首页|经筋刺络药罐法结合核心稳定训练治疗瘀血型产后腰痛疗效观察

经筋刺络药罐法结合核心稳定训练治疗瘀血型产后腰痛疗效观察

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目的 探讨经筋刺络药罐法结合核心稳定训练治疗瘀血型产后腰痛的效果.方法 选取2021 年9 月—2023 年9 月就诊于武汉科技大学附属孝感医院康复医学科的瘀血型产后腰痛患者80 例,随机分为对照组及观察组各40 例.对照组予经筋刺络药罐法治疗,先对患者进行触诊标记,选取10 个结筋病灶点进行刺络,刺络后采用祛瘀通经煎煮制的竹罐进行拔罐治疗,刺络药物罐每4d治疗1 次,共治疗6 次;观察组在对照组治疗基础上予核心稳定训练,每天训练1h,每周训练5d,连续训练3 周.比较2 组患者治疗前后疼痛数字分级法(NRS)评分、Oswestry功能障碍指数问卷(ODI)评分、指地距离(FFD)、躯干肌群耐力及盆底表面肌电.结果 治疗后 2 组NRS、ODI评分及FFD均较治疗前明显降低(P均<0.05),且观察组均明显低于对照组(P均<0.05);治疗后观察组屈/伸及双侧方肌群耐力、盆底肌快肌最大值及慢肌平均值均明显高于治疗前及对照组(P均<0.05);观察组治疗总有效率明显高于对照组[92.5%(37/40)比 82.5%(33/40),P<0.05].结论 经筋刺络药罐法结合核心稳定训练能显著改善瘀血型产后腰痛,提高躯干肌群耐力,促进盆底肌修复,恢复腰部功能.
Therapeutic efficacy of meridian and tendon pricking plus medicinal pot combined with core stabilization training on postpartum backache of type of blood stasis
Objective It is to explore the effect of meridian and tendon pricking plus medicinal pot combined with core stabilization training in the treatment of postpartum backache of type of blood stasis.Methods Eighty patients with postpar-tum backache of type of blood stasis who visited the Department of Rehabilitation Medicine of Xiaogan Hospital Affiliated to Wuhan University of Science and Technology from September 2021 to September 2023 were selected and randomly divided into 40 cases in the control group and 40 cases in the observation group.The control group was treated with meridian and tendon pricking plus medicinal pot,firstly,the patients were marked by palpation,10 knot tendon lesion points were se-lected for pricking,and after that,they were treated with bamboo cans boiled with Chinese drugs for dispelling stasis and unblocking meridian for cupping,treated once every 4 days,totally treated for 6 times;the observation group was given core stabilization training on the basis of the treatment of the control group,training for 1 h per day and 5 days per week,continuously training for 3 weeks.The pain scores of numerical rating scale(NRS),scores of Oswestry Dysfunction Index(ODI),Finger Force Distance(FFD),trunk muscle endurance and pelvic floor surface electromyography(PFSEM)of patients in the two groups were compared before and after the treatment.Results The NRS scores,ODI scores and FFD of the two groups were significantly lower than those before treatment(all P<0.05),and the indexes of the observation group were obviously lower than those of the control group(all P<0.05).After treatment,the endurances of flexion/extension muscle group and bilateral lateral quadratus muscle group,the maximal value of the fast pelvic floor muscles and the aver-age value of the slow pelvic floor muscles of the observation group were significantly higher than those before treatment and of the control group(all P<0.05).The total effective rate of the observation group was significantly higher than that of the control group[92.5%(37/40)VS.82.5%(33/40),P<0.05].Conclusion Meridian and tendon pricking plus medic-inal pot combined with core stabilization training can significantly improve postpartum backache of type of blood stasis,im-prove the endurance of trunk muscle groups,promote the repair of pelvic floor muscles,and restore the lumbar function.

postpartum backachetype of blood stasismeridian and tendon pricking plus medicinal potcore stabili-zation trainingpelvic floor surface electromyography

江舟、彭东生、邱功瀚、刘娅婷、丁昀、韩旭翠、李凌龙、叶敏、何鹏

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武汉科技大学附属孝感医院,湖北 孝感 432100

湖北职业技术学院,湖北 孝感 432100

产后腰痛 瘀血型 经筋刺络药罐法 核心稳定训练 盆底表面肌电

2024

现代中西医结合杂志
中国中西医结合学会河北分会,中华中医药学会

现代中西医结合杂志

CSTPCD
影响因子:1.775
ISSN:1008-8849
年,卷(期):2024.33(20)