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牵引法联合循经推拿对腰痛患者的影响

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目的:观察牵引法联合循经推拿对腰痛患者的影响。方法:选取 2022 年 4 月—2023 年 10 月北京中医药大学东直门医院厦门医院收治的 80 例腰痛患者。根据随机数表法将其分为对照组和观察组,各 40 例。对照组给予常规治疗,观察组在对照组基础上给予牵引法联合循经推拿。比较两组治疗前后疼痛程度、腰背肌指标、腰部活动能力,治疗前、治疗后1 周、治疗后 2 周腰椎功能。结果:治疗后,两组数字评分法(numerical rating scale,NRS)评分、改良日本骨科协会腰痛评分表(modified Japanese Orthopaedic Association scores,mJOA)评分均降低,观察组NRS评分、mJOA评分均低于对照组,差异有统计学意义(P<0。05)。治疗后 1 周、2 周,观察组Lysholm评分高于对照组,差异有统计学意义(P<0。05)。治疗后,两组腰背屈伸比降低,峰力矩、腰背伸展状态平均功率均升高,观察组腰背屈伸比低于对照组,峰力矩、腰背伸展状态平均功率均高于对照组,差异有统计学意义(P<0。05)。治疗后,两组旋转、侧屈活动度均升高,观察组旋转、侧屈活动度均高于对照组,差异有统计学意义(P<0。05)。结论:在对腰痛患者治疗过程中开展牵引法联合循经推拿,可以迅速缓解患者各方面症状,降低疼痛程度,提升腰椎功能及腰肌力水平,增加腰屈曲活动度。
Effect of Traction Method Combined with Massage According to the Meridians on Patients with Lower Back Pain
Objective:To observe the effect of traction method combined with massage according to the meridians on patients with lower back pain.Method:A total of 80 patients with low back pain admitted to Beijing University of Traditional Chinese Medicine Dongzhimen Hospital Xiamen Hospital from April 2022 to October 2023 were selected.They were divided into control group and observation group according to random number table method,with 40 cases in each group.The control group was given conventional treatment,and the observation group was given traction method combined with massage according to the meridians on the basis of control group.The pain degree,lumbar muscle index,lumbar mobility,lumbar function before,1 week after and 2 weeks after treatment were compared between the two groups.Result:After treatment,numerical rating scale(NRS)and modified Japanese Orthopaedic Association scores(mJOA)scores of the two groups were decreased,and NRS score and mJOA score in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).One week and two weeks after treatment,Lysholm score in observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the ratio of lumbar and back flexion and extension decreased,and the peak moment and average power of lumbar and back extension increased in both groups,the ratio of lumbar and back flexion and extension in observation group was lower than that in control group,and the peak moment and average power of lumbar and back extension state were higher than those in control group,the differences were statistically significant(P<0.05).After treatment,both groups showed an increase in rotation and lateral flexion,the observation group had a higher degree of rotation and lateral flexion than the control group,and the differences were statistically significant(P<0.05).Conclusion:In the treatment of patients with low back pain,the combination of traction method combined with massage according to the meridians can quickly relieve the symptoms of patients in all aspects,reduce the degree of pain,improve the function of the lumbar spine and the level of lumbar muscle strength,and increase the degree of lumbar flexion activity.

Traction methodMassage according to the meridiansLower back painLumbar muscle function

马观福生

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北京中医药大学东直门医院厦门医院(厦门市中医院)福建 厦门 361009

牵引法 循经推拿 腰痛 腰椎功能

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(35)