中药介质配合压痛点强刺激推拿法治疗腰椎间盘突出症30例
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摘要
目的:观察中药介质结合压痛点强刺激推拿法治疗腰椎间盘突出症的临床疗效。方法:选取2017年1月—2017年12月安徽省中医院推拿科腰椎间盘突出症住院患者60例,随机分为观察组和对照组各30例。对照组采用推拿法治疗,观察组在对照组基础上,采用中药介质结合压痛点强刺激推拿法治疗。两组均每天治疗1次,14d为一疗程,比较1个疗程后两组的疗效。结果:观察组总有效率93. 3%,对照组总有效率73. 3%,观察组疗效显著高于对照组,差异具有统计学意义(P <0. 05)。结论:中药介质结合压痛点强刺激推拿法治疗腰椎间盘突出症具有较好的临床疗效,且操作简单,便于临床应用。
Objective: To observe the clinical efficacy of Traditional Chinese Medicine medium combined with tender point stimulation and manipulation of lumbar disc herniation. Methods: The patients selected in this study were from the Tuina ward of the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine from January 2017 to December 2017. 60 Patients who met the inclusion criteria were randomly divided into observation group and control group with 30 cases each. The control group was treated with massage and the observation group was treated with traditional Chinese Medicine medium combined with tender points to stimulate the manipulation of massage on the basis of the control group. Treatment once a day,14 d for a course of treatment,to observe the efficacy of treatment after a course of treatment. Results: In the observation group,20 cases were cured,8 cases were effective,and 2 cases were ineffective. The total effective rate was 93. 3%. In the control group,16 cases were cured,6 cases were effective,and 8 cases were ineffective. The total effective rate was 73. 3%. The efficacy of the observation group was significantly higher than that of the control group,and the difference was statistically significant( P < 0. 05). Conclusion: The combination of Traditional Chinese Medicine medium and tender point stimulation stimulation for lumbar disc herniation has good clinical effect,and it is easy to operate and convenient for clinical application.
Objective: To observe the clinical efficacy of Traditional Chinese Medicine medium combined with tender point stimulation and manipulation of lumbar disc herniation. Methods: The patients selected in this study were from the Tuina ward of the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine from January 2017 to December 2017. 60 Patients who met the inclusion criteria were randomly divided into observation group and control group with 30 cases each. The control group was treated with massage and the observation group was treated with traditional Chinese Medicine medium combined with tender points to stimulate the manipulation of massage on the basis of the control group. Treatment once a day,14 d for a course of treatment,to observe the efficacy of treatment after a course of treatment. Results: In the observation group,20 cases were cured,8 cases were effective,and 2 cases were ineffective. The total effective rate was 93. 3%. In the control group,16 cases were cured,6 cases were effective,and 8 cases were ineffective. The total effective rate was 73. 3%. The efficacy of the observation group was significantly higher than that of the control group,and the difference was statistically significant( P < 0. 05). Conclusion: The combination of Traditional Chinese Medicine medium and tender point stimulation stimulation for lumbar disc herniation has good clinical effect,and it is easy to operate and convenient for clinical application.
引文
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[7]侯鹏飞,陈文星,赵新慧,等.木香挥发性成分气质联用分析及其抑制血小板聚集作用的研究[J].中国实验方剂学杂志,2008(7):26-30.
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[9]王宁,周鹏,冯国清,等.巴戟天糖链对缺氧复氧损伤内皮细胞的血管形成作用研究[J].中国药理学通报,2011,27(2):281-284.
[10]付润芳,冯国清,于爽,等.巴戟天醇提物对血淤大鼠血流动力学及血小板聚集的影响[J].郑州大学学报·医学版,2007,42(6):1 159-1 161.
[11]Li Guo-ying,Luo Fu-tian,Wang Jian-xun,et al. Chinese fumigationincrease observed in clinical massage therapy lumbar disc herniation[J]. Hubei Journal of Traditional Chinese Medicine,2011,33(6):24-26.
[12]Li Guo-qi,Li Li-na,Hou Bao-qin,et al. Observation of percutaneouslaser disc decompression for lumbar disc herniation[J].HebeiMedicine,2010,32(24):334-335.
[13]李中锋,邓强,张彦军,等.中药熏蒸联合推拿治疗腰椎间盘突出症的临床效果[J].现代生物医学进展,2015,15(36):7 067-7 069,7 110.
[2]郭耀斌,占茂林,陈亚锋.疏密波电针大肠俞、环跳穴结合推拿治疗气滞血瘀型腰椎间盘突出症疗效观察[J].中国中医急症,2018,27(6):1 033-1 036.
[3]徐冬康.中医推拿联合中药外敷在治疗腰椎间盘突出症临床疗效观察[J].临床医药文献电子杂志,2017,4(82):16 108,16110.
[4]中华人民共和国卫生部.中药新药临床研究指导原则(第3辑)[M].北京:人民卫生出版社,1997:145-146.
[5]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:201-202.
[6]曲安龙.中药外敷联合手法推拿治疗腰椎间盘突出症57例临床观察[J].中国民族民间医药,2017,26(12):102-103.
[7]侯鹏飞,陈文星,赵新慧,等.木香挥发性成分气质联用分析及其抑制血小板聚集作用的研究[J].中国实验方剂学杂志,2008(7):26-30.
[8]Sarwar A,Enbergs H. Effects of Saussurea lappa roots extract in ethanol onleukocyte phagocytic activity,lymphocyte proliferation and interferon-gamma(IFNgamma)[J]. Pak J Pharm Sci,2007,20(3):175-179.
[9]王宁,周鹏,冯国清,等.巴戟天糖链对缺氧复氧损伤内皮细胞的血管形成作用研究[J].中国药理学通报,2011,27(2):281-284.
[10]付润芳,冯国清,于爽,等.巴戟天醇提物对血淤大鼠血流动力学及血小板聚集的影响[J].郑州大学学报·医学版,2007,42(6):1 159-1 161.
[11]Li Guo-ying,Luo Fu-tian,Wang Jian-xun,et al. Chinese fumigationincrease observed in clinical massage therapy lumbar disc herniation[J]. Hubei Journal of Traditional Chinese Medicine,2011,33(6):24-26.
[12]Li Guo-qi,Li Li-na,Hou Bao-qin,et al. Observation of percutaneouslaser disc decompression for lumbar disc herniation[J].HebeiMedicine,2010,32(24):334-335.
[13]李中锋,邓强,张彦军,等.中药熏蒸联合推拿治疗腰椎间盘突出症的临床效果[J].现代生物医学进展,2015,15(36):7 067-7 069,7 110.