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石氏中医骨伤康复外治法治疗腰痛病的临床观察

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目的 观察石氏中医骨伤康复外治法治疗腰痛病的临床疗效.方法 将160例腰痛病患者采用随机数字表法分为手法组、功法组和联合组.手法组给予红外线基础治疗+石氏伤科手法治疗;功法组给予红外线基础治疗+石氏伤科功法治疗;联合组给予红外线基础治疗+石氏伤科手法+石氏伤科功法治疗.对3组患者的VAS、JOA、ODI及SF-36评分、腰椎活动度、中医证候积分以及临床疗效进行对比.结果 治疗4周后和随访8周,联合组患者VAS和ODI评分明显低于手法组和功法组(P<0.05),JOA评分明显高于手法组和功法组(P<0.05);生理职能、生理机能、情感职能和社会功能得分明显高于手法组和功法组(P<0.05);治疗4周后,联合组患者前屈、后伸、左侧屈、右侧屈、左旋转和右旋转活动度明显优于手法组和功法组(P<0.05),中医证候各项积分及总分明显优于手法组和功法组(P<0.05);治疗4周后和随访8周,联合组患者基于JOA评分的总有效率和愈显略高于手法组和功法组(P<0.05).结论 石氏伤科手法和功法联合治疗腰痛病临床效果显著,可有效缓解疼痛,减轻患者临床症状和中医证候,提高腰部运动功能.
Clinical Observation on Shi's External Treatment of Bone Injury Rehabilitation in the Treatment of Lumbago
Objective:To investigate the clinical efficacy of Shi's external treatment of bone injury rehabilitation in the treatment of lumbago.Methods:A total of 160 patients with lumbago were divided into 3 groups by random num-ber table method.The manipulation group,exercise group and combination group.The manipulation group was treated with infrared basic therapy and Shi's traumatology manipulation.The exercise group was treated with infrared basic therapy and Shi's traumatology exercise.The combination group was treated with infrared basic therapy and combined treatment with Shi's traumatology manipulation and Shi's traumatology exercise.The VAS,JOA,ODI and SF-36 scores,lumbar motion,TCM syndrome scores and clinical efficacy of the 3 groups were compared.Results:After 4 weeks of treatment and 8 weeks of follow-up,the VAS and ODI scores of the combined group were significantly lower than those of the manipulation and exercise groups(P<0.05),the JOA score was significantly higher than that of the manipulation and exercise groups(P<0.05),and the scores of role physical,physiological function,emotional func-tion and social function were significantly higher than those of the manipulation and exercise groups(P<0.05).After 4 weeks of treatment,the activity of flexion,extension,left flexion,right flexion,left rotation and right rotation in com-bination group was significantly better than those in manipulation group and exercise group(P<0.05),and the scores and total scores of TCM symptoms were significantly better than those in the manipulation group and exercise group(P<0.05).After 4 weeks of treatment and 8 weeks of follow-up,the total effective rate and recovery rate based on JOA score in the combination group were slightly higher than those in the manipulation and exercise groups(P<0.05).Conclusion:The combined treatment of lumbago by Shi's traumatology manipulation and exercise has remark-able clinical effect,which can effectively relieve pain,reduce clinical symptoms and TCM syndromes of patients,and improve the recovery of patients'lumbago motor function.

LumbagoClinical efficacyVAS scoreJOA scoreShi's traumatology manipulationShi's traumatolo-gy exercises

李扬、吴军豪、桂璟、闻国伟、陈巍、吴海洋、沈祉培、吴天琪、陈俊秋

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上海交通大学医学院附属第九人民医院黄浦分院,上海 200011

上海市瑞金康复医院,上海 200011

腰痛病 临床疗效VAS评分JOA评分 石氏伤科手法 石氏伤科功法

上海市卫生健康委中医药课题

2018LQ004

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(5)
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