳损患者肢体功能活动，缓解患者疼痛症状，疗效显著。
关键词：慢性腰肌劳损；推拿手法；电针
中图分类号：R274.34 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.09.046
, 百拇医药
文章编号：1006-1959(2018)09-0145-03
Abstract：Objective To explore the clinical effect of manipulation in the treatment of chronic lumbar muscle strain.Methods From August 2017 to February 2018，60 patients with chronic lumbar muscle strain were randomly divided into three groups：manipulation electroacupuncture group，electroacupuncture group and control group，with 20 cases each.The manipulation electroacupuncture group was given TDP baking lamp，electroacupuncture and manipulation treatment；the electroacupuncture group was given TDP baking lamp and electroacupuncture treatment；the control group was only given TDP baking lamp treatment，the three groups were treated once every other day for 10 times in all.The changes of ODI，VAS score and the effective rate of treatment were observed in the three groups.Results The effective rates of manipulation electroacupuncture group，electroacupuncture group and control group were 95.00%，85.00% and 65.00%，respectively，the effective rate of manipulation electroacupuncture group was higher than that of electroacupuncture group and control group，and the electroacupuncture group was superior to the control group，the difference was statistically significant(P<0.05).The scores of ODI and VAS in the three groups were improved after treatment，and the difference was statistically significant(P<0.05)，the scores of ODI and VAS in electroacupuncture group were better than those in electroacupuncture group and control group，the difference was statistically significant(P<0.05).Conclusion Electroacupuncture combined with manipulation can improve limb function and relieve pain symptoms in patients with chronic lumbar muscle strain，the curative effect is remarkable.
, 百拇医药
Key words：Chronic lumbar muscle strain；Manipulation；Electroacupuncture
慢性腰肌劳损，又称腰背肌筋膜炎，是指由于急性腰扭伤或反复腰部受损后引起的腰骶部肌肉、筋膜、韧带等软组织的无菌性炎症，是腰部软组织疾病的总称[1]。近年来，腰肌劳损的发病率呈持续上升趋势，尤其是久坐的上班族，且腰肌劳损的发病年龄逐年降低[2]。尽管慢性腰肌劳损并无生命危险，但因其伴随着长期疼痛，严重影响患者的日常生活及工作，因此积极探讨慢性腰肌劳损的防治具有重要意义。在临床治疗中，推拿手法因其简、便、效、廉的特点成为治疗腰肌劳损的重要方法。传统医学认为推拿治疗的目的在于疏通经络、调和气血，以达到“骨正筋柔、气血以流”，维持机体“阴平阳秘”的状态[3]。诸多临床研究表明，推拿治疗对软组织损伤的治疗效果明确，合适的手法配合可刺激神經末梢，反射性地引起机体反应，调整软组织的力学平衡，同时可扩张血管，加快血液循环，缓解肌紧张和痉挛，具有镇痛、消肿散瘀、松解粘连的筋膜等作用。然而，尽管其有效性已被证实，仍缺乏相对高质量的临床研究证据支持。本研究拟采用随机对照的临床研究方法，探讨推拿手法治疗慢性腰肌劳损的临床疗效。, 百拇医药(井凤玲 常晓涛)
关键词：慢性腰肌劳损；推拿手法；电针
中图分类号：R274.34 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.09.046
, 百拇医药
文章编号：1006-1959(2018)09-0145-03
Abstract：Objective To explore the clinical effect of manipulation in the treatment of chronic lumbar muscle strain.Methods From August 2017 to February 2018，60 patients with chronic lumbar muscle strain were randomly divided into three groups：manipulation electroacupuncture group，electroacupuncture group and control group，with 20 cases each.The manipulation electroacupuncture group was given TDP baking lamp，electroacupuncture and manipulation treatment；the electroacupuncture group was given TDP baking lamp and electroacupuncture treatment；the control group was only given TDP baking lamp treatment，the three groups were treated once every other day for 10 times in all.The changes of ODI，VAS score and the effective rate of treatment were observed in the three groups.Results The effective rates of manipulation electroacupuncture group，electroacupuncture group and control group were 95.00%，85.00% and 65.00%，respectively，the effective rate of manipulation electroacupuncture group was higher than that of electroacupuncture group and control group，and the electroacupuncture group was superior to the control group，the difference was statistically significant(P<0.05).The scores of ODI and VAS in the three groups were improved after treatment，and the difference was statistically significant(P<0.05)，the scores of ODI and VAS in electroacupuncture group were better than those in electroacupuncture group and control group，the difference was statistically significant(P<0.05).Conclusion Electroacupuncture combined with manipulation can improve limb function and relieve pain symptoms in patients with chronic lumbar muscle strain，the curative effect is remarkable.
, 百拇医药
Key words：Chronic lumbar muscle strain；Manipulation；Electroacupuncture
慢性腰肌劳损，又称腰背肌筋膜炎，是指由于急性腰扭伤或反复腰部受损后引起的腰骶部肌肉、筋膜、韧带等软组织的无菌性炎症，是腰部软组织疾病的总称[1]。近年来，腰肌劳损的发病率呈持续上升趋势，尤其是久坐的上班族，且腰肌劳损的发病年龄逐年降低[2]。尽管慢性腰肌劳损并无生命危险，但因其伴随着长期疼痛，严重影响患者的日常生活及工作，因此积极探讨慢性腰肌劳损的防治具有重要意义。在临床治疗中，推拿手法因其简、便、效、廉的特点成为治疗腰肌劳损的重要方法。传统医学认为推拿治疗的目的在于疏通经络、调和气血，以达到“骨正筋柔、气血以流”，维持机体“阴平阳秘”的状态[3]。诸多临床研究表明，推拿治疗对软组织损伤的治疗效果明确，合适的手法配合可刺激神經末梢，反射性地引起机体反应，调整软组织的力学平衡，同时可扩张血管，加快血液循环，缓解肌紧张和痉挛，具有镇痛、消肿散瘀、松解粘连的筋膜等作用。然而，尽管其有效性已被证实，仍缺乏相对高质量的临床研究证据支持。本研究拟采用随机对照的临床研究方法，探讨推拿手法治疗慢性腰肌劳损的临床疗效。, 百拇医药(井凤玲 常晓涛)