循经点穴手法配合易筋经卧虎扑食式治疗腰椎间盘突出症临床研究
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摘要
目的 :观察循经点穴推拿手法结合易筋经卧虎扑食式治疗腰椎间盘突出症的临床疗效。方法 :将200例确诊的腰椎间盘突出症患者随机分为两组,每组各100例,观察组采用循经点穴推拿手法结合练习易筋经卧虎扑食式,对照组采用传统推拿手法治疗,15 d为1个疗程,共治疗3个疗程,并于治疗前、治疗中每个疗程末,以及治疗结束后6个月分别对两组下腰痛评分量表(JOA)进行比较,45 d后评价临床疗效,并于治疗结束6个月后观察两组腰椎间盘突出症复发率。结果:观察组临床疗效总有效率93.9%,愈显率80.8%;对照组总有效率73.5%,愈显率63.3%。观察组疗效均优于对照组(P<0.05),两组治疗期间均未发生明显不良反应。两组治疗结束后,JOA比治疗前显著上升,且观察组均优于对照组(P<0.05)。6个月后进行随访,观察组复发率2.0%;对照组复发率7.1%,观察组复发率显著低于对照组(P<0.05)。结论 :循经点穴推拿手法结合指导患者习练易筋经卧虎扑食式治疗腰椎间盘突出症,与传统推拿手法相比,可明显提高临床疗效,复发率低,疗效较好。
Objective:To observe the effect of lumbar disc herniation treated with acupressure along meridians in combination with posture of Wohu Pushi of The Classic of Sinew Transformation. Methods:Two hundred patients diagnosed with lumbar disc herniation were randomly divided into observation group and control group,100 patients in each group. In the observation group,patients were treated with acupressure along meridians in combination with posture of Wohu Pushi of The Classic of Sinew Transformation,and in the control group patients were treated with conventional tuina manipulations. One treatment course lasted for 15 days,and the patients were treated for 3 courses. Before the treatment,on the day of the last treatment course,and 6 months after the treatment,patients were evaluated with JOA. Forty five days after the treatment the clinical efficacy was evaluated,and 6 months after the treatment,the recurrence rate of lumbar disc herniation was determined. Results:The total effective rate was 93.9% in the observation group,and obviously effective rate was 80.8%,while in the control group,the total effective rate was 73.5%,and obviously effective rate was 63.3%. The observation group was better than the control group on efficacy(P<0.05). No adverse effects were found in two groups during the treatment. After the treatment both in the observation group and control group,there was a significant increase of JOA compared with before treatment,and the observation group was better than the control group(P<0.05). In the follow up 6 months after the treatment,the recurrence rate was 2.0% in the observation group,while in the control group,the recurrence rate was 7.1%. The observation group was better than the control group on the recurrence rate(P<0.05). Conclusion:Acupressure along meridians in combination with posture of Wohu Pushi of The Classic of Sinew Transformation is of improved clinical efficacy and low recurrence compared with conventional tuina manipulations.
Objective:To observe the effect of lumbar disc herniation treated with acupressure along meridians in combination with posture of Wohu Pushi of The Classic of Sinew Transformation. Methods:Two hundred patients diagnosed with lumbar disc herniation were randomly divided into observation group and control group,100 patients in each group. In the observation group,patients were treated with acupressure along meridians in combination with posture of Wohu Pushi of The Classic of Sinew Transformation,and in the control group patients were treated with conventional tuina manipulations. One treatment course lasted for 15 days,and the patients were treated for 3 courses. Before the treatment,on the day of the last treatment course,and 6 months after the treatment,patients were evaluated with JOA. Forty five days after the treatment the clinical efficacy was evaluated,and 6 months after the treatment,the recurrence rate of lumbar disc herniation was determined. Results:The total effective rate was 93.9% in the observation group,and obviously effective rate was 80.8%,while in the control group,the total effective rate was 73.5%,and obviously effective rate was 63.3%. The observation group was better than the control group on efficacy(P<0.05). No adverse effects were found in two groups during the treatment. After the treatment both in the observation group and control group,there was a significant increase of JOA compared with before treatment,and the observation group was better than the control group(P<0.05). In the follow up 6 months after the treatment,the recurrence rate was 2.0% in the observation group,while in the control group,the recurrence rate was 7.1%. The observation group was better than the control group on the recurrence rate(P<0.05). Conclusion:Acupressure along meridians in combination with posture of Wohu Pushi of The Classic of Sinew Transformation is of improved clinical efficacy and low recurrence compared with conventional tuina manipulations.
引文
[1]王力平,黄承军.试论腰椎间盘突出症中医外治疗法中的辨证论治和整体观[J].中医杂志,2011,52(4):289.
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[10]郭姜.二步六法推拿手法治疗腰椎间盘突出症30例疗效观察[J].中医杂志,2012,53(17):1487.
[11]华夏,沈卫东,王建伟.电针配合点穴推拿治疗腰椎间盘突出症疼痛的临床随机对照研究[J].上海中医药志,2014,48(11):59-61.
[12]赵少珩.神经肌肉电刺激在周围神经损伤修复中的研究进展[J].医学综述,2014,14(20):2586-2588.
[13]张琪,王艳国,刘凯.易筋经功法应用研究进展[J].河南中医,2013,33(5):774-776.
[14]王宝利,孙丽,罗梦辉.俯卧弓背治疗双侧腰椎间盘突出症[J].中国临床康复,2002,6(2):256.
[15]翁国盛,邱松,蔡凛.蛙泳合飞燕锻炼防治腰椎间盘突出症复发68例[J].福建中医药,2016,46(5):50-51.
[16]沈仲元,SHINLIN,竺英祺,等.气功意守状态下多导脑电相空间重构非线性分析研究[J].上海中医药大学学报,2008,22(6):54-56.
[2]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京中医药大学出版社,1994:194.
[3]陶甫,李墨林.李墨林按摩疗法[M].北京:人民卫生出版社,1986:139-152.
[4]严隽陶.推拿学[M].北京:中国中医药出版社,2003:142-143.
[5]井上骏一,片冈治,田岛宝,等.腰痛治疗成绩判定基础[J].日本整形骨科学会杂志,1986,60(2):391-394.
[6]曾佳兴,梁斌.腰椎间盘突出发病机制的研究进展[J].医学综述,2012,18(11):1723-1726.
[7]CHOY DS.Percutaneous laser disc decompression(PLDD):twelve years experience with 752 procedures in 518 patients[J].J Clin Laser Medsurg,1998,16(6):325-331.
[8]刘家远,闫安.中频电疗结合循经点穴推拿治疗腰椎间盘突出症的疗效及对血浆NGF、SP水平的影响研究[J].浙江中医杂志,2015,50(10):749-750.
[9]王守东.临床脊柱相关疾病中西医整合略论[J].长春中医药大学学报,2012,28(4):576.
[10]郭姜.二步六法推拿手法治疗腰椎间盘突出症30例疗效观察[J].中医杂志,2012,53(17):1487.
[11]华夏,沈卫东,王建伟.电针配合点穴推拿治疗腰椎间盘突出症疼痛的临床随机对照研究[J].上海中医药志,2014,48(11):59-61.
[12]赵少珩.神经肌肉电刺激在周围神经损伤修复中的研究进展[J].医学综述,2014,14(20):2586-2588.
[13]张琪,王艳国,刘凯.易筋经功法应用研究进展[J].河南中医,2013,33(5):774-776.
[14]王宝利,孙丽,罗梦辉.俯卧弓背治疗双侧腰椎间盘突出症[J].中国临床康复,2002,6(2):256.
[15]翁国盛,邱松,蔡凛.蛙泳合飞燕锻炼防治腰椎间盘突出症复发68例[J].福建中医药,2016,46(5):50-51.
[16]沈仲元,SHINLIN,竺英祺,等.气功意守状态下多导脑电相空间重构非线性分析研究[J].上海中医药大学学报,2008,22(6):54-56.