[1]王亮,宋鸿权△,杜红根.一次正骨推拿治疗腰椎间盘突出症及其对表面肌电图的影响[J].中国中医骨伤科杂志,2018,26(12):9-12.
 WANG Liang SONG Hongquan DU Honggen.Treatment of Lumbar Disc Herniation with One-time Bone Setting Massage Manipulation and Its Effect on Surface Electromyography[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(12):9-12.
点击复制

一次正骨推拿治疗腰椎间盘突出症及其对表面肌电图的影响()
分享到:

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

卷:
第26卷
期数:
2018年12期
页码:
9-12
栏目:
临床研究
出版日期:
2018-12-03

文章信息/Info

Title:
Treatment of Lumbar Disc Herniation with One-time Bone Setting Massage Manipulation and Its Effect on Surface Electromyography
文章编号:
1005-0205(2018)12-0009-04
作者:
王亮1宋鸿权1△杜红根2
1浙江省中医药大学第一临床医学院(杭州,310053) 2浙江省中医院 通信作者 E-mail:395641411@qq.com
Author(s):
WANG Liang1 SONG Hongquan1△ DU Honggen2
1Zhejiang Chinese Medical University, Hangzhou 310053, China; 2Zhejiang Province Traditional Chinese Medical Hospital, Hangzhou 310053, China.
关键词:
一次正骨推拿 腰椎间盘突出症 表面肌电
Keywords:
one-time bone setting massage manipulation lumbar disc herniation surface electromyography
分类号:
R681.5
文献标志码:
A
摘要:
目的:观察一次正骨推拿手法对腰椎间盘突出症的治疗效果并观察其对患者的表面肌电图的影响,为进一步治疗腰椎间盘突出症和探讨其发病机制提供依据。方法:对70例患者分为一次正骨推拿组、普通推拿组,每组35例,分别进行治疗,采用丹麦产Keypoint台式肌电-诱发电位仪,检测治疗前后,双侧腰部竖脊肌肌电图的中位频率(MF),最终分析得出中位频率的斜率(MFs)。结果:一次正骨推拿组总有效率为87%,普通推拿治疗组总有效率为80%.治疗前患侧腰部竖脊肌MFs较健侧显著增大,治疗后腰部竖脊肌MFs的显著降低,治疗前后比较差异有统计学意义(P<0.05)。结论:一次正骨推拿对腰椎间盘突出症患者的腰部竖脊肌功能有明显的改善作用。
Abstract:
Objective: To observe the therapeutic effect of one-time bone setting massage manipulation on lumbar disc herniation and its influence on surface electromyography(EMG)of the patients, so as to provide basis for further treatment of lumbar disc herniation and to explore its pathogenesis. Methods: All 70 patients were divided into one-time bone setting massage group and general massage group, 35 patients in each group were treated respectively. Median Frequency(MF)of bilateral lumbar erector spine EMG was measured by Keypoint desktop EMG-evoked potential meter made in Denmark before and after treatments. Slop of median frequency was obtained by final analysis(Slope of Median Frequency, MFs). Results: The total effective rate was 87% in one-time bone setting massage group and 80% in the general massage group. Before treatment, MFs of lumbar erector spine muscle on the affected side increased significantly compared with that on the healthy side. After treatment, MFs of lumbar erector spine muscle decreased significantly(P<0.05). Conclusion:It is further proved that one-time bone setting massage can significantly improve the lumbar erector spine muscle function in patients with lumbar intervertebral disc herniation.

参考文献/References:

[1] 陈新用,王振飞,梁裕.腰椎间盘突出症非手术治疗效果系统评价综述[J].中国循证医学杂志,2012,12(7):861-866.
[2] 陈新用,梁裕,曹鹏,等.手术与非手术治疗腰椎间盘突出症远期疗效的比较评价[J].中国矫形外科杂志,2012,20(7):606-609.
[3] 沈景允,李杭,蔡永年.一次推拿法治疗青年腰椎间盘脱出症57例[J].中国中医急症,1993,2(5):234-236.
[4] 陈海霞,赵瑞娟.表面肌电图在腰骶神经根病诊断中的价值[J].神经损伤与功能重建,2018,13(4):215-216.
[5] 胡有谷.腰椎间盘突出症[M].4版.北京:人民卫生出版社,2011:12.
[6] 江浩.综合推拿手法治疗腰椎间盘突出症74例疗效观察[J].山东医药,2011,51(43):102-103.
[7] 何成奇.腰痛评定方法及其信度的研究进展[J].中国临床康复,2002,6(2):157-159.
[8] 陈孝平,汪建平.外科学[M].8版.北京:人民卫生出版社,2013:753-757.
[9] 白松绵.VAS量化腰痛在不同中医证型中的分布研究[D].北京:北京中医药大学,2018.
[10] 张金明.中医针灸推拿加牵引治疗腰椎间盘突出症临床分析[J].中国民间疗法,2017,25(2):26-27.
[11] 姜宏.腰椎间盘突出症的非手术治疗和微创手术治疗中存在的问题[J].中医正骨,2018,30(4):1-3.
[12] 向玉,温泽淮.临床实践中推拿手法规范化的思考[J].中华中医药杂志,2018,33(6):2455-2458.
[13] 刘斯文,李华南,海兴华,等.慢性腰痛患者表面肌电图临床特征及数据分析[J].中国康复医学杂志,2017,32(12):1361-1365.
[14] 龚剑秋,司马振奋,张芳,等.核心稳定性训练对腰椎间盘突出症患者表面肌电时频参数的影响[J].中国骨与关节损伤杂志,2018,33(5):484-487.
[15] 王芃,张军,韩磊,等.中医手法治疗腰椎间盘突出症的现况调查[J].中医正骨,2010,22(3):23-25.
[16] 周楠,房敏,朱清广,等.推拿手法治疗腰椎间盘突出症腰背伸肌群生物力学特性评价研究[J].中华中医药杂志,2012,27(3):562-566.
[17] 宋鸿权,李正祥,叶正茂,等.一次正骨推拿治疗腰椎间盘突出症的多中心对照研究[J].中华中医药学刊,2011,29(11):2410-2414.

备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(81774447)
更新日期/Last Update: 2018-12-03