史珊怡,关睿骞,于志国
SHI Shanyi,GUAN Ruijian,YU Zhiguo

• 1:黑龙江中医药大学附属第二医院治未病科
• 2:黑龙江中医药大学附属第二医院推拿四科

摘要(Abstract)：

目的:探讨五段拔伸推拿法联合中药热敷对腰椎间盘突出症(LDH)的治疗效果。方法:120例LDH患者均分为对照组(采用五段拔伸推拿法治疗)和研究组(采用五段拔伸推拿法联合中药热敷治疗),比较两组患者治疗前及治疗28 d时的VAS疼痛评分及JOA腰背痛评分、腰背伸肌群生物力学指标(腰背伸状态下峰力矩、平均功率及腰背屈伸比),比较两组患者治疗28 d时的临床治疗效果。结果:治疗前,两组患者VAS、JOA评分,腰背伸状态下的峰力矩、平均功率及腰背屈伸比较,差异无统计学意义(P> 005);治疗28 d时,两组患者VAS评分、腰背屈伸比较治疗前显著降低,JOA评分、峰力矩及平均功率较治疗前显著升高(P<005),研究组患者VAS评分和腰背屈伸比显著低于对照组患者,JOA评分、峰力矩及平均功率显著高于对照组患者,差异有统计学意义(P<005),临床治疗效果显著高于对照组,差异有统计学意义(Z=20341,P<001)。结论:五段拔伸推拿法联合中药热敷对LDH的治疗效果优于单一的五段拔伸推拿法,患者症状改善较为明显。
Objective: To investigate the effect of five-stage stretching & massage combined with hotcompress using traditional Chinese medicine on patients with lumbar disc herniation( LDH).Methods: One hundred and twenty patients with LDH were divided into the control group(treated byfive-segment extension massage) and the study group( treated by five-stage stretching & massagecombined with hot compress using traditional Chinese medicine). At 28 days after the treatment, VASpain score, JOA low back pain score, biomechanical indexes of lumbar dorsal extensor group(peaktorque in the extensor state, average power and the ratio of flexion to extension) were recorded andcompared.Results: Before treatment, there were no significant differences in VAS, JOA scores andbiomechanical indexes(P> 0. 05). After the treatments, VAS scores and the ratios of flexion toextension were decreased, while JOA scores, peak torque and average power were increased(P<0. 05). Moreover, VAS scores and the ratios of flexion to extension were lower in study group thanthose in control group(P< 0. 05). Furthermore, JOA scores, peak torque and average power were higher in study group than those in control group(P< 0. 05). The clinical effect was significantlybetter in study group than that in control group(Z= 20.341,P< 0. 01).Conclusion: The five-stagestretching & massage combined with traditional hot compress using Chinese medicine is better than thefive-stage stretching & massage alone in treating patients with LDH.

关键词(KeyWords)： 中药;生物力学;五段拔伸推拿法;热敷;腰椎间盘突出症;疼痛程度;腰背伸肌群
drugs,Chinese herbal;biomechanics;five-stage stretching & massage;hot compress;lumbar disc herniation(LDH);degree of pain;lumbar dorsal extensor group

Abstract:

Keywords:

基金项目(Foundation): 黑龙江省中医药科研项目(ZHY19-050)

作者(Author): 史珊怡,关睿骞,于志国
SHI Shanyi,GUAN Ruijian,YU Zhiguo

DOI: 10.19367/j.cnki.1000-2707.2020.02.020

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