龙氏治脊手法结合圆利针斜刺治疗慢性腰肌劳损的临床研究  

Clinical Study on Long's Spinal Manipulation combined with Round Sharp Needle Acupuncture Treating Chronic Lumbar Muscle Strain

作　　者：陈耀龙[1] 陈荣钟[2] 陈淑慧[3] 

机构地区：[1]广州中医药大学第一附属医院推拿科,广州510405 [2]深圳市中医院针灸科,深圳518033 [3]广东省中医院科研处,广州510180

出　　处：《世界中医药》2014年第6期788-791,共4页World Chinese Medicine

基　　金：广州中医药大学中医药科研创新基金资助项目(编号:09CX24)

摘　　要：目的:明确龙氏治脊手法结合圆利针斜刺阿是穴对慢性腰肌劳损的临床疗效,探讨该综合疗法在临床中的应用前景。方法:采用前瞻性随机对照的方法,通过临床观察龙氏治脊手法结合圆利针斜刺阿是穴治疗慢性腰肌劳损前后临床症状积分、临床体征积分和中医伴随症状积分的变化,并以目前临床上常用的腰背部推拿+针灸阿是穴+拔罐、腰背部推拿+干扰电作为对照组进行比较。结果:采用龙氏治脊手法结合圆利针斜刺阿是穴的患者治疗后临床症状积分、临床体征积分均明显少于腰背部推拿+针灸阿是穴+拔罐、腰背部推拿+干扰电的患者,差异有统计学意义(P<0.05);自身前后对比,龙氏治脊手法结合圆利针斜刺阿是穴组患者经治疗后临床症状积分、临床体征积分均较治疗前有明显降低,差异有统计学意义(P<0.05),三组患者治疗前后中医伴随症状积分变化无统计学意义(P>0.05)。结论:相对于传统外治法,龙氏治脊手法结合圆利针斜刺阿是穴能更好地改善慢性腰肌劳损的临床症状和体征。Objective：To verify the clinical effect of the Long’s spinal manipulation combined with round sharp needle acupuncture in Ashi point on chronic lumbar muscle strain,and to explore the future application of the comprehensive therapy in clinical practice.Meth-ods：A prospective,randomized,and controlled trial was conducted.The changes of the scores on clinical symptoms,signs and TCM symptoms before and after the Long’s spinal manipulation combined with round sharp needle acupuncture in Ashi points were observed and compared.A control group was established by applying massage on the back,acupuncture and cupping in Ashi points,as well as in-terference power.Results：After treatment,the scores of clinical symptoms and signs of the patients with the Long’s spinal manipulation combined with round sharp needle acupuncture in Ashi points were significantly less than the patients with the back massage and acu-puncture point cupping,and interference power,and the difference was statistically significant （P0.05 ）.Conclusion：Compared with traditional external treatment,Long’s spinal manipulation combined with round sharp needle acupuncture in Ashi points can better im-prove the clinical symptoms and signs of the chronic lumbar muscle strain.

关 键 词：龙氏治脊手法 圆利针斜刺 慢性腰肌劳损 

分 类 号：R246[医药卫生—针灸推拿学] R244.1[医药卫生—中医临床基础]