摘要
Abstract
Objective To explore the curative effects of sacral injection plus strong stimulation massage on tender points in treating acute lumbar sprain. Methods 120 patients diagnosed with acute lumbar sprain and treated from January 2010 to May 2011 in the Department of Rehabilitation Medicine, Guangdong No. 2 Provincial People's Hospital were enrolled in the study, all the patients being informed and having agreed on the treating plan. They were randomly divided into four groups: sacral injection therapy ( SIT ) group, strong stimulation massage tender points ( SSMTP ) group, physiotherapy group and integrated group with 30 patients in each group. Patients in the SIT group received injection of 20 mi's mixed liquor of 0. 9% sodium chloride lidocaine and dexamethasone, 1 time. Patients in the SSMTP group were checked waist, scaral, buttocks and legs by tender point examination method recommended by Soft Tissues Surgery Association and treated by twice of strong stimulation massage tender points, every 3 days. Patients in the integrated group received integrated treatment above. The strong stimulation massage tender points treatment was performed immediately after injection once, and once again after 3 ~4 days. Patients in the physiotherapy group received integrated treatment of Ultra - short wave and dynamic interference power once every day, and for seven times totally. All the patients were accessed by M - JOA and VAS before injection, after injection immediately and after 1 week and the results were compared from the aspect of clinical curative effect afterwards. Results 116 patients were finally involved in the result analysis. Before treatment, their M -JOA and VAS scores in the four groups were not significantly different ( P > 0. 05 ); Their VAS scores immediately after treatment were significantly different ( P < 0. 05 ), and the differences between physiotherapy group and other three groups were all significant ( P < 0. 05 ); M - JOA scores being compared between the four groups, the differences were not significant ( P >0. 05 ). One week after the treatment, VAS scores and M - JOA scores being compared between the four groups, the differences were all significant ( P < 0. 05 ); the improving rate being compared, the difference was significant ( P < 0. 01 ). Conclusion SIT, SSMTP, and physiotherapy all have good effects on acute lumbar sprain, but the integrated method by SIT and SSMTP has the advantages of rapid acesodyne and quick recovery, so the integrated treatment has the best curative effect and deserving clinical priority.关键词
急性腰扭伤/骶管注射治疗/压痛点/推拿/物理疗法Key words
Acute lumbar sprain/ Sacral injection therapy/Tender points/Tuina/Physical therapy分类
医药卫生
