壮医通路热熨法对腰肌劳损的康复效果研究  

Study on the Rehabilitation Effect of Zhuang Yi Tong Lu Hot Ironing Method on Lumbar Muscle Strain

作　　者：谢芳[1] 宁余音[1] 蔡英莲 李科琼[1] 

机构地区：[1]广西中医药大学第一附属医院,广西南宁530023

出　　处：《大众科技》2022年第11期82-86,共5页Popular Science & Technology

基　　金：广西中医药重点学科建设项目(GZXK-Z-20-56)。

摘　　要：目的:探讨壮医通路酒药渣热熨龙脊穴、腰环穴壮防治寒湿型腰肌劳损的临床疗效。方法:选取广西中医药大学第一附属医院60例寒湿型腰肌劳损患者,依据随机数字表法分为试验组和对照组,每组30例。两组均予以护理,在这基础上试验组采用壮医通路酒药渣热熨龙脊穴、腰环穴;对照组采用粗盐包热熨腰部,两组均为:1次/天,30 min/次,10天为1个疗程,共2个疗程。疗程结束后观察两组治疗前后疼痛视觉模型量表(VAS)评分、血清5-羟色胺(5-HT)含量、临床疗效及出院随访24周复发率。结果:治疗两个疗程后,试验组临床有效率93.33%显著高于对照组(76.66%)(P<0.05);两组VAS评分及5-HT含量均较治疗前显著下降(P<0.01),且试验组优于对照组(P<0.05);试验组复发率16.67%,比对照组复发率(36.67%)明显降低,但两组数据经统计学处理无显著差异(P>0.05)。结论:壮医通路热熨法对寒湿型腰肌劳损临床疗效确切,能够更好地改善患者疼痛症状,降低血清5-HT含量,值得临床推广应用。Objective To investigate the clinical effect of hot pressing Longji and Yaohuan acupoints to prevent and treat waist muscle strain of cold and damp type in Zhuang Yi Tong Lu liquor dregs. Methods: 60 cases of lumbar muscle strain of cold dampness type in the First Affiliated Hospital of Guangxi University of Chinese Medicine were selected and randomly divided into test group and control group,30 cases in each group. Both groups were given nursing care. On this basis, the test group used Zhuang Yi Tong Lu liquor dregs to hot iron Longji and Yaohuan points;in the control group, the waist was hot ironed with coarse salt packet. The two groups were: once a day, 30min a time, 10 days as a course of treatment, a total of two courses. After the treatment, the VAS score, serum serotonin(5-HT) content, clinical efficacy and 24 week recurrence rate were observed before and after treatment. Results: After two courses of treatment, the clinical effective rate of 93.33% in the test group was significantly higher than that of 76.66% in the control group(P<0.05);VAS score and 5-HT content in the two groups were significantly lower than before treatment(P<0.01), and the test group was better than the control group(P<0.05);the recurrence rate of the test group was 16.67%, which was significantly lower than that of the control group(36.67%), but there was no significant difference between the two groups after statistical treatment(P>0.05). Conclusion: The Zhuang Yi Tong Lu hot ironing method through has a definite clinical effect on cold damp lumbar muscle strain, can better improve the pain symptoms of patients, and reduce the serum 5-HT content, which is worthy of clinical application.

关 键 词：腰肌劳损 壮医 烫疗疗法 壮医通路酒 临床研究 

分 类 号：R274[医药卫生—中医骨伤科学]