悬吊运动联合弹拨经筋治疗腰背肌筋膜炎的临床观察  

Clinical Observation of Sling Exercise Combining Plucking Bladder Meridian on Treating Low Back Muscle Fasciitis

作　　者：李非[1] 李丽[2] 许强强[1] 张家鹏[1] LI Fei LI Li XU Qiangqiang ZHANG Jiapeng(Shandong University of Traditional Chinese Medicine ,Jinan,Shandong 250355, China The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong 250001, China)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东中医药大学第二附属医院,山东济南250001

出　　处：《康复学报》2017年第3期18-22,共5页Rehabilitation Medicine

基　　金：山东省中医药科技发展计划项目(2011BJYB29)

摘　　要：目的:观察悬吊运动疗法联合弹拨经筋疗法治疗腰背肌筋膜炎的临床疗效。方法:将120例腰背肌筋膜炎患者按照随机数字表法分为悬吊运动疗法组、弹拨经筋疗法组和结合组各40例。悬吊运动疗法组采用悬吊运动治疗,弹拨经筋疗法组采用弹拨经筋疗法治疗,结合组采用悬吊运动疗法与弹拨经筋疗法相结合。3组均以15 d为1个疗程,共治疗2个疗程。观察3组视觉模拟评分(VAS)和Oswestry功能障碍指数(ODI)的数值变化。结果:3组VAS、ODI评分均较治疗前降低,差异具有统计学意义(P<0.05);结合组VAS、ODI评分的降低程度显著大于其他2组,差异具有统计学意义(P<0.05)。结论:悬吊运动疗法结合弹拨经筋疗法治疗腰背肌筋膜炎有显著疗效,值得临床推广应用。Objective：To investigate the clinical effect of sling exercise combining plucking bladder meridian on treating low back muscle fasciitis. Methods ：A total of 120 patients with low back muscle fasciitis were randomly assigned to sling exercise therapy group, plucking bladder meridian group, and sling exercise therapy and plucking bladder meridian manipulation combined treatment group,with forty patients in each group, and treated once per day, 5 treatments per week, 3 weeks for a course, whole treatment contain 2 courses. The visual analogue scale （VAS） score and oswestry dysfunction index （ODI） score of the three groups were evalued and analyzed respectively before and after treatment and follow-up. Results：After treatment, VAS score and ODI score of three groups were all improved, and the difference was statistically significant （P〈 0.05 ）, The combined group was superior to two other groups with statistically significant difference （P〈 0.05） respectively. VAS score and ODI score of the combined group got more improvment during the follow-up than those of other groups （P〈 0.05 ）. Conclusion：The sling exercise therapy combined plucking bladder meridi- an had a significant effect in the treatment of low back muscle fasciitis, and could improve the function of low back muscle.

关 键 词：腰背肌筋膜炎 悬吊运动疗法 弹拨经筋疗法 

分 类 号：R493[医药卫生—康复医学] R686.3[医药卫生—临床医学]