补肾活血推拿法治疗慢性腰肌劳损临床研究
|
摘要
目的：临床观察补肾活血推拿法在治疗慢性腰肌劳损中的作用,并探讨“补肾活血”原则在推拿治疗慢性腰肌劳损中的重要意义。方法：临床研究将66例慢性腰肌劳损患者随机分为治疗组和对照组,每组33例,治疗组采用补肾活血推拿疗法,对照组口服广州陈李济药厂生产的壮腰补肾丸。观察两组治疗前后的症状体征变化并进行疗效比较。结果：研究表明,推拿治疗和药物治疗均可明显改善慢性腰肌劳损患者的临床症状、临床体征、中医体征及症候积分和(P<0.01),但推拿治疗组的改善程度优于药物对照组(P<0.05)；推拿治疗组的总有效率与药物组虽然没有差别,但痊愈率明显高于药物对照组(P<0.01)。结论：应用补肾活血法推拿治疗慢性腰肌劳损具有良好的疗效,较药物治疗效果明显,且推拿疗法安全、可靠、无毒副作用,是一种值得推广的绿色疗法。其治疗机理在于通过手法作用,温煦鼓动肾阳,缓解肌肉痉挛,从而改善局部血液循环,达到活血化瘀止痛效果。
Objection:Chronic lumbar muscle strain is a common disease and frequently-occuring disease in clinic.It has several characters such as long period of disease, easy recurrence, slow recovery.If it is not too serious, it makes lumbar sore; if it is serious, it makes winding of spine disappear and limbs limited.In all, it seriously affects the living quality of patient.Taking medicine orally has not too much ourative effect.External treatment is taken in clinic frequentorally and exact ourative effect.Massage is taken in clinic to treat it frequently and becomes a main method of therapy.
Method:But in the research of chronic lumbar muscle strain people take more importance to the ourative effect of some kinds of threpy, lacking of research ofclinic mechanism of threpy.To overcome this shortcoming, my study tried to research the clinic mechanism of massage based on clinical observation.
Results:Massage is a good, effective, and safe method to cure chronic lumbar muscle strain.
Conclusion:So the author think that massage is the ideal external treatment of chronic lumbar muscle strain in clinic.
Objection:Chronic lumbar muscle strain is a common disease and frequently-occuring disease in clinic.It has several characters such as long period of disease, easy recurrence, slow recovery.If it is not too serious, it makes lumbar sore; if it is serious, it makes winding of spine disappear and limbs limited.In all, it seriously affects the living quality of patient.Taking medicine orally has not too much ourative effect.External treatment is taken in clinic frequentorally and exact ourative effect.Massage is taken in clinic to treat it frequently and becomes a main method of therapy.
Method:But in the research of chronic lumbar muscle strain people take more importance to the ourative effect of some kinds of threpy, lacking of research ofclinic mechanism of threpy.To overcome this shortcoming, my study tried to research the clinic mechanism of massage based on clinical observation.
Results:Massage is a good, effective, and safe method to cure chronic lumbar muscle strain.
Conclusion:So the author think that massage is the ideal external treatment of chronic lumbar muscle strain in clinic.
引文
[1]阎博华,罗建,高明锦.慢性腰肌劳损的临床治疗进展[J].新疆中医药,2006,24(2)：64.
[2]俞大方.主编.推拿学.上海科学技术出版社,1985：122
[3]邵铭熙.主编.实用推拿学.人民军医出版社,1998：482
[4]韦贵康.主编.中医筋伤学.上海科学技术出版社,1997：176
[5]邵宣.主编.实用颈腰背痛学.人民军医出版社,1992：317
[6]曾旺保.水针治疗慢性腰肌劳损48例报告.山西医学院学报.39卷：232
[7]伊娟.夹脊穴穴位注射治疗运动性腰肌劳损32例.中国针灸,2000;20(S：S)：175-176.
[8]吴峻,等.火针为主治疗慢性软组织损伤临床研究.中国针灸,2002;22(8)515-517.
[9]陆裕朴等.实用骨科学[M].北京：人民军医出版社,1991：1136.
[10]刘守海.中药结合推拿治疗腰肌劳损48例.实用中医药杂志,2002；18(5)：13.
[11]张志平,田松.中医伤科手法治疗作用机理现代研究进展[J].中医正骨,1991,3(3)：29-30.
[12]李祖谟,李沛,李江.李祖谟论中国传统手法医学[M].北京：中国建材工业出版社.1998：17.
[13]龚金德,奚桂芳,潘小平,等.推拿镇痛与内啡肽的关系[J].上海中医药杂志,1982(4)：22
[14]姜宏,奚桂芬,周慧芳,等.腰腿痛患者血浆β—EP的观察与致痛机理探讨.中国中医骨伤科,2000；17(2)：37.
[15]王勇,郑岚,曹遵雄.推拿镇痛机制的探讨.山东中医杂志,2001；20(11)：678--680.
[16]James D,Adams JD,Garcia C.Palliative Care Among Chumash People[J].ECAM, 2005；2(2):143-147.
[17]Dhondt W, Willaeys T, Verbruggen LA, et al. Pain threshold in patients with rheumatoid arthritis and effect of manual oscillations. Scand J Rheumatol 1999; 28:88-93.
[18]金宏柱主编.推拿学基础[M].上海：上海中医药大学出版社,2000.11-13.
[19]许丽.推拿镇痛对兔中央灰质区β-内啡肽及单胺类物质的释放变化.中国中医药科技,1997；4(2)：65-66.
[20]Moyer CA. Rounds J, Hannum JW. A meta—analysis of massage therapy research[J]. Psychol Bull.2004; 130:3-18.
[21]Gary Deng, Barrie R. Cassileth. Integrative oncology:complementary therapies for pain, anxiety, and mood disturbance. CA Cancer J Clin, 2005; 55:109-116.
[22]浏丹,许世雄,成伟华,等.滚法推拿形成运动狭窄黏弹性血管血液动力学.复旦学报(自然科学版),2005；44(2)：246.
[23]Salamon E, Zhu W, Stefano GB. Nitric oxide as a possible mechanism for understanding the therapeutic effects of osteopathic manipulative medicine [review]. Int J Mol Med,2004; 14:43-49.
[24]孙安达.运用辨证与分型方法推拿治疗小儿肌性斜颈.中国自然医学杂志,2002；4(1)：61-62.
[25]宋敏,宋贵杰.推拿疗法的作用机理及实验研究.1994；7(24)：43.
[26]万斌.推拿治疗慢性腰肌劳损的临床及机理研究.成都中医药大学2002级硕士研究生论文.
[1]郑映裕.益肾舒筋汤治疗慢性腰肌劳损疗效观察.国际医药卫生导报,2005,11(16).
[2]吕发明等,加味芍药甘草汤治疗慢性腰肌劳损临床观察吉林中医药2008.12：(134-135)
[3]薛怀宝,薛政民,左大鹏等,独活寄生汤加减治疗慢性腰肌劳损临床体会现代中西医结合杂志：171-172.
[4]张全霞.壮腰散外敷治疗腰肌劳损临床观察[J].中医外治杂志,2001,(2).
[5]徐克武,杨学锋,梁恬,强胜林等用通痹熏洗汤治疗腰肌劳损240例中医正骨2009.1.
[6]母泽刚,综合疗法治疗慢性腰肌劳损.中国实用医药.2009.10(29)：1217侯率,田万静.针刺治疗腰肌劳损18例临床观察.中国工业医学杂志,1995,8(6)：384.
[8]达春花.拨火罐治疗腰肌劳损136例观察.甘肃中医,2001,14(1).
[9]成迎春,聂勇.腰肌劳损治疗体会.中国临床医药实用杂志,2004,3(16)：18-19.
[10]程肖芳等,水针刀治疗腰肌劳损的临床疗效观察. 中国实用医 药,2008,8(3)：31.
[11]李月喜,穴位注射治疗腰肌劳损120例临床观察,中华医学研究杂志,2007,7(12)：1114-1115
[12]朱云.肾着汤加减配合手法按摩治疗腰肌劳损[J].中医正骨,2003,11(11).
[2]俞大方.主编.推拿学.上海科学技术出版社,1985：122
[3]邵铭熙.主编.实用推拿学.人民军医出版社,1998：482
[4]韦贵康.主编.中医筋伤学.上海科学技术出版社,1997：176
[5]邵宣.主编.实用颈腰背痛学.人民军医出版社,1992：317
[6]曾旺保.水针治疗慢性腰肌劳损48例报告.山西医学院学报.39卷：232
[7]伊娟.夹脊穴穴位注射治疗运动性腰肌劳损32例.中国针灸,2000;20(S：S)：175-176.
[8]吴峻,等.火针为主治疗慢性软组织损伤临床研究.中国针灸,2002;22(8)515-517.
[9]陆裕朴等.实用骨科学[M].北京：人民军医出版社,1991：1136.
[10]刘守海.中药结合推拿治疗腰肌劳损48例.实用中医药杂志,2002；18(5)：13.
[11]张志平,田松.中医伤科手法治疗作用机理现代研究进展[J].中医正骨,1991,3(3)：29-30.
[12]李祖谟,李沛,李江.李祖谟论中国传统手法医学[M].北京：中国建材工业出版社.1998：17.
[13]龚金德,奚桂芳,潘小平,等.推拿镇痛与内啡肽的关系[J].上海中医药杂志,1982(4)：22
[14]姜宏,奚桂芬,周慧芳,等.腰腿痛患者血浆β—EP的观察与致痛机理探讨.中国中医骨伤科,2000；17(2)：37.
[15]王勇,郑岚,曹遵雄.推拿镇痛机制的探讨.山东中医杂志,2001；20(11)：678--680.
[16]James D,Adams JD,Garcia C.Palliative Care Among Chumash People[J].ECAM, 2005；2(2):143-147.
[17]Dhondt W, Willaeys T, Verbruggen LA, et al. Pain threshold in patients with rheumatoid arthritis and effect of manual oscillations. Scand J Rheumatol 1999; 28:88-93.
[18]金宏柱主编.推拿学基础[M].上海：上海中医药大学出版社,2000.11-13.
[19]许丽.推拿镇痛对兔中央灰质区β-内啡肽及单胺类物质的释放变化.中国中医药科技,1997；4(2)：65-66.
[20]Moyer CA. Rounds J, Hannum JW. A meta—analysis of massage therapy research[J]. Psychol Bull.2004; 130:3-18.
[21]Gary Deng, Barrie R. Cassileth. Integrative oncology:complementary therapies for pain, anxiety, and mood disturbance. CA Cancer J Clin, 2005; 55:109-116.
[22]浏丹,许世雄,成伟华,等.滚法推拿形成运动狭窄黏弹性血管血液动力学.复旦学报(自然科学版),2005；44(2)：246.
[23]Salamon E, Zhu W, Stefano GB. Nitric oxide as a possible mechanism for understanding the therapeutic effects of osteopathic manipulative medicine [review]. Int J Mol Med,2004; 14:43-49.
[24]孙安达.运用辨证与分型方法推拿治疗小儿肌性斜颈.中国自然医学杂志,2002；4(1)：61-62.
[25]宋敏,宋贵杰.推拿疗法的作用机理及实验研究.1994；7(24)：43.
[26]万斌.推拿治疗慢性腰肌劳损的临床及机理研究.成都中医药大学2002级硕士研究生论文.
[1]郑映裕.益肾舒筋汤治疗慢性腰肌劳损疗效观察.国际医药卫生导报,2005,11(16).
[2]吕发明等,加味芍药甘草汤治疗慢性腰肌劳损临床观察吉林中医药2008.12：(134-135)
[3]薛怀宝,薛政民,左大鹏等,独活寄生汤加减治疗慢性腰肌劳损临床体会现代中西医结合杂志：171-172.
[4]张全霞.壮腰散外敷治疗腰肌劳损临床观察[J].中医外治杂志,2001,(2).
[5]徐克武,杨学锋,梁恬,强胜林等用通痹熏洗汤治疗腰肌劳损240例中医正骨2009.1.
[6]母泽刚,综合疗法治疗慢性腰肌劳损.中国实用医药.2009.10(29)：1217侯率,田万静.针刺治疗腰肌劳损18例临床观察.中国工业医学杂志,1995,8(6)：384.
[8]达春花.拨火罐治疗腰肌劳损136例观察.甘肃中医,2001,14(1).
[9]成迎春,聂勇.腰肌劳损治疗体会.中国临床医药实用杂志,2004,3(16)：18-19.
[10]程肖芳等,水针刀治疗腰肌劳损的临床疗效观察. 中国实用医 药,2008,8(3)：31.
[11]李月喜,穴位注射治疗腰肌劳损120例临床观察,中华医学研究杂志,2007,7(12)：1114-1115
[12]朱云.肾着汤加减配合手法按摩治疗腰肌劳损[J].中医正骨,2003,11(11).