整脊疗法治疗脊源性胃脘痛效果的研究  

Effect of chiropractic therapy for spinal epigastric pain

作　　者：段进强 陈志新 胡鹏 张晓亮 张炜 王允 DUAN Jin-qiang;CHEN Zhi-xin;HU Peng;ZHANG Xiao-liang;ZHANG Wei;WANG Yun

机构地区：[1]军事体育训练中心三大队运动医学室,北京100072 [2]中国人民解放军联勤保障部队第九〇〇医院烧伤整形科,福建福州350025

出　　处：《中国疗养医学》2024年第2期80-84,共5页Chinese Journal of Convalescent Medicine

摘　　要：目的探究整脊疗法治疗脊源性胃脘痛的临床效果。方法采用回顾性队列研究方法,选择2017年12月至2022年12月在军事体育训练中心运动医学室治疗的脊源性胃脘痛患者,严格按照入排标准筛选,共纳入129例患者,根据治疗方法分为整脊治疗组(n=68)和推拿治疗组(n=61),整脊治疗组主要采用整脊疗法,推拿治疗组主要采用推拿疗法。观察两组治疗效果。结果治疗后与推拿治疗组相比,整脊治疗组胃脘痛证候评分和视觉模拟疼痛评分法(VAS)评分均更低,治疗总有效率更高,差异均有统计学意义(P<0.05)。此外,整脊治疗组胁肋胀痛、反酸、消极不寐等次要症状评分显著低于推拿治疗组(P<0.05),而嗳气呃逆、纳呆不适症状评分差异无统计学意义(P>0.05)。汉密尔顿焦虑抑郁量表结果显示,整脊治疗组焦虑量表评分显著低于推拿治疗组(P<0.05),两组抑郁量表评分差异无统计学意义(P>0.05)。结论整脊疗法能够有效缓解胃脘痛主要症状及胁肋胀痛、反酸、消极不寐等症状,减轻疼痛水平,提高治疗总有效率,减轻患者焦虑水平,安全便捷。Objective To explore the clinical effect of chiropractic therapy on spinal epigastric pain.Methods It was a retrospective cohort study involving patients with spinal epigastric pain who were treated in the Sports Medicine Room of Military Sports and Physical Training Center from December 2017 to December 2022.A total of 129 eligible patients were selected according to the inclusion criteria.They were divided into the chiropractic treatment group(n=68)and the massage treatment group(n=61),according to the treatment methods.Patients in the chiropractic treatment group were treated with chiropractic therapy,and those in the massage treatment group were treated with massage therapy.The therapeutic effect of the two groups was observed.Results After treatment,patients in the chiropractic treatment group presented significantly lower epigastric pain syndrome score and Visual Analogue Scale(VAS)score,but significantly higher total therapeutic efficacy than those of the massage treatment group(P<0.05).In addition,the syndrome scores of secondary symptoms,such as hypochondriac pain,acid reflux and passive sleepless in the chiropractic treatment group were significantly lower than those of the massage treatment group(P<0.05).There were no significant differences in the syndrome scores of the symptoms of belching hiccup and numbness discomfort between groups(P>0.05).The Hamilton Anxiety Rating Scale(HAMA)score was significantly lower in the chiropractic treatment group than that of the massage treatment group(P<0.05),while the Hamilton Depression Rating Scale(HDRS)score was comparable between groups(P>0.05).Conclusion Chiropractic therapy can effectively relieve the main symptoms of spinal epigastric pain and assist to relieve symptoms of hypochondrium distending pain,acid reflux,and passive insomnia.It also contributes to reduce the pain degree and anxiety level,and enhance the total effective rate of treatment with high safe and convenient.

关 键 词：脊源性胃脘痛 整脊疗法 治疗效果 

分 类 号：R24[医药卫生—中医临床基础]