针刺及推拿治疗慢性非特异性下背痛效果研究  

Evaluation of the effect of acupuncture and massage on chronic non specific lower back pain

作　　者：刘路遥[1] 武玉颜 罗十之 Liu Luyao;Wu Vuyan;Luo Shizhi(Beijing Friendship Hospital Affiliated to Capital Medical University（Beijing 100050)

机构地区：[1]首都医科大学附属北京友谊医院,北京100050 [2]杭州市上城区紫阳街道社区卫生服务中心,杭州311500 [3]甘肃中医药大学附属医院,兰州730000

出　　处：《陕西中医》2018年第7期968-970,共3页Shaanxi Journal of Traditional Chinese Medicine

摘　　要：目的:研究慢性非特异性下背痛患者应用针刺及推拿治疗效果。方法:选取80例慢性非特异性下背痛患者作为研究对象,根据掷硬币法分为对照组、研究组各40例。对照组患者接受单纯针刺治疗,研究组患者接受针刺、推拿治疗,治疗3个月。比较两组患者治疗前、治疗后的疼痛程度及腰部功能、背伸肌肌力变化。结果:治疗前,两组VAS评分差异无统计学意义(P>0.05);治疗3个月后,两组患者疼痛VAS评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);治疗前,两组腰部功能ODI评分差异无统计学意义(P>0.05);治疗3个月后,两组腰部功能ODI评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);治疗前,两组背伸肌肌力指标差异无统计学意义(P>0.05);治疗3个月后,两组患者背伸肌肌力水平均高于治疗前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论:针刺联合推拿治疗慢性特异性下背痛效果显著,能有效减轻患者疼痛,促进腰部功能恢复,提高背伸肌肌力水平,预防功能障碍,值得临床应用。Objective：To study the effect of acupuncture and massage on chronic non specific lower back pain.Methods：80 patients with chronic nonspecific low back pain who were treated in our hospital from August 2015 to February 2017 were selected and divided into control group and research group,40 cases in each group.The patients in the control group were treated with simple acupuncture,and the patients in the study group received acupuncture and massage for 3 months.The degree of pain before and after treatment,the changes of the function of the waist and the muscle strength of the extensor muscle were compared between the two groups.Results：before treatment,the two groups had no statistically significant difference in the score of VAS（P〉0.05）;after 3 months of treatment,two groups of patients with pain VAS score was lower than that before treatment,and the study group than in the control group,the difference was statistically significant（P〈0.05）;before the treatment,the two groups had no statistically significant waist function ODI the score difference（P〉0.05）;after 3 months of treatment,two groups of waist function ODI scores were lower than before treatment,and the study group than in the control group,the difference was statistically significant（P〈0.05）;before the treatment,there was no significant difference between the two groups of back extensor muscle strength index（P〉0.05）;treatment 3 months later,two groups of patients with back extensor muscle strength level was higher than that before treatment,and the study group than in the control group,the difference was statistically significant（P〈0.05）.Conclusion：acupuncture combined with massage is effective in treating chronic specific low back pain,which can effectively relieve pain,promote recovery of waist function,improve muscle strength of back extensors and prevent dysfunction,which is worthy of clinical promotion.

关 键 词：背痛 针刺疗法 推拿 穴 手三里 穴 后溪 穴 足三里 

分 类 号：R681.5[医药卫生—骨科学]