壮医经筋综合疗法治疗腰椎间盘突出症的临床观察及理论探讨
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摘要
目的:观察壮医经筋疗法治疗腰椎间盘突出症(LDH)的临床疗效,从而探究其治疗LDH的机制。方法:将80例诊断为LDH患者随机分为治疗组和对照组,各40例,治疗组采用壮医经筋综合疗法(经筋推拿手法、壮医火针刺法及拔罐)治疗,对照组采用传统常规推拿和针灸治疗。于治疗前、后评价患者VAS评分、JOA评分以及胫神经、腓总神经传导速度,比较两组临床疗效。结果:两组患者治疗2个疗程后VAS评分、JOA评分和神经传导速度与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗2个疗程后VAS评分、JOA评分和患肢腓总神经传导速度优于对照组(P<0.05)。治疗组总有效率为95.0%,对照组为80.0%,两组比较,差异有统计学意义(P<0.05)。结论:壮医经筋疗法治疗LDH疗效显著,值得临床推广。
Objective: To observe the clinical efficacy of comprehensive muscle-region therapy based on Zhuang medicine in treating lumbar disc herniation(LDH), and to explore the mechanism of treating LDH. Methods: A total of 80 patients with LDH were randomized into a treatment group and a control group, 40 cases in each group. The treatment group was intervened by the comprehensive muscle-region therapy based on Zhuang medicine(muscle-region tuina, fire-needle acupuncture of Zhuang medicine and cupping), while the control group was by regular traditional tuina and acupuncture treatment. The Visual Analogue Scale(VAS) score and Japanese Orthopaedic Association scores(JOA) and tibial nerve, common peroneal nerve conduction velocity were observed before and after 2 treatment courses, and the clinical efficacy were compared. Results:The VAS scores and JOA scores and nerve conduction velocity of the treatment group and the control group were significantly different from that before intervention after 2 treatment courses(P<0.05). After 2 treatment courses, the VAS score and JOA scores and nerve conduction velocity in the treatment group was significantly different from that in the control group(P<0.05).The total effective rate was 95.0% in the treatment group versus 80.0% in the control group, and the difference was statistically significant(P<0.05). Conclusion: In clinical treatment, the comprehensive muscle region therapy in Zhuang medicine has a better treatment effect in treating LDH, which is worth to promote this treating method in clinical.
Objective: To observe the clinical efficacy of comprehensive muscle-region therapy based on Zhuang medicine in treating lumbar disc herniation(LDH), and to explore the mechanism of treating LDH. Methods: A total of 80 patients with LDH were randomized into a treatment group and a control group, 40 cases in each group. The treatment group was intervened by the comprehensive muscle-region therapy based on Zhuang medicine(muscle-region tuina, fire-needle acupuncture of Zhuang medicine and cupping), while the control group was by regular traditional tuina and acupuncture treatment. The Visual Analogue Scale(VAS) score and Japanese Orthopaedic Association scores(JOA) and tibial nerve, common peroneal nerve conduction velocity were observed before and after 2 treatment courses, and the clinical efficacy were compared. Results:The VAS scores and JOA scores and nerve conduction velocity of the treatment group and the control group were significantly different from that before intervention after 2 treatment courses(P<0.05). After 2 treatment courses, the VAS score and JOA scores and nerve conduction velocity in the treatment group was significantly different from that in the control group(P<0.05).The total effective rate was 95.0% in the treatment group versus 80.0% in the control group, and the difference was statistically significant(P<0.05). Conclusion: In clinical treatment, the comprehensive muscle region therapy in Zhuang medicine has a better treatment effect in treating LDH, which is worth to promote this treating method in clinical.
引文
[1]谢松林,廖小艳,刘绍梅.温针灸治疗腰椎间盘突出症疗效观察.针灸临床杂志,2010,26(1):34-35
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[8]刘乐,王海燕,孙建民,等.腰椎间盘突出症术前下肢深静脉血栓发生风险因素.中国矫形外科杂志,2017,25(17):1564-1566
[9]王凤德,韦英才,梁树勇,等.壮医经筋疗法治疗腰椎间盘突出症临床研究.四川中医,2015,33(12):168-170
[10]韦英才.壮医经筋手法理论探讨及临床应用.辽宁中医药大学学报,2012,14(6):16-17
[11]马广昊,顾群.火针焠刺治疗神经根型颈椎病的临床研究.中医学报,2010,25(6):1205-1207
[12]梁树勇.壮医经筋疗法治疗腰背肌筋膜炎浅析.甘肃中医,2012,8(33):1103-1004
[13]梁子茂,韦英才,梁树勇,等.壮医三经筋分型论治腰椎间盘突出症的临床研究.中医药导报,2015,21(15):19-22
[2]中华医学会.临床诊疗指南-骨科分册.北京:人民卫生出版社,2009
[3]Shirado O,Doi T,Akai M,et al.An outcome measure for Japanese people with chronic low back pain:an introduction and validation study of Japan low back pain evaluation questionnaire.Spine,2007,32(26):3052-3059
[4]Wewers M E,Lowe N K.A critical review of visual analogue scales in the measurement of clinical phenomena.Res Nurs Health,1990,13(4):227-236
[5]C David Tollisn,John R Satterthwaite,Joseph W Tollisn.临床疼痛学.3版.宋文阁,傅志俭,主译.济南:山东科学技术出版社,2004:510-523
[6]唐农,林辰.壮医特色疗法.南宁:广西科学技术出版社,2011:45
[7]王粤湘,许建文,黄正干,等.壮医经筋疗法对腰肌劳损腰痛和活动度康复的作用.湖南中医杂志,2015,31(4):83-85
[8]刘乐,王海燕,孙建民,等.腰椎间盘突出症术前下肢深静脉血栓发生风险因素.中国矫形外科杂志,2017,25(17):1564-1566
[9]王凤德,韦英才,梁树勇,等.壮医经筋疗法治疗腰椎间盘突出症临床研究.四川中医,2015,33(12):168-170
[10]韦英才.壮医经筋手法理论探讨及临床应用.辽宁中医药大学学报,2012,14(6):16-17
[11]马广昊,顾群.火针焠刺治疗神经根型颈椎病的临床研究.中医学报,2010,25(6):1205-1207
[12]梁树勇.壮医经筋疗法治疗腰背肌筋膜炎浅析.甘肃中医,2012,8(33):1103-1004
[13]梁子茂,韦英才,梁树勇,等.壮医三经筋分型论治腰椎间盘突出症的临床研究.中医药导报,2015,21(15):19-22