中医导引养生处方对老年女性腰痛的影响  

Effect of daoyin and health care therapy of TCM on lumbago in aged women

作　　者：白震民 张凯[2] 董磊 李春日[3] 汪毅 李君芳[5] BAI Zhen-min;ZHANG Kai;DONG Lei;LI Chun-ri;WANG Yi;LI Jun-fang(School of Sports Medicine and Rehabilitation,Beijing Sport University,Beijing 100084;Rehabilitation Department of Peking University First Hospital,Beijing 100034;School of Acupuncture,Moxibustion and Tuina,Liaoning University of Traditional Chinese Medicine,Shenyang Liaoning 110033;School Hospital of Beijing Sport University,Beijing 100084;Teaching and Research Room of Sports Rehabilitation,Sport Institute,Zhengzhou University,Zhengzhou Henan 450044)

机构地区：[1]北京体育大学运动医学与康复学院,北京100084 [2]北京大学第一医院康复科,北京100034 [3]辽宁中医药大学针灸推拿学院,辽宁沈阳110033 [4]北京体育大学校医院,北京100084 [5]郑州大学体育学院运动康复教研室,河南郑州450044

出　　处：《世界中西医结合杂志》2019年第7期999-1002,1006,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：国家体育总局健身气功管理中心科研项目(QG2013020);中央高校基本科研业务费专项资金资助课题(2016YB030)

摘　　要：目的通过中医导引养生处方对老年女性腰痛的干预,评价疗效并探讨相关机制。方法采集北京市某社区患腰痛老年女性60例,随机分为治疗组和对照组,其中治疗组40例,进行16周的中医导引养生处方(导引功法五禽戏的练习结合指针保健按摩)干预,对照组为20例,两组均实施健康教育。结果应用中医导引养生处方后,老年女性的腰痛疼痛程度和Oswestry功能障碍指数明显改善(P<0.01),坐位体前屈测试得到显著提高(P<0.01);背桥持续时间显著增加(P<0.01),闭眼单脚站立健侧和患侧的支撑时间都有明显的提高(P<0.01)。结论中医导引养生处方可显著改善患腰痛老年女性的功能障碍和疼痛程度,促进柔韧性、平衡能力和腰部相关肌力等体质机能指标的提高。Objective To evaluate the therapeutic effect of daoyin and health care therapy of TCM on lumbago in aged women and explore its effect mechanism.Methods A total of 60 aged women with lumbago were collected from one community in Beijing and they were randomized into a treatment group and a control group.In the treatment group,40 cases were treated with daoyin and health care therapy of TCM for 16 weeks(five-animal boxing of daoyin exercise and acupressure).There were 20 cases in the control group.The health education was given in both of the groups.Results After treatment with daoyin and health care therapy of TCM,the pain degree and Oswestry disability index were improved obviously in the aged women with lumbago(P<0.01).The result of the sit-and-reach test was improved significantly(P<0.01).The duration of back-bridge test was increased significantly(P<0.01).The support time of standing on one foot of the healthy side with eye closed as well as of the affected side was improved obviously(P<0.01).Conclusion Daoyin and health care therapy of TCM significantly improves in the function impairment and pain degree in lumbago of aged women.Such therapy promotes the flexibility,balance ability and muscle strength of lumbar region.

关 键 词：导引功法 指针按摩 老年女性 腰痛 

分 类 号：R274.34[医药卫生—中医骨伤科学]