[1]王亮,夏翀△,宋鸿权,等.基于“腰腹同治”理论推拿治疗腰椎间盘突出症的临床研究[J].中国中医骨伤科杂志,2025,33(05):47-51.[doi:10.20085/j.cnki.issn1005-0205.250510]
 WANG Liang,XIA Chong,SONG Hongquan,et al.Clinical Study on the Treatment of Lumbar Disc Herniation by Tuina Based on the Theory of “Simultaneous Treatment of Waist and Abdomen”[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(05):47-51.[doi:10.20085/j.cnki.issn1005-0205.250510]
点击复制

基于“腰腹同治”理论推拿治疗腰椎间盘突出症的临床研究()
分享到:

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年05期
页码:
47-51
栏目:
临床研究
出版日期:
2025-05-05

文章信息/Info

Title:
Clinical Study on the Treatment of Lumbar Disc Herniation by Tuina Based on the Theory of “Simultaneous Treatment of Waist and Abdomen”
文章编号:
1005-0205(2025)05-0047-05
作者:
王亮1夏翀1△宋鸿权2王恺骐2
1杭州市富阳中医骨伤医院(杭州,311400); 2浙江省中医院
Author(s):
WANG Liang1XIA Chong1△SONG Hongquan2WANG Kaiqi2
1Fuyang Traditional Chinese Medicine Bone Injury Hospital,Hangzhou 311400,China; 2Zhejiang Hospital of Traditional Chinese Medicine,Hangzhou 318000,China.
关键词:
腰椎间盘突出症 腰腹同治 推拿
Keywords:
lumbar disc herniation simultaneous treatment of waist and abdomen massage
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.250510
文献标志码:
A
摘要:
目的:通过观察“腰腹同治”推拿方法治疗腰椎间盘突出症,评估该方法的治疗有效性、安全性、实用性,为治疗腰椎间盘突出症提供新的治疗思路。方法:将70例腰椎间盘突出症患者随机分为两组,对照组为常规推拿治疗,观察组为腰腹同治推拿治疗,统计两组治疗前后的Oswestry功能障碍指数(ODI)评分、日本骨科协会(JOA)评分及炎症因子指标。结果:两组患者经治疗后,症状较治疗前相比均有明显改善,差异有统计学意义(P<0.05),其中对照组总有效率为82.86%,观察组总有效率为91.43%。结论:腰腹同治推拿和常规推拿手法治疗都能够明显缓解腰椎间盘突出症患者的疼痛、改善腰椎功能障碍和提升生活质量,腰腹同治推拿有效率要优于常规推拿治疗。
Abstract:
Objective:To evaluate the efficacy,safety and practicability of “simultaneous treatment of waist and abdomen” massage in the treatment of lumbar disc herniation,and to provide a new treatment idea for lumbar disc herniation.Methods:A total of 70 patients with lumbar disc herniation were randomly divided into two groups,one group was the conventional massage treatment(control group),and the other group was the simultaneous treatment of waist and abdomen(observation group).The ODI score,JOA evaluation treatment score and inflammatory factors of the two groups before and after treatment were statistically analyzed.Results:After treatment,the symptoms of the two groups were significantly improved compared with those before treatment.The total effective rate of the control group was 82.86%,and the total effective rate of the observation group was 91.43%.Conclusion:Simultaneous treatment of waist and abdomen and conventional massage can effectively relieve the pain of patients with lumbar disc herniation,improve lumbar dysfunction and improve the quality of life,among which the effective rate of simultaneous treatment of waist and abdomen is better than conventional massage therapy.

参考文献/References:

[1] 世界中医药学会联合会骨质疏松专业委员会.腰椎间盘突出症中西医结合诊疗专家共识[J].世界中医药,2023,18(7):945-952.
[2] 陈金田,孙武权.腰椎间盘突出症的生物力学特性及中医药治疗研究进展[J].中医临床研究,2023,15(4):110-113.
[3] 王永胜,陈有,倪文璐,等.保守治疗对腰椎间盘突出症患者坐骨神经直径及下肢痛的影响[J].颈腰痛杂志,2020,41(2):216-218.
[4] 胡有谷.腰椎间盘突出症[M].5版.北京:人民卫生出版社,2023.
[5] 谭军,郝定均.麦氏腰背痛[M].4版.北京:人民军医出版社,2009.
[6] 韦佳佳,赖福崇,李文豪,等.腰椎间盘突出引发疼痛的机制研究进展[J].中国当代医药,2018,25(36):17-20.
[7] 贾松涛,武佐元,乔兆辉,等.调督理筋针法结合推拿治疗腰椎间盘突出症的疗效研究[J].河北中医药学报,2021,36(3):33-36.
[8] 应海芬,黄芳,王力,等.腰痛一号方联合弯腰旋转扳法治疗椎间盘源性腰痛疗效观察[J].中国中医急症,2024,33(9):1596-1599.
[9] 康晓乐,鹿洪辉,陈江,等.益肾活血舒筋方联合椎间孔镜治疗肾虚血瘀型腰椎间盘突出症的临床疗效及对IL-1β、IL-6,PGE2、5-HT 的影响[J].世界中西医结合杂志,2021,16(7):1184-1188.
[10] LARIVIÈRE C,BOUCHER J A,MECHERI H,et al.Maintaining lumbar spine stability:a study of the specific and combined effects of abdominal activation and lumbosacral orthosis on lumbar intrinsic stiffness[J].The Journal of Orthopaedic and Sports Physical Therapy,2019,49(4):262-271.
[11] GRENIER S G,MCGILL S M.When exposed to challenged ventilation,those with a history of LBP increase spine stability relatively more than healthy individuals[J].Clinical Biomechanics,2008,23(9):1105-1111.
[12] LEE J,KIM D,SHIN Y,et al.Comparison of core stabilization techniques on ultrasound imaging of the diaphragm,and core muscle thickness and external abdominal oblique muscle electromyography activity[J].Journal of Back and Musculoskeletal Rehabilitation,2022,35(4):839-847.
[13] 乔磊,白玉,付爱玲.腹针配合针刺肾俞、大肠俞治疗腰椎间盘突出症临床研究[J].新中医,2022,54(9):184-188.
[14] 谢志勇,白金山,见国繁,等.中西医治疗腰椎间盘突出症研究进展[J].中国中医药现代远程教育,2021,19(23):196-198.
[15] 李鹏飞,张伟强,韦佳佳,等.推拿手法治疗腰椎间盘突出症临床疗效Meta分析[J].针灸临床杂志,2019,35(7):51-56.
[16] 周智毅,张亚峰,周悦,等.量化X线测量技术评估脊柱推拿手法对腰椎稳定性的影响[J].中国中医骨伤科杂志,2018,26(1):10-16.
[17] DU H G,LIAO S H,JIANG Z,et al.Biomechanical analysis of press-extension technique on degenerative lumbar with disc herniation and staggered facet joint[J].Saudi Pharmaceutical Journal,2016,24(3):305-311.
[18] 史鹏博,李沛,张仲博,等.平乐郭氏正骨理筋手法改善腰椎间盘突出症患者腰背肌生物力学性能研究[J].上海中医药大学学报,2017,31(5):51-55.

备注/Memo

备注/Memo:
基金项目:浙江省中医药科技计划项目(2024ZL821)
通信作者 E-mail:395641411@qq.com
更新日期/Last Update: 2025-05-15