| 循经按摩治疗腰椎间盘突出症 |
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Received:May 13, 2024
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| 作者 | Author | 单位 | Unit | E-Mail |
| 何升华 |
HE Sheng-hua |
广州中医药大学第四临床医学院, 广东 深圳 518000
深圳市中医院, 广东 深圳 518000 |
The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen, 518000, Guangdong, China
Shenzhen Traditonal Chinese Medicine Hospital, Shenzhen 518000, Guangdong, China |
heshenghua99@163.com |
| 谭黄圣 |
TAN Huang-sheng |
广州中医药大学第四临床医学院, 广东 深圳 518000 |
The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen, 518000, Guangdong, China |
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| 黄勇 |
HUANG Yong |
广州中医药大学第四临床医学院, 广东 深圳 518000 |
The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen, 518000, Guangdong, China |
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| 冯华龙 |
FENG Hua-long |
深圳市中医院, 广东 深圳 518000 |
Shenzhen Traditonal Chinese Medicine Hospital, Shenzhen 518000, Guangdong, China |
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| 蓝志明 |
LAN Zhi-ming |
深圳市中医院, 广东 深圳 518000 |
Shenzhen Traditonal Chinese Medicine Hospital, Shenzhen 518000, Guangdong, China |
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| 付远飞 |
FU Yuan-fei |
深圳市中医院, 广东 深圳 518000 |
Shenzhen Traditonal Chinese Medicine Hospital, Shenzhen 518000, Guangdong, China |
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| 蒋勇 |
JIANG Yong |
深圳市中医院, 广东 深圳 518000 |
Shenzhen Traditonal Chinese Medicine Hospital, Shenzhen 518000, Guangdong, China |
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| 赖居易 |
LAI Ju-yi |
深圳市中医院, 广东 深圳 518000 |
Shenzhen Traditonal Chinese Medicine Hospital, Shenzhen 518000, Guangdong, China |
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| 期刊信息：《中国骨伤》2024年37卷，第10期，第991-996页 |
| DOI：10.12200/j.issn.1003-0034.20240311 |
| 基金项目:深圳市三名工程项目(编号:SZZYSM202211004) |
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目的: 观察循经按摩治疗腰椎间盘突出症(lumbar disc herniation,LDH)的临床疗效。
方法: 选择2020年7月至2023年4月就诊的LDH患者82例,男58例,女24例,年龄23~55(43.76±6.64)岁,根据治疗方法不同分为观察组和对照组各41例。对照组采用常规治疗,男30例,女11例;年龄22~52(42.27±9.34)岁;身体质量指数(body mass index,BMI)19~28(23.82±1.08) kg·m-2;病程0.5~3.0(2.40±0.48)年;L4,5节段28例,L5S1节段13例。观察组在常规治疗的基础上加以循经按摩治疗,男28例,女13例;年龄19~54(42.19±9.26)岁;BMI为18~29(23.73±1.15) kg·m-2;病程0.6~2.8(2.56±0.45)年;L4,5节段26例,L5S1节段15例。分别在治疗前和治疗3个疗程后测定视觉模拟评分法(visual analogue scale,VAS)、Oswestry功能障碍指数问卷(Oswestry disability index,ODI)、M-JOA评分、中医证候积分,并采用疗效评定标准评价其临床疗效。
结果: 治疗3个疗程后,观察组于对照组的VAS[(3.24±1.45)分vs(4.46±0.64)分]、ODI[(11.45±1.98)% vs (17.21±2.74)%]、中医证候积分[(2.03±0.27)分 vs (3.99±0.54)分]均降低,M-JOA评分[(23.43±2.61)分 vs (19.37±1.62)分]增加(P＜0.05)。
结论: 循经按摩治疗LDH疗效显著,能有效缓解腰背部疼痛,改善临床症状,增加腰椎功能,值得临床推广。 |
| [关键词]:循经按摩 腰椎间盘突出症 正骨手法 经络辨证 |
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| Study on the clinical effect of meridian massage in the treatment of lumbar disc herniation |
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Abstract:
Objective To observe the clinical efficacy of meridian massage in the treatment of lumbar disc herniation(LDH).
Methods Between July 2020 and April 2023,82 patients with lumbar disc herniation were selected,including 58 males and 24 females,aged from 23 to 55 years old with an average of (43.76±6.64) years old. According to the different treatment methods,they were divided into observation group and control group with 41 cases in each group. The control group was treated with routine treatment,and the observation group was treated with meridian massage on the basis of routine treatment. In the control group,there were 30 males and 11 females;aged from 22 to 52 years old with an average of (42.27±9.34) years old;the Body mass index (BMI) ranged from 19 to 28 kg·m-2 with an average of(23.82±1.08) kg·m-2;the course of disease ranged from 0.5 to 3.0 years (2.40±0.48) years. There were 28 cases in L4,5 segment and 13 cases in L5S1 segment. In the observation group,there were 28 males and 13 females;the age ranged from 19 to 54 years old (42.19±9.26) years old;the BMI ranged from 18 to 29 kg·m-2 with an average of(23.73±1.15) kg·m-2;the course of disease ranged from 0.6 to 2.8 with an average of(2.56±0.45) years;there were 26 cases in L4,5 segment and 15 cases in L5S1 segment. Visual analogue scale(VAS),Oswestry disability index(ODI),M-JOA score and TCM syndrome score were measured before and after 3 courses of treatment,and the clinical efficacy was evaluated by the standard of curative effect evaluation..
Results After treatment,VAS[(3.24±1.45) vs(4.46±0.64)],ODI[(11.45±1.98)% vs (17.21±2.74)%] and TCM symptom score[(2.03±0.27) vs (3.99±0.54)] of the observation group were lower than those of the control group. The score of M-JOA[(23.43±2.61) vs (19.37±1.62)] increased (P＜0.05). The scores of VAS,ODI and TCM symptoms in the observation group were lower than those in the control group,while the scores of M-JOA were higher than those in the control group (P＜0.05).
Conclusion Meridian massage is effective in the treatment of LDH,which can effectivelyrelieve low back pain,improve clinical symptoms and increaselumbar function,which is worthy of clinical promotion. |
| KEYWORDS:Massage along meridians Lumbar disc herniation Bone-rectifying manipulation Meridian dialectics |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 何升华,谭黄圣,黄勇,冯华龙,蓝志明,付远飞,蒋勇,赖居易.循经按摩治疗腰椎间盘突出症[J].中国骨伤,2024,37(10):991~996 |
| 英文格式: | HE Sheng-hua,TAN Huang-sheng,HUANG Yong,FENG Hua-long,LAN Zhi-ming,FU Yuan-fei,JIANG Yong,LAI Ju-yi.Study on the clinical effect of meridian massage in the treatment of lumbar disc herniation[J].zhongguo gu shang / China J Orthop Trauma ,2024,37(10):991~996 |
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