“下病上治”整脊法治疗腰骶后关节病的效果  

Effect of chiropractic treatment of lumbosacral posterior arthropathy by “treating lower diseases and upper treatment”

作　　者：于长岁 朱立国[2] 张晓峰[3] 于忠宝 王树人[5] 卢克俭 李俊杰 龚道雄 YU Changsui;ZHU Liguo;ZHANG Xiaofeng;YU Zhongbao;WANG Shuren;LU Kejian;LI Junjie;GONG Daoxiong(Department of Orthopaedics of Traditional Chinese Medicine,Electric Power Teaching Hospital,Capital Medical University,Beijing100073,China;the Second Department of Spine,Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing100102,China;the Third Department of Orthopedics,Second Affiliated Hospital,Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin150001,China;Department of Traditional Chinese Medicine,Yu Zhongbao Traditional Chinese Medicine Clinic,Liaoning Province,Kuandian118200,China;the Second Department of Orthopedics,First Affiliated Hospital,Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin150040,China;Department of Information,Beijing University of Technology,Beijing100124,China)

机构地区：[1]首都医科大学电力教学医院中医骨伤科,北京100073 [2]中国中医科学院望京医院脊柱二科,北京100102 [3]黑龙江中医药大学附属第二医院骨三科,黑龙江哈尔滨150001 [4]辽宁于忠宝中医诊所中医科,辽宁宽甸118200 [5]黑龙江中医药大学附属第一医院骨二科,黑龙江哈尔滨150040 [6]北京工业大学信息学部,北京100124

出　　处：《中国医药导报》2024年第15期67-70,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(81774343);国家中医药管理局中医药考试科研课题青年专项课题(TE2023001);首都医科大学教育教学改革研究课题(2023JYY484);北京电力医院博士基金项目(Y2023003)。

摘　　要：目的 评价“下病上治”整脊法治疗腰骶后关节病的临床效果。方法 选取2020年10月至2022年5月中国中医科学院望京医院、首都医科大学电力教学医院、黑龙江中医药大学附属第二医院门诊治疗160例腰骶部后关节疾病患者,按照随机数字表法将其分为治疗组和对照组,每组80例。对照组采用推拿手法治疗,治疗组采用“下病上治”整脊法治疗,两组均治疗2个疗程。比较两组治疗前后视觉模拟评分法(VAS)评分与腰椎活动度。结果 治疗后,两组VAS评分较治疗前降低,且治疗组低于对照组(P<0.05)。治疗后,两组腰椎前屈、后伸、左侧屈、右侧屈、左旋转、右旋转均大于治疗前,且治疗组大于对照组(P<0.05)。治疗组临床疗效优于对照组(P<0.05)。结论“下病上治”整脊法治疗腰骶后关节病效果优于推拿手法治疗。Objective To evaluate the clinical effect of chiropractic treatment of lumbosacral posterior arthropathy by“treating lower diseases and upper treatment”.Methods A total of 160 patients with lumbosacral posterior arthropathy were selected from outpatient department of Wangjing Hospital of China Academy of Chinese Medical Sciences,Electric Power Teaching Hospital,Capital Medical University,and Second Affiliated Hospital,Heilongjiang University of Chinese Medicine from October 2020 to May 2022,and they were divided into treatment group and control group according to random number table method,with 80 cases in each group.The control group was treated by massage manipulation therapy,and the treatment group was treated by chiropractic treatment of“treating lower diseases and upper treatment”.Both groups were treated for two courses of treatment.The visual analogue scale(VAS) score and lumbar motion before and after treatment were compared between the two groups.Results After treatment,VAS scores of the two groups were lower than those before treatment,and those of the treatment group were lower than those of the control group(P<0.05).After treatment,lumbar anterior flexion,posterior extension,left flexion,right flexion,left rotation,and right rotation in both groups were greater than those before treatment,and those in the treatment group were greater than those in the control group(P<0.05).The clinical effect of the treatment group was better than that of the control group(P<0.05).Conclusion The efficacy of chiropractic method by “treating lower diseases and upper treatment”in the treatment of lumbosacral posterior arthropathy is better than the massage manipulation therapy.

关 键 词：“下病上治” 整脊法 腰骶后关节病 视觉模拟评分法 腰椎活动度 

分 类 号：R322.7[医药卫生—人体解剖和组织胚胎学]