基于子午流注取穴的一指禅推法治疗腰椎间盘突出症的临床疗效  

The Clinical Effect of One-Finger Massage on Lumbar Intervertebral Disc Herniation Based on Meridian Flow Injection Acupoint Selection

作　　者：姚弘毅[1] 任亚丽 韦卓[1] 曹静 谢钢 王琳[1] YAO Hongyi;REN Yali;WEI Zhuo;CAO Jing;XIE Gang;WANG Lin(The Hospital of Liyuan,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430077,China)

机构地区：[1]华中科技大学同济医学院附属梨园医院,武汉430077

出　　处：《中国中医骨伤科杂志》2021年第2期53-55,59,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:观察基于子午流注取穴的一指禅推法对腰椎间盘突出症(LDH)的临床疗效,为LDH寻找新的治疗手段。方法:选取2018年1月至2019年8月收治的LDH患者88例,所有病例随机分为子午流注组和常规推拿组(各44例)。通过两组治疗前后比较疼痛视觉模拟(VAS)评分、日本骨科协会(JOA)评分及Barthel指数评分,评估基于子午流注取穴的一指禅推法对LDH的疗效。结果:基于子午流注取穴的一指禅推法在治疗LDH上能减轻疼痛,提高患者的腰椎功能。两组患者治疗1个疗程和2个疗程后VAS评分及JOA评分差异均有统计学意义(P<0.05),治疗后子午流注组和常规推拿组患者总有效率分别为93.18%和81.82%,两组在总体疗效上差异有统计学意义(P<0.05)。结论:基于子午流注取穴的一指禅推法能够显著提高患者临床疗效,减轻疼痛,改善患者的腰椎功能,并降低腰痛对患者日常生活的影响,基于子午流注取穴的一指禅推法对LDH疗效更好。Objective:To observe the clinical effect of one-finger massage on lumbar intervertebral disc herniation(LDH)based on meridian flow injection acupoint selection,and to find a new therapeutic method for LDH.Methods:88 patients with LDH were selected from January 2018 to August 2019.They were randomly divided into two groups with meridian flow group and routine massage group.The visual analogue scale(VAS)score,Japanese orthopaedic association(JOA)score and Barthel index of the two groups were compared before and after treatment to evaluate the clinical effect of acupoint selection combined with finger massage on LDH.Results:The method of midnight-noon ebb-flow and acupoint selection combined with finger-massage could effectively relieve the pain and improve the function of lumbar vertebra in the treatment of LDH.There were significant differences in VAS and JOA scores between the two groups after 1 course of treatment and 2 courses of treatment(P<0.05).The total effective rates of the two groups after treatment were 81.82%and 93.18%(P<0.05)respectively.It showed that the two groups had significant differences in the overall efficacy indicating that the one-finger massage method based on meridian flow injection acupoint selection was more effective in improving pain and lumbar function.Conclusion:One-finger massage method based on meridian flow injection can significantly improve the clinical efficacy,relieve pain,improve the lumbar function of patients,and reduce the effect of low back pain on the daily life of patients.One-finger massage method based on meridian flow injection is better for LDH.

关 键 词：子午流注取穴法 一指禅推法 腰椎间盘突出症 推拿 临床疗效 

分 类 号：R681.5[医药卫生—骨科学]