清宫正骨手法治疗气滞血瘀型慢性非特异性腰痛的疗效分析  

Analysis of the Efficacy of Qinggong Zhenggu Manipulation on the Treatment of Chronic Non-Specific Low Back Pain of Qi Stagnation and Blood Stasis Type

作　　者：单郑鹏 赵海丰[1] 孙晶 SHAN Zhengpeng;ZHAO Haifeng;SUN Jing(Dalian Second People's Hospital,Dalian 116023,Liaoning China;National Pharmaceutical(Dalian)Rehabilitation Hospital,Dalian 116023,Liaoning China)

机构地区：[1]大连市第二人民医院,辽宁大连116023 [2]国药(大连)康复医院

出　　处：《中国中医骨伤科杂志》2024年第11期16-20,共5页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：大连市医学科学研究计划项目(20Z11010)。

摘　　要：目的:分析清宫正骨手法治疗气滞血瘀型慢性非特异性腰痛的疗效。方法:选取140例气滞血瘀型慢性非特异性腰痛患者,依照随机数字表法分为对照组和观察组(各70例),对照组给予常规运动训练支持,观察组给予清宫正骨手法干预,比较两组治疗效果。结果:治疗后,两组患者中医证候舌暗紫、脉弦紧、硬结、腰骶压痛评分均显著降低,且观察组各项评分显著低于对照组,差异有统计学意义(P<0.05)。可穿戴式步态分析系统分析结果显示,治疗后观察组患者运动学参数((膝、髋、踝)关节活动范围、(膝、髋)关节着地角度)、步态时空参数(步速、步长、步频、双支撑期)、地面反向作用力(内侧峰值、外侧峰值、前侧峰值、后侧峰值)均显著优于对照组,差异有统计学意义(P<0.05)。治疗后,观察组患者身体左旋、右旋、前屈、后伸、左侧屈、右侧屈角度显著大于对照组,差异有统计学意义(P<0.05)。结论:清宫正骨手法治疗气滞血瘀型慢性非特异性腰痛可显著改善患者中医证候评分,改善患者步态稳定性、连贯性及关节功能,促进患者身体活动能力恢复。Objective:To analyze the efficacy of Qinggong Zhenggu manipulation on the treatment of chronic non-specific low back pain(CNLBP)with Qi stagnation and blood stasis type.Methods:140 cases of CNLBP with Qi stagnation and blood stasis type patients were selected.They were divided into control group and observation group according to the randomized numerical table method,with 70 cases each group.The control group was given regular exercise training support,and the observation group was treated by Qinggong Zhenggu intervention.The treatment efficacy of the two groups were analyzed and compared.Results:After treatment,the traditional Chinese medicine(TCM)evidence scores of both groups were significantly reduced,and the scores of dark purple tongue,tight pulse,hard nodules,and lumbosacral pressure pain in the observation group were significantly lower than those in the control group(P<0.05).The results of the wearable gait analysis system showed that after treatment,the kinematic parameters of the patients in the observation group((knee,hip,ankle)joint range of motion,(knee,hip)joint landing angle),gait spatial-temporal parameters(step speed,step length,step frequency,double-support period),and ground reaction force(medial peak,lateral peak,anterior peak,posterior peak)were all significantly better than those of the control group.After treatment,the angles of left rotation,right rotation,forward flexion,backward extension,left lateral flexion and right lateral flexion were significantly greater in the observation group than that in the control group(P<0.05).Conclusion:Qinggong Zhenggu manipulation of CNLBP with Qi stagnation and blood stasis type can significantly improve the TCM evidence score,patients'gait stability,coherence and joint function,and promote the recovery of physical mobility.

关 键 词：慢性非特异性腰痛 清宫正骨手法 可穿戴式步态分析系统 身体活动能力 

分 类 号：R681.5[医药卫生—骨科学]