基于"经筋理论"运用密集温针灸联合推拿治疗慢性腰肌劳损的临床研究OA
Clinical research on the treatment of chronic lumbar muscle strain using intensive warm acupuncture based on the"theory of meridian sinews"combined with massage
目的 探索在慢性腰肌劳损患者中应用基于"经筋理论"的密集温针灸联合推拿治疗效果.方法 选取 2023年7 月至 2024 年 9 月福建中医药大学附属南平市人民医院收治的 70 例慢性腰肌劳损患者作为研究对象,按照随机数字表法分为治疗组(35例)和对照组(35例).治疗组采用密集温针灸+推拿治疗,对照组采用塞来昔布胶囊+推拿治疗.比较两组治疗前后的Oswestry功能障碍指数(ODI)、L5 多裂肌厚度、视觉模拟评分法(VAS)评分、腰部活动度和生活质量评分.结果 治疗组的治疗总有效率高于对照组,差异有统计学意义(P<0.05);治疗后,治疗组VAS评分和ODI低于对照组,治疗组前屈、后伸、左侧屈、右侧屈、左旋转、右旋转活动度、L5 多裂肌厚度高于对照组,差异有统计学意义(P<0.05);治疗后及治疗后 3 个月,治疗组生活质量评分高于对照组,差异有统计学意义(P<0.05).结论 基于"经筋理论"运用密集温针灸联合推拿治疗可以减轻疼痛及增强腰背肌功能,临床疗效显著.
Objective To explore the therapeutic effect of intensive warm acupuncture based on the"theory of meridian sinews"combined with massage in patients with chronic lumbar muscle strain.Methods A total of 70 patients with chronic lumbar muscle strain admitted to Nanping People's Hospital Affiliated to Fujian University of Chinese Medicine from July 2023 to September 2024 were selected as the research subjects and divided into the treatment group(35 cases)and the control group(35 cases)according to the random number table method.The treatment group was treated with intensive warm acupuncture and massage,while the control group was treated with Celecoxib Capsules and massage.The Oswestry disability index(ODI),L5 multifidus muscle thickness,visual analogue scale(VAS)score,lumbar range of motion and quality of life score of the two groups before and after treatment were compared.Results The total effective rate of treatment in the treatment group was higher than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the VAS score and ODI of the treatment group were lower than those of the control group,while the range of motion of flexion,extension,left flexion,right flexion,left rotation and right rotation,and the thickness of the L5 multifidus muscle in the treatment group were higher than those in the control group,and the differences were statistically significant(P<0.05).After treatment and 3 months after treatment,the quality of life scores of the treatment group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The application of intensive warm acupuncture based on the"theory of meridian sinews"combined with massage can alleviate pain and enhance the function of the lumbar and back muscles,with remarkable clinical efficacy.
张凯丹;王祖杰;郑彩云
福建中医药大学附属南平市人民医院康复推拿科,福建 南平 353000福建中医药大学附属南平市人民医院康复推拿科,福建 南平 353000福建中医药大学附属南平市人民医院康复推拿科,福建 南平 353000
医药卫生
慢性腰肌劳损经筋理论密集温针推拿腰部多裂肌
Chronic lumbar muscle strain"Theory of meridian sinews"Intensive warm needle acupunctureMassageLumbar multifidus muscle
《中国当代医药》 2026 (5)
59-63,5
福建中医药大学校管科研课题(XB2023144).
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