一次推拿正骨法联合易筋经三式治疗腰椎间盘突出症临床研究  

Clinical Study on One-Time Tuina and Bonesetting Method Combined with Three-Type Training in Yi Jin Jing for Lumbar Disc Herniation

作　　者：王恺骐 宋鸿权[2] 杜红根[2] WANG Kaiqi;SONG Hongquan;DU Honggen

机构地区：[1]浙江中医药大学第一临床医学院,浙江杭州310053 [2]浙江省中医院,浙江杭州310003

出　　处：《新中医》2023年第6期182-186,共5页New Chinese Medicine

基　　金：国家自然科学基金资助项目(81774447)。

摘　　要：目的:观察一次推拿正骨法联合易筋经三式练习治疗腰椎间盘突出症的临床疗效。方法:选取腰椎间盘突出症患者70例,随机分为2组各35例。对照组采用一次推拿正骨法,术后常规用药及中医外治治疗,并严格卧床7 d。观察组在对照组治疗方案的基础上于严格卧床2 d后开始易筋经三式练习。2组均治疗1周后比较2组临床疗效,比较2组治疗前后日本骨科协会(JOA)下腰痛评分、背伸肌耐力测试BS检验结果及表面肌电图指标平均整流肌电值(AEMG)和基于肌电图的中位频率MF分析得出的中位频率的斜率(MFs)。结果:临床疗效总有效率观察组93.55%,对照组85.71%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组JOA评分、BS检验结果、AEMG均较治疗前增加,差异均有统计学意义(P<0.05);观察组JOA评分、BS检验结果、AEMG均高于对照组,差异均有统计学意义(P<0.05)。2组MFs的绝对值较治疗前减小,差异均有统计学意义(P<0.05);MFs的绝对值低于对照组,差异有统计学意义(P<0.05)。结论:一次推拿正骨法联合易筋经三式练习对于腰椎间盘突出症有显著疗效,可增强腰背肌肉耐力,缓解肌肉疲劳,改善腰椎功能,减轻疼痛。Objective : To observe the clinical effect of one-time tuina and bonesetting method combined with three-type training in Yi Jin Jing(The classic of sinew Transformation) for lumbar disc herniation. Methods:A total of 70 cases of patients with lumbar disc herniation were selected and randomly divided into two groups,with 35 cases in each group. The control group was treated with one-time tuina and bonesetting method, and given routine medication and external treatment of traditional Chinese medicine after operation,and strict bed rest for 7 days. On the basis of the treatment plan of the control group,the observation group began to practice the three-type training in Yi Jin Jing after 2 days of strict bed rest. After one-week treatment, the clinical effects in the two groups were compared. Before and after treatment, the low back pain scores of Japanese Orthopaedic Association(JOA), the results of Biering-Sorensen(BS) test,the indexes of surface electromyography [average rectified electromyography amplitude(AEMG)] and the slope of the median frequency(MFs) based on the median frequency(MF)analysis of EMG were compared between the two groups. Results:The total effective rate of clinical effect was 93.55% in the observation group and 85.71% in the control group,the difference being significant(P<0.05). After treatment,the JOA scores,BS results,and AEMG in the two groups were increased when compared with those before treatment, differences being significant(P<0.05);the JOA score, BS result,and AEMG in the observation group were higher than those in the control group,differences being significant(P<0.05). The absolute values of MFs in the two groups were decreased when compared with those before treatment, differences being significant(P<0.05);the absolute value of MFs in the observation group was lower than that in the control group, the difference being significant(P<0.05).Conclusion:One-time tuina and bonesetting method combined with three-type training in Yi Jin Jing has a significant curative effect in treating l

关 键 词：腰椎间盘突出症 一次推拿正骨法 《易筋经》 表面肌电图 

分 类 号：R681.53[医药卫生—骨科学]