经络推拿联合益气舒筋汤对颈肩腰腿痛患者症状改善及预后影响  

Effect of Meridian Massage Combined with Yiqi Shujin Decoction on Symptoms of Patients with Neck and Shoulder Leg Pain and Its Effect on Prognosis

作　　者：公冶国 张勇[1] GONG Yeguo;ZHANG Yong(General Hospital of Yankuang Group Co. Ltd., Jining 273500, Shandong, Chin)

机构地区：[1]兖矿集团有限公司总医院

出　　处：《辽宁中医药大学学报》2018年第4期199-202,共4页Journal of Liaoning University of Traditional Chinese Medicine

摘　　要：目的：研究经络推拿联合益气舒筋汤对颈肩腰腿痛患者症状改善及预后影响。方法：选择2015年9月—2016年6月收治的147例颈肩腰腿痛患者,按随机数字表法将患者分为观察组（72例）和对照组（75例）,对照组给予经络推拿治疗,观察组在对照组基础上联合益气舒筋汤治疗,观察两组患者的临床疗效及预后效果,比较患者治疗后生活质量的改善情况、复发率及不良反应等。结果：统计显示,观察组患者的临床症状改善明显,关节的活动及功能明显恢复,治疗效果更加显著,治疗有效率达90%以上,与对照组患者比较具有较大差异（P〈0.05）;且在有效治疗的患者中,观察组患者临床症状的改善情况明显也优于对照组（P〈0.05）。经相应治疗,两组患者颈椎病相关功能均得到明显改善,与治疗前相比差异均具有统计学意义（均P〈0.05）,且观察组患者改善效果更明显（P〈0.05）。两组患者疼痛程度及发作频率均得到控制,与治疗前均有明显差异（均P〈0.05）,观察组患者疼痛持续时间较治疗前减少,且具有明显差异（P〈0.05）,对照组患者治疗前后疼痛持续时间无明显差异（P〉0.05）。两组患者相比,临床症状的改善具有明显差异（P〈0.05）。治疗前,两组患者对生活质量的评价分数无明显差异,不具有统计学意义（P〉0.05）,经相应治疗,对照组患者日常生活及社会行动能力得到改善,与治疗前差异具有统计学意义（P〈0.05）;抑郁及焦虑状态未得到明显改善,与治疗前差异不具有统计学意义（P〉0.05）。观察组患者日常生活及社会行动能力、抑郁及焦虑状态均得到明显改善,与治疗前差异具有统计学意义（P〈0.05）。统计显示,观察组患者出现上腹部隐痛1例,不良反应发生率为1.39%,对照组患者出现乏力4例,嗜睡5例,不良反应发生率为12.00%,两组患者不良反应发生率具有明显差异（t=1Objective：To study the effect of meridian massage combined with Yiqi Shujin Decoction on the symptoms and the prognosis of patients with neck and shoulder pain. Methods：From April 2015 to June 2016,147 patients with neck and shoulder pain were divided into observation group（72 cases）and control group（75 cases）according to random number table. The observation group was treated with Yiqi Shujin Decoction on the basis of the control group. The clinical curative effect and prognosis of the two groups were observed. The improvement of the quality of life,the recurrence rate and the adverse reaction were compared between the two groups. Results：According to statistics,clinical symptoms of observation group patients improved significantly,the activities and function of the joint were restored,the treatment effect was more significant,the effective rate was above 90%,and there was a big difference compared with the control group（P〈0.05）,and in the patients with effective treatment,the improvement of clinical symptoms in the observation group was obviously better than that of the control group（P〈0.05）. After the treatment,the relevant function of two groups of patients with cervical spondylosis were significantly improved compared with before treatment,the differences were statistically significant（all P〈0.05）,and the patients in the observation group improved more obvious than the control group（P〈0.05）. Two groups of patients with pain and seizure frequency were controlled,and had significant difference before treatment（all P〈0.05）,durante dolors of the observation group was lower than those before treatment,and had significant difference（P〈0.05）,durante dolors of control group had no significant difference before and after treatment（P〉0.05）. Compared the two groups,the improvement of clinical symptoms was significantly different（P〈0.05）. Before treatment,evaluation on the quality of life score had no significant difference between the two groups（P〉0.05）

关 键 词：经络推拿 益气舒筋汤 颈肩腰腿痛 预后 

分 类 号：R244.1[医药卫生—针灸推拿学]