一次正骨推拿治疗腰椎间盘突出症及其对表面肌电图的影响  

Treatment of Lumbar Disc Herniation with One-time Bone Setting Massage Manipulation and Its Effect on Surface Electromyography

作　　者：王亮 宋鸿权 杜红根[2] WANG Liang;SONG Hongquan;DU Honggen(Zhejiang Chinese Medical University,Hangzhou 310053,China;Zhejiang Province Traditional Chinese Medical Hospital,Hangzhou 310053,China)

机构地区：[1]浙江省中医药大学第一临床医学院,杭州310053 [2]浙江省中医院

出　　处：《中国中医骨伤科杂志》2018年第12期9-12,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：国家自然科学基金项目(81774447)

摘　　要：目的:观察一次正骨推拿手法对腰椎间盘突出症的治疗效果并观察其对患者的表面肌电图的影响,为进一步治疗腰椎间盘突出症和探讨其发病机制提供依据。方法:对70例患者分为一次正骨推拿组、普通推拿组,每组35例,分别进行治疗,采用丹麦产Keypoint台式肌电-诱发电位仪,检测治疗前后,双侧腰部竖脊肌肌电图的中位频率(MF),最终分析得出中位频率的斜率(MFs)。结果:一次正骨推拿组总有效率为87%,普通推拿治疗组总有效率为80%.治疗前患侧腰部竖脊肌MFs较健侧显著增大,治疗后腰部竖脊肌MFs的显著降低,治疗前后比较差异有统计学意义(P<0.05)。结论:一次正骨推拿对腰椎间盘突出症患者的腰部竖脊肌功能有明显的改善作用。Objective : To observe the therapeutic effect of one - time bone setting massage manipulation on lumbar disc her -niation and its influence on surface electromyography ( EMG ) of the patients , so as to provide basis for further treatmentof lumbar disc herniation and to explore its pathogenesis.Methods : All 70patients were divided into one - time bone settingmassage group and general massage group , 35patients in each groupwere treated respectively.Median Frequency ( MF )of bilateral lumbar erector spine EMG was measured by Keypoint desktop EMG - evoked potential meter made in Denmarkbefore and after treatments.Slop of median frequencywas obtained by final analysis (Slope of Median Frequency , MFs ) .Results : The total effective rate was 87%in one - time bone setting massage group and 80%in the general massage group.Before treatment , MFs of lumbar erector spine muscle on the affected side increased significantly compared with that onthe healthy side.After treatment, MFs of lumbar erector spine muscle decreased significantly ( P <0.05 ) .Conclusion :Itis further proved that one - time bone setting massage can significantly improve the lumbar erector spine muscle function inpatients with lumbar intervertebral disc herniation.

关 键 词：一次正骨推拿 腰椎间盘突出症 表面肌电 

分 类 号：R681.5[医药卫生—骨科学]