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"理任调督"推拿手法结合热敏灸治疗腰椎间盘突出症的效果观察OACSTPCD

Effect of massage manipulation for coordinating Ren and Du meridians combined with heat-sensitive moxibustion in the treatment of lumbar disc herniation

中文摘要英文摘要

目的:探讨"理任调督"推拿手法结合热敏灸治疗腰椎间盘突出症的效果.方法:选择2021年2月~2022年2月我院接受的92例腰椎间盘突出症(Lumbar disc herniation,LDH)患者,按随机数字表法将LDH患者分为2组.对照组46例实施常规治疗方法,观察组46例在此基础上进行"理任调督"推拿手法结合热敏灸治疗.比较治疗前和治疗2周后2组的总体疗效、中医证候积分、腰椎功能评分和腰椎前屈、后伸最大肌力值.结果:治疗后,观察组的总有效率显著高于对照组;治疗后,中医证候积分的主证、次证及总分均低于对照组(P<0.05);治疗后,观察组视觉模拟(Visual Analogue Scale,VAS)评分低于对照组,日本骨科协会腰痛(Japanese Orthopaedic Association,JOA)、功能障碍(Oswestry Disability Index,ODI)评分高于对照组(P<0.05);治疗后,观察组腰椎前屈、后伸最大肌力值均大于对照组(P<0.05).结论:"理任调督"推拿手法结合热敏灸的治疗手段在LDH患者中治疗效果明显,患者疼痛程度明显减轻,腰椎功能也明显改善,有利于患者早日恢复.

Objective:To investigate the effect of massage manipulation for coordinating Ren and Du meridians combined with heat-sensitive moxibustion in the treatment of lumbar disc herniation(LDH).Methods:A total of 92patients with LDH ad-mitted to the hospital from February 2021to February 2022were selected,and divided them into 2groups by random number table method with 46patients in each group.Patients in the control group were given conventional treatment,and those in the observa-tion group were given massage manipulation for coordinating Ren and Du meridians combined with heat-sensitive moxibustion on this basis.The overall curative effect,TCM syndrome scores,lumbar function score,and maximal muscle strength of lumbar anti-flexion and retroextension were compared between the groups.Results:The total effective rate in the observation group was signifi-cantly higher than that in the control group.After treatment,the Visual Analogue Scale(VAS)score of the observation group was lower than that of the control group,and the Japanese Orthopaedic Association(JOA)score and Oswestry Disability Index(ODI)score were higher than those of the control group(P<0.05).After treatment,the maximal muscle strength of lumbar antiflexion and retroextension in the observation group was larger than that in the control group(P<0.05).Conclusion:Massage manipula-tion for coordinating Ren and Du meridians combined with heat-sensitive moxibustion is effective in the treatment of patients with LDH.It can significantly relieve pain and improve lumbar function in the patients,which is conducive to early recovery.

王孝维;张敏;周靖方

六安市中医院康复二科,安徽六安 237006

中医学

推拿手法热敏灸腰椎间盘突出症疼痛腰椎功能

Massage manipulationHeat-sensitive moxibustionLumbar disc herniationPainLumbar function

《四川中医》 2024 (003)

190-193 / 4

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