经筋刺络药罐法结合核心稳定训练治疗瘀血型产后腰痛疗效观察  

Therapeutic efficacy of meridian and tendon pricking plus medicinal pot combined with core stabilization training on postpartum backache of type of blood stasis

作　　者：江舟 彭东生 邱功瀚 刘娅婷 丁昀 韩旭翠 李凌龙 叶敏 何鹏[1] JIANG Zhou;PENG Dongsheng;QIU Gonghan;LIU Yating;DING Yun;HAN Xucui;LI Linglong;YE Min;HE Peng(Xiaogan Hospital,Wuhan University of Science and Technology,Xiaogan 432100,Hubei,China;Hubei Polytechnic Institute,Xiaogan 432100,Hubei,China)

机构地区：[1]武汉科技大学附属孝感医院,湖北孝感432100 [2]湖北职业技术学院,湖北孝感432100

出　　处：《现代中西医结合杂志》2024年第20期2800-2804,共5页Modern Journal of Integrated Traditional Chinese and Western Medicine

基　　金：孝感市自然科学计划资助项目(XGKJ2021010075)。

摘　　要：目的探讨经筋刺络药罐法结合核心稳定训练治疗瘀血型产后腰痛的效果。方法选取2021年9月—2023年9月就诊于武汉科技大学附属孝感医院康复医学科的瘀血型产后腰痛患者80例,随机分为对照组及观察组各40例。对照组予经筋刺络药罐法治疗,先对患者进行触诊标记,选取10个结筋病灶点进行刺络,刺络后采用祛瘀通经煎煮制的竹罐进行拔罐治疗,刺络药物罐每4 d治疗1次,共治疗6次;观察组在对照组治疗基础上予核心稳定训练,每天训练1 h,每周训练5 d,连续训练3周。比较2组患者治疗前后疼痛数字分级法(NRS)评分、Oswestry功能障碍指数问卷(ODI)评分、指地距离(FFD)、躯干肌群耐力及盆底表面肌电。结果治疗后2组NRS、ODI评分及FFD均较治疗前明显降低(P均<0.05),且观察组均明显低于对照组(P均<0.05);治疗后观察组屈/伸及双侧方肌群耐力、盆底肌快肌最大值及慢肌平均值均明显高于治疗前及对照组(P均<0.05);观察组治疗总有效率明显高于对照组[92.5%(37/40)比82.5%(33/40),P<0.05]。结论经筋刺络药罐法结合核心稳定训练能显著改善瘀血型产后腰痛,提高躯干肌群耐力,促进盆底肌修复,恢复腰部功能。Objective It is to explore the effect of meridian and tendon pricking plus medicinal pot combined with core stabilization training in the treatment of postpartum backache of type of blood stasis.Methods Eighty patients with postpartum backache of type of blood stasis who visited the Department of Rehabilitation Medicine of Xiaogan Hospital Affiliated to Wuhan University of Science and Technology from September 2021 to September 2023 were selected and randomly divided into 40 cases in the control group and 40 cases in the observation group.The control group was treated with meridian and tendon pricking plus medicinal pot,firstly,the patients were marked by palpation,10 knot tendon lesion points were selected for pricking,and after that,they were treated with bamboo cans boiled with Chinese drugs for dispelling stasis and unblocking meridian for cupping,treated once every 4 days,totally treated for 6 times;the observation group was given core stabilization training on the basis of the treatment of the control group,training for 1 h per day and 5 days per week,continuously training for 3 weeks.The pain scores of numerical rating scale(NRS),scores of Oswestry Dysfunction Index(ODI),Finger Force Distance(FFD),trunk muscle endurance and pelvic floor surface electromyography(PFSEM)of patients in the two groups were compared before and after the treatment.Results The NRS scores,ODI scores and FFD of the two groups were significantly lower than those before treatment(all P<0.05),and the indexes of the observation group were obviously lower than those of the control group(all P<0.05).After treatment,the endurances of flexion/extension muscle group and bilateral lateral quadratus muscle group,the maximal value of the fast pelvic floor muscles and the average value of the slow pelvic floor muscles of the observation group were significantly higher than those before treatment and of the control group(all P<0.05).The total effective rate of the observation group was significantly higher than that of the control group[92.5%(37/

关 键 词：产后腰痛 瘀血型 经筋刺络药罐法 核心稳定训练 盆底表面肌电 

分 类 号：R714.46[医药卫生—妇产科学]