基于“筋骨并举”理论的推拿手法治疗“腰曲增大”型腰椎间盘突出症的临床观察  

Clinical observation of massage manipulation in the treatment of lumbar disc herniation of“in⁃creased lumbar curve”type based on the theory of“the importance of tendon and bone balance”

作　　者：叶盛 姜超 张宇 占茂林[2] Ye Sheng;Jiang Chao;Zhang Yu;Zhan Maolin(The First School of Clinical Medicine of Anhui University of Chinese Medicine,Hefei Anhui 230031;The First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei Anhui 230031)

机构地区：[1]安徽中医药大学第一临床医学院,安徽合肥2300031 [2]安徽中医药大学第一附属医院,安徽合肥230031

出　　处：《山西中医药大学学报》2024年第3期310-313,318,共5页Journal of Shanxi University of Chinese Medicine

基　　金：安徽省省级中医优势(特色)专科建设项目(皖中医药服务秘[2022]34号);安徽省卫生健康软科学研究项目(2020WR04006);安徽中医药大学临床科研项目(2021yfylc60)。

摘　　要：目的:评价基于“筋骨并举”理论的推拿手法治疗“腰曲增大”型腰椎间盘突出症(LDH)的临床疗效。方法:选取来自于安徽中医药大学第一附属医院推拿科门诊的70例“腰曲增大”型腰椎间盘突出症患者,采用随机数字表法分为观察组(35例)和对照组(35例),分别采用基于“筋骨并举”理论的推拿手法和常规理筋松解手法治疗2个疗程,观察其腰骶角角度、腰椎活动度、视觉模拟量表(VAS)评分、日本骨科协会评定量表(JOA)评分等情况。结果:观察组腰骶角角度减小程度优于对照组(P<0.05),腰椎活动度的改善程度优于对照组(P<0.05);观察组VAS评分、JOA评分均较治疗前明显改善,且优于对照组(P<0.05)。结论:基于“筋骨并举”理论的推拿手法治疗“腰曲增大”型腰椎间盘突出症可明显减小腰骶角角度,纠正腰曲增大,并缓解其临床症状,改善腰椎功能及活动度。Objective:To evaluate the clinical efficacy of massage manipulation in the treatment of lumbar disc herniation(LDH)of“increased lumbar curve”type based on the theory of“the importance of tendon and bone balance”.Methods:A total of 70 LDH patients of“increased lumbar curve”type from the outpatient department of massage of the First Affiliated Hospital of Anhui University of Chinese Medicine were selected and divided into observation group(35 cases)and control group(35 cases)by random number table method.The patients were treated with massage manipulation based on the theory of“the importance of tendon and bone balance”and conventional tendon release manipulation for 2 courses,respectively.The lumbosacral angle,lumbar range of motion,visual analogue scale(VAS)score,Japanese Orthopaedic Association(JOA)score and other conditions were observed.Results:The reduction of lumbosacral angle in the observation group was better than that in the control group(P<0.05),and the improvement of lumbar range of motion in the observation group was better than that in the control group(P<0.05).VAS scores and JOA scores in the observation group were significantly improved when compared with those before treatment,which were better than those in the control group(P<0.05).Conclusion:The massage manipulation in the treatment of LDH of“increased lumbar curve”type based on the theory of“the importance of tendon and bone balance”can significantly reduce the lumbosacral angle,correct the enlargement of lumbar curvature,relieve its clinical symptoms,and improve the function and mobility of lumbar spine.

关 键 词：腰椎间盘突出症 腰曲增大 “筋骨并举”推拿手法 临床疗效 

分 类 号：R284[医药卫生—中药学]