温针灸联合推拿治疗慢性腰肌劳损临床研究
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R246;R244.1

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Clinical Study of Warm Needling and Moxibustion Combined with Tuina for Chronic Lumbar Muscle Strain
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    摘要:

    目的:观察温针灸联合推拿治疗慢性腰肌劳损的临床疗效。方法:选取慢性腰肌劳损患者100 例,按随机数字表法分为研究组和对照组各50 例。对照组采取推拿治疗,研究组在对照组基础上联合温针灸治疗。比较2 组临床疗效、体征积分、中医证候积分、背肌力、腰部耐力时间、Oswestry 功能障碍指数(ODI)、视觉模拟评分法(VAS) 评分的差异。结果:研究组治疗1 个疗程、2 个疗程、4 个疗程后的总有效率均高于对照组,差异有统计学意义(P<0.05)。治疗前,2 组体征积分、中医证候积分、背肌力、腰部耐力时间比较,差异无统计学意义(P>0.05)。治疗后,2 组体征积分、中医证候积分较治疗前降低,且研究组体征积分、中医证候积分低于对照组(P<0.05);2 组背肌力、腰部耐力时间较治疗前升高,且研究组背肌力、腰部耐力时间高于对照组(P<0.05)。治疗前,2 组VAS、ODI 评分比较,差异无统计学意义(P>0.05)。治疗后,2 组VAS、ODI 评分较治疗前降低,且研究组VAS、ODI 评分均低于对照组,差异有统计学意义(P<0.05)。结论:温针灸联合推拿治疗慢性腰肌劳损效果明显,可以缓解患者腰部疼痛,改善腰部功能障碍。

    Abstract:

    Abstract:Objective:To observe the clinical effect of warm needling and moxibustion combined with tuina for chronic lumbar muscle strain. Methods:A total of 100 cases of patients with chronic lumbar muscle strain were selected and divided into the study group and the control group according to the random number table method,with 50 cases in each group. The control group was treated with tuina. And the study group was treated with warm needling and moxibustion combined with tuina. Differences in clinical effects, physical sign scores, Chinese medicine syndrome scores, back muscle strength, lumbar endurance time,Oswestry dysfunction index(ODI) and Visual Analogue Scale(VAS) scores were compared between the two groups. Results: The total effective rates in the study group after one, two and four courses of treatment were higher than those in the control group,the difference being significant(P<0.05). Before treatment,there was no significant difference being found in the comparison of physical sign scores,Chinese medicine syndrome scores,back muscle strength and lumbar endurance time between the two groups(P>0.05). After treatment,physical sign scores and Chinese medicine syndrome scores in the two groups were decreased when compared with those before treatment,and the two scores in the study group were lower than those in the control group(P<0.05);back muscle strength and lumbar endurance time in the two groups were increased when compared with those before treatment, and the two indexes in the study group were higher than those in the control group(P<0.05). Before treatment, there was no significant difference being found in the comparison of scores of VAS and ODI between the two groups(P>0.05). After treatment,scores of VAS and ODI in the two groups were decreased when compared with those before treatment,and the two scores in the study group were lower than those in the control group,the difference being significant(P<0.05). Conclusion:Warm needling and moxibustion combined with tuina has a significant effect in the treatment of chronic lumbar muscle strain,which can relieve lumbar pain and improve lumbar dysfunction.

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韩春.温针灸联合推拿治疗慢性腰肌劳损临床研究[J].新中医,2022,54(9):180-183

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  • 在线发布日期: 2022-05-09
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