老年医学与保健2017，Vol.23Issue(6)：535-538,4.
一指禅推拿手法治疗老年坐骨神经损伤患者的疗效观察
Curative Effect of One Finger Massage on the Elderly with Sciatic Nerve Injury
摘要
Abstract
Objective To evaluate the curative effect of one finger massage on the elderly with sciatic nerve injury and its safety.Methods 126 elderly with sciatic nerve injury,71 male and 55 female,were randomly divided into 2 groups:treatment group (n=64) and control group (n=62);basic western medicine treatment was applied to the elderly in both groups while one finger massage was added to the elderly in treatment group;the courses of the 2 groups both lasted for 4 weeks;main clinical recovery rate (MCRR),electromyography (EMG),motor nerveconductionvelocity (MCV),sensory nerve conduction velocity.(SCV) and visual analogue score (VAS) of all the elderly in the 2 groups before and after treatment were recorded.Results After treatment,MCRR scores in treatment group increased much more than those in control group [(6 cases of excellent,34 cases of good,14 cases of general and 10 cases of poor) vs (3 cases in excellent,12 cases of good,18 cases in general and 29 cases in poor),P=0.000];the EMG changes in treatment group were bigger than those in control group [(6 cases of nerve lose potential and 34 cases of regeneration potential) vs (32 cases of nerve lose potential and 14 cases of regeneration potential),P=0.001] and the action potential in mixed phase increased more [(35 cases of mixed phase,16 cases of pure phase and 13 cases of inability to contract) vs (12 cases of mixed phase,29 cases of pure phase and 21 cases of inability to contract),P=0.000];MCV values in treatment group also increased more than those in control group [nervusperoneuscommunis:(57.27±4.32) vs (49.58-t-4.05),P=0.037;tibialnerve:(48.36±3.56) vs (39.48±4.13),P=0.035],as well as SCV values [superficial peroneal nerve:(49.17±4.21) vs (41.43±4.00),P=0.047;deep peroneal nerve:(51.45±4.70) vs (40.27±4.58),P=0.043];VAS scores in treatment group decreased [(1.56±0.50) vs (3.65 ±0.73),P=0.003].Conclusions One finger massage can promote the recovery of neurological function and improve the quality of life of the elderly with sciatic nerve injury.关键词
推拿/坐骨神经损伤/疗效比较研究Key words
massage/sciatic neuropathy/comparative effectiveness research引用本文复制引用
卢新刚,喻立炜,苟海昕,安丙辰,陈敬贤,陆城华,孙书焰,朱鼎成..一指禅推拿手法治疗老年坐骨神经损伤患者的疗效观察[J].老年医学与保健,2017,23(6):535-538,4.基金项目
上海市科学技术委员会项目(13401907000) （13401907000）
上海市进一步加快中医药事业发展三年行动计划(2014-2016) (ZY3-FWMS-2-1009) （2014-2016）
上海市中医药“杏林新星”行动计划(2015-2017)(ZY3-RCPY-2-2031) （2015-2017）
