易筋经功法锻炼在腰椎间盘突出症缓解期患者中的应用效果  

Application effect of yijinjing exercise in patients with lumbar disc herniation during remission period

作　　者：李阳[1] 王文奕[1] 司梦冉 纪清[1] 蔡君豪[1] 王桂茂[1] LI Yang;WANG Wenyi;SI Mengran;JI Qing;CAI Junhao;WANG Guimao(Department of Massage,Municipal Hospital of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China)

机构地区：[1]上海中医药大学附属市中医医院推拿科,上海200071

出　　处：《中国医药导报》2022年第25期124-128,共5页China Medical Herald

基　　金：上海市海派中医流派传承人才培养项目(沪卫计中发LPRC2017046);上海申康医院发展-重大疾病临床技能提升项目(16CR1023A)。

摘　　要：目的评价易筋经功法锻炼在腰椎间盘突出症缓解期患者中的应用效果。方法选取2019年5月至12月于上海中医药大学附属市中医医院收治的72例腰椎间盘突出症患者,根据随机数字表法将其分为对照组和治疗组,每组36例。对照组采用推拿手法治疗,每次均为30 min,每周3次,连续治疗4周,共12次;治疗组在对照组的基础上,采用易筋经功法锻炼,每周5次,每次练习时间约为15 min,连续锻炼4周。比较两组治疗前后视觉模拟评分法(VAS)评分、疼痛分级指数(PRI)评分、SF-36量表评分及Oswestry功能障碍指数(ODI)量表评分。结果治疗后两组VAS、PRI评分均较治疗前降低,且治疗组低于对照组(P<0.05)。治疗后两组躯体功能、生理职能、躯体疼痛、总体健康、精力、社会功能、情感职能及精神健康评分均较治疗前升高,且治疗组高于对照组(P<0.05)。整体分析发现:ODI量表评分时间点比较差异有统计学意义(P<0.05);进一步组内两两比较,两组治疗2、4周的ODI量表评分均较治疗前降低(P<0.05)。结论易筋经功法锻炼可改善腰椎间盘突出症缓解期患者的功能,缓解其疼痛程度,提高生活质量,值得临床应用和推广。Objective To evaluate application effect of yijinjing exercise in patients with lumbar disc herniation during remission period.Methods Seventy-two patients with lumbar disc herniation treated in Municipal Hospital of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine from May to December 2019 were selected and they were divided into control group and treatment group according to the random number table method,with 36 cases in each group.The control group was treated with massage manipulation,each time for 30 minutes,three times a week,for four weeks,a total of 12 times.On the basis of the control group,the treatment group was treated with yijinjing exercise,five times a week,each time for about 15 minutes,for four weeks.The scores of visual analogue scale(VAS)score,pain rating index(PRI),SF-36 scale and Oswestry dysfunction index(ODI)scale score were compared between the two groups before and after treatment.Results After treatment,the VAS and PRI scores of the two groups were lower than those before treatment,and the scores of the treatment group were lower than those of the control group(P<0.05).After treatment,the scores of physical function,physiological function,physical pain,overall health,energy,social function,emotional function and mental health in the two groups were higher than those before treatment,and the scores in the treatment group were higher than those in the control group(P<0.05).The overall analysis found that there was a statistically significant difference in the scoring time points of ODI scale(P<0.05);Further comparison between the two groups showed that the ODI scale scores of the two groups after two and four weeks of treatment were lower than those before treatment(P<0.05).Conclusion Yijinjing exercise can improve the function,relieve the degree of pain and improve the quality of life of patients with lumbar disc herniation in remission,which is worthy of clinical application and promotion.

关 键 词：易筋经 推拿 腰椎间盘突出症 缓解期 

分 类 号：R274[医药卫生—中医骨伤科学]