宫廷理筋术改良手法治疗慢性非特异性腰痛的临床研究  

Clinical study of amelioration therapy of Gongting Therapeutic for Injured Soft Tissue in the treatment of chronic nonspecific low back pain

作　　者：贾佃萍 万颖 于长禾[3] 江浩[3] 刘彦超 尚海 梁燕虎 李玥[3] 曹洪超 刘长信[3] 王锡友[3] JIA Dian-ping;WAN Ying;YU Chang-he;JIANG Hao;LIU Yan-chao;SHANG Hai;LIANG Yan-hu;LI Yue;CAO Hong-chao;LIU Chang-xin;WANG Xi-you(Acupuncture and Moxibustion Department of the Second Affiliated Hospital of Hainan Medical University,Haikou 570311,China;The First Medical College of Beijing University of Chinese Medicine,Beijing 100700,China;Tuina and Pain Department of Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;Department of Traditional Chinese Medicine,Space Center Hospital,Beijing 100039,China;Massage Department of Beijing Research Institute Hospital Management Center Dongcheng Traditional Chinese Medicine Hospital,Beijing 100010,China)

机构地区：[1]海南医学院第二附属医院中医针灸科,海口570311 [2]北京中医药大学第一临床医学院,北京100700 [3]北京中医药大学东直门医院推拿疼痛科,北京100700 [4]北京航天中心医院中医科,北京100039 [5]北京中研医院管理中心东城中医医院推拿科,北京100010

出　　处：《中华中医药杂志》2020年第12期6425-6428,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金青年科学基金项目(No.81803956);首都临床特色应用研究项目(No.Z181100001718165);北京中医药大学青年教师项目(No.2017-JYB-JS-161,No.2018-JYB-JS-092)。

摘　　要：目的:探索宫廷理筋术改良手法治疗慢性非特异性腰痛(CNLBP)的有效性及安全性。方法:将68例CNLBP患者随机分为针刺组和推拿组,针刺组予针刺联合红外光照射治疗,推拿组予宫廷理筋术改良手法治疗。两组均治疗6次,在4周内完成。比较两组治疗前,第1、6次治疗结束后,治疗结束1个月后疼痛数字评分(NRS)、中文版Oswestry功能障碍指数(ODI)、自拟功能障碍评分。对所收集数据进行统计分析。结果:两组在治疗后各时间点的NRS评分、ODI指数、自拟功能障碍评分较治疗前均显著降低(P<0.05);推拿组在第1次治疗结束后、治疗结束1个月后的NRS评分显著低于针刺组(P<0.05),两组在其他时点的NRS评分以及各时点的ODI指数和自拟功能障碍评分差异均无统计学意义。两组治疗过程中均未发生不良事件。结论:宫廷理筋术改良手法治疗CNLBP安全、有效,值得临床推广。Objective: To explore the efficacy and safety of amelioration therapy of Gongting Therapeutic for Injured Soft Tissue in the treatment of chronic nonspecific low back pain(CNLBP). Methods: A total of 68 cases of CNLBP patients were randomly divided into the acupuncture group and the massage group. The acupuncture group were treated with acupuncture combined with infrared light therapy and the massage group were treated with amelioration therapy of Gongting Therapeutic for Injured Soft Tissue. Both groups were treated for 6 times and completed within 4 weeks. The efficacy was evaluated by Numerical rating scale(NRS), Chinese version Oswestry disability index(ODI) and self-rating disability scale before treatment, the end of the first treatment and the sixth treatment, and 1 month after the end of the treatment. The collected data were analyzed. Results: In every observation time after the treatment, the NRS scores, ODI index and the scores of self-rating disability scale of the two groups were significantly lower than those before treatment(P<0.05). The first treatment and 1 month after the end of the treatment, the NRS scores of the massage group were significantly lower than those in acupuncture group(P<0.05). NRS scores of other point, the ODI index and the score of self-rating disability scale of each point of the two groups had no statistical significance. No adverse events occurred during treatment in neither group. Conclusion: Amelioration therapy of Gongting Therapeutic for Injured Soft Tissue was safe and effective for CNLBP and worthy of clinical promotion.

关 键 词：宫廷理筋术 慢性非特异性腰痛 手法 针刺 随机 试验 

分 类 号：R246.9[医药卫生—针灸推拿学]