悬吊循经弹拨法治疗慢性腰肌劳损临床疗效机制研究

发布时间：2018-10-16 11:28

【摘要】：目的:本研究通过观察悬吊循经弹拨法、单一循经弹拨法和单一悬吊运动疗法对慢性腰肌劳损的康复疗效及其远期疗效,探究三种治疗方法在治疗慢性腰肌劳损时的疗效差异并初步探究悬吊循经弹拨法治疗慢性腰肌劳损的中西医结合疗效作用机制,为各级医院康复科及门诊广泛使用该技术提供理论指导,缓解慢性腰肌劳损功能异常状况并维持远期疗效。方法:本研究筛选出符合纳入标准的研究对象,按照随机数字表法分成三组,即循经弹拨治疗组(以下简称循经组,n=26)、悬吊运动疗法组(以下简称悬吊组,n=28)、悬吊循经弹拨法治疗组(以下简称观察组,n=29),三组患者分别给予循经弹拨法、悬吊运动疗法、悬吊循经弹拨法治疗3个疗程,5天为一个疗程,1个月后随访。使用VAS评分、JOA评分、腰背伸肌群及下肢柔软度的测量指标在患者治疗前、治疗结束后及治疗疗程结束后1个月进行评价,比较不同方法的疗效差异,并进行统计学分析。结果:观察组的疗效高于循经弹拨治疗组、悬吊运动疗法组(P0.05);治疗后3组VAS评分均显著降低,但观察组降低更明显(P0.05);治疗后3组JOA评分均明显增加,且观察组增加比其他两组显著(P0.05);治疗后3组腰背伸肌群及下肢柔软度的测量指标均明显增加,且观察组增加比其他两组显著(P0.05)。一个月后随访,观察组VAS得分、JOA得分及3组腰背伸肌群及下肢柔软度的测量指标均优于其他两组(P0.05)。结论:悬吊循经弹拨法在治疗慢性腰肌劳损方面疗效优于循经弹拨法和悬吊运动疗法;悬吊循经弹拨法、悬吊运动疗法对慢性腰肌劳损患者的功能改善有较好的远期疗效,但悬吊循经弹拨法的远期疗效优于悬吊运动疗法;悬吊循经弹拨法有效的减轻了患者的疼痛,改善患者的腰背伸肌群功能状态及腰部功能障碍。
[Abstract]:Objective: to observe the rehabilitation effect and long-term effect of suspension pull-along meridian, single meridian plucking and single suspension exercise therapy on chronic lumbar muscle strain. To probe into the difference of curative effect of three kinds of treatment methods in treating chronic lumbar muscle strain and to explore the mechanism of the curative effect of traditional Chinese and western medicine on chronic lumbar muscle strain treated by suspended plucking along the meridian method. To provide theoretical guidance for the extensive use of this technique in rehabilitation departments and outpatients of hospitals at all levels, to alleviate the abnormal condition of chronic lumbar muscle strain and to maintain the long-term curative effect. Methods: according to the random digital table method, the subjects were selected and divided into three groups. That is, the treatment group of pull-up along the meridian (hereinafter referred to as the meridian group, nb26), the group of suspension exercise therapy (hereinafter referred to as the suspension group, nb28), the treatment group of suspension along the meridian plucking method (hereinafter referred to as observation group, ng29), and the three groups of patients who were given the method of plucking along meridian and suspending exercise therapy, respectively. Suspension along meridian plucking treatment for 3 courses, 5 days as a course of treatment, 1 month follow-up. The indexes of VAS score, JOA score, extensor muscle group and lower extremity softness were evaluated before treatment, after treatment and 1 month after treatment. The curative effects of different methods were compared and analyzed statistically. Results: the curative effect of the observation group was higher than that of the meridian plucking group and the suspension exercise therapy group (P0.05), the VAS scores of the three groups were significantly decreased after treatment, but the decrease of the observation group was more obvious (P0.05); after treatment, the JOA scores of the three groups increased significantly. And the observation group increased significantly than the other two groups (P0.05); after treatment, the three groups of extensor lumbar muscle group and the lower limb softness were significantly increased, and the observation group increased significantly compared with the other two groups (P0.05). One month later, the VAS score, JOA score and the measurement index of extensor muscle group and lower limb softness in the observation group were better than those in the other two groups (P0.05). Conclusion: the effect of suspension along meridian plucking on chronic lumbar muscle strain is superior to that of along meridian and suspension exercise therapy, and there is good long-term effect of suspension along meridian and suspension exercise therapy on the improvement of chronic lumbar muscle strain. But the long term curative effect of suspension along meridian pullout method is better than suspension exercise therapy. Suspension along meridian plucking method can effectively alleviate the pain of patients and improve the functional state of extensor muscle group and lumbar dysfunction.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R244.1

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