[1]毛舒石,刘洋,张世民,等.基于阳病治阴理论提托疏筋手法治疗腰椎间盘突出症66例[J].中国中医骨伤科杂志,2025,33(06):28-33.[doi:10.20085/j.cnki.issn1005-0205.250605]
　MAO Shushi,LIU Yang,ZHANG Shimin,et al.66 Cases of Lumbar Intervertebral Disc Herniation Treated with Tituoshujin Manipulation Based on the Theory of Yang Disease Treated through Yin[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(06):28-33.[doi:10.20085/j.cnki.issn1005-0205.250605]
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基于阳病治阴理论提托疏筋手法治疗腰椎间盘突出症66例()

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

卷:
第33卷
期数:
2025年06期
页码:
28-33
栏目:
临床研究
出版日期:
2025-06-15

文章信息/Info

Title:
66 Cases of Lumbar Intervertebral Disc Herniation Treated with Tituoshujin Manipulation Based on the Theory of Yang Disease Treated through Yin
文章编号:
1005-0205(2025)06-0028-06
作者:
毛舒石1; 刘洋2; 张世民1; 杨灿1; 李锐1; 邱佳明1; 张琰朕1; 胡滟琦1; 郝俊涛1; 靳蛟1; 张兆杰1
1中国中医科学院望京医院(北京,100102) 2北京中医药大学东方医院
Author(s):
MAO Shushi1; LIU Yang2; ZHANG Shimin1; YANG Can1; LI Rui1; QIU Jiaming1; ZHANG Yanzheng1; HU Yanqi1; HAO Juntao1; JIN Jiao1; ZHANG Zhaojie1
1Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing 100102,China; 2Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China.
关键词:
腰椎间盘突出症;  腰痛;  推拿;  疏筋手法;  提托疏筋手法;  竖脊肌;  表面肌电图
Keywords:
lumbar disc herniation;  lumbago;  acupressure;  tendon sparing maneuver;  Tituoshujin manipulation;  erector spinae muscle;  surface electromyography
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.250605
文献标志码:
A
摘要:
目的:分析评估提托疏筋手法治疗腰椎间盘突出症(LDH)的临床疗效,并基于表面肌电图(sEMG)评估腰椎间盘突出症患者竖脊肌疲劳程度。方法:选取符合纳入标准的腰椎间盘突出症患者66例作为研究对象,借助中央随机系统随机分为观察组和对照组。观察组患者采用提托疏筋手法治疗,对照组患者采用传统手法治疗,总疗程为2周。于治疗前和治疗2周后记录患者视觉模拟量表(VAS)评分、患者报告结局(PRO)评分及L3/4竖脊肌同侧表面肌电图变化。结果:两组患者基线数据差异无统计学意义(P>0.05),具有可比性; 治疗后结局指标,每个随访时间点与治疗前比较差异均有统计学意义,其他各随访时间点之间差异均有统计学意义(P<0.001); 两组患者患者报告结局评分每个随访时间点与治疗前比较,差异均有统计学意义,且各随访时间点之间差异均有统计学意义(P<0.001); 治疗前后腰椎L3/4同侧竖脊肌表面肌电图指标观察组较对照组增加更为显著,差异有统计学意义(P<0.05)。观察组患者总有效率为93.9%,对照组患者为78.8%,差异有统计学意义(P<0.01)。结论:提托疏筋手法通过在腰痛相反部位腹部行手法治疗腰椎间盘突出症,在降低竖脊肌疲劳程度、改善竖脊肌的收缩功能方面相比对照组有显著优势,值得推广和进一步深入研究。
Abstract:
Objective:To analyze and evaluate the clinical efficacy of Tituoshujin manipulation in the treatment of lumbar disc herniation(LDH)and to assess the degree of fatigue of erector spinae muscle in patients with LDH based on surface electromyograph(sEMG).Methods:66 patients with lumbar disc herniation who met the inclusion criteria were selected as study subjects and randomly divided into the observation group and the control group.The observation group was given Tituoshujin manipulation,and the control group was given traditional manipulation,with a total treatment course of 2 weeks.The patients' visual analogue scale(VAS)scores,patient-reported outcomes(PRO)scores and L3/4 erector spinae ipsilateral surface electromyography changes were recorded before and after 2 weeks of treatment.Results:The differences between the baseline data of the two groups were not statistically significant(P>0.05)and were comparable.Outcome indexes after treatment,the differences between each follow-up time point and before treatment were statistically significant,and there were statistically significant differences between each of the other follow-up time points(P<0.001).The differences between each of the two groups of PRO scores at each follow-up time point compared with the pre-treatment time point were statistically significant and there were statistically significant differences between each follow-up time point(P<0.001).The differences between each of the two groups of PRO scores at each follow-up time point and before treatment,there were statistically significant differences between the two groups at each follow-up time point compared with the pre-treatment time point(P<0.001).The increase in surface electromyographic indexes of the lumbar L3/4 ipsilateral erector spinae muscle before and after treatment was more significant in the observation group than in the control group,and the difference was statistically significant(P<0.05).Conclusion:Tituoshujin manipulation has a significant advantage over traditional manipulation in reducing fatigue of the erector spinae muscle and improving the contraction function of the erector spinae muscle in comparison with the control group,which is worthy of popularization and further in-depth research.

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更新日期/Last Update: 2025-06-15