"下病上治"整脊法治疗腰骶后关节病的效果

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中文摘要：目的评价"下病上治"整脊法治疗腰骶后关节病的临床效果.方法选取2020年10月至2022年5月中国中医科学院望京医院、首都医科大学电力教学医院、黑龙江中医药大学附属第二医院门诊治疗160例腰骶部后关节疾病患者,按照随机数字表法将其分为治疗组和对照组,每组80例.对照组采用推拿手法治疗,治疗组采用"下病上治"整脊法治疗,两组均治疗2个疗程.比较两组治疗前后视觉模拟评分法(VAS)评分与腰椎活动度.结果治疗后,两组VAS评分较治疗前降低,且治疗组低于对照组(P＜0.05).治疗后,两组腰椎前屈、后伸、左侧屈、右侧屈、左旋转、右旋转均大于治疗前,且治疗组大于对照组(P＜0.05).治疗组临床疗效优于对照组(P＜0.05).结论 "下病上治"整脊法治疗腰骶后关节病效果优于推拿手法治疗.

外文标题：Effect of chiropractic treatment of lumbosacral posterior arthropathy by"treating lower diseases and upper treatment"

外文摘要：Objective To evaluate the clinical effect of chiropractic treatment of lumbosacral posterior arthropathy by"treating lower diseases and upper treatment".Methods A total of 160 patients with lumbosacral posterior arthropathy were selected from outpatient department of Wangjing Hospital of China Academy of Chinese Medical Sciences,Electric Power Teaching Hospital,Capital Medical University,and Second Affiliated Hospital,Heilongjiang University of Chinese Medicine from October 2020 to May 2022,and they were divided into treatment group and control group according to random number table method,with 80 cases in each group.The control group was treated by massage manipulation therapy,and the treatment group was treated by chiropractic treatment of"treating lower diseases and upper treatment".Both groups were treated for two courses of treatment.The visual analogue scale(VAS)score and lumbar motion before and after treatment were compared between the two groups.Results After treatment,VAS scores of the two groups were lower than those before treatment,and those of the treatment group were lower than those of the control group(P＜0.05).After treatment,lumbar anterior flexion,posterior extension,left flexion,right flexion,left rotation,and right rotation in both groups were greater than those before treatment,and those in the treatment group were greater than those in the control group(P＜0.05).The clinical effect of the treatment group was better than that of the control group(P＜0.05).Conclusion The efficacy of chiropractic method by"treating lower diseases and upper treatment"in the treatment of lumbosacral posterior arthropathy is better than the massage manipulation therapy.

外文关键词：

"Treating lower diseases and upper treatment"Chiropractic methodPosterior lumbosacral arthropathyVisual analog scaleLumbar range of motion

作者：

于长岁、朱立国、张晓峰、于忠宝、王树人、卢克俭、李俊杰、龚道雄

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作者单位：

首都医科大学电力教学医院中医骨伤科,北京 100073

中国中医科学院望京医院脊柱二科,北京 100102

黑龙江中医药大学附属第二医院骨三科,黑龙江哈尔滨 150001

辽宁于忠宝中医诊所中医科,辽宁宽甸 118200

黑龙江中医药大学附属第一医院骨二科,黑龙江哈尔滨 150040

北京工业大学信息学部,北京 100124

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关键词：

"下病上治" 整脊法腰骶后关节病视觉模拟评分法腰椎活动度

基金：

国家自然科学基金国家中医药局中医药考试科研课题青年专项首都医科大学教育教学改革研究项目北京电力医院博士基金

项目编号：

81774343TE20230012023JYY484Y2023003

出版年：

2024

DOI：

10.20047/j.issn1673-7210.2024.15.20

中国医药导报

中国医学科学院

中国医药导报

CSTPCD

影响因子：1.759

ISSN：1673-7210

年,卷(期)：2024.21(15)