[1]张文扬△ 陈舒强 叶海程.腰部练功展筋疗法治疗腰椎间盘突出症的临床研究[J].中国中医骨伤科杂志,2018,26(07):47-50.
　ZHANG Wenyang CHEN Shuqiang YE Haicheng.The Clinical Effect of Zhanjin Treatment Based on Waist Exercise for Lumbar Disc Herniation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(07):47-50.
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腰部练功展筋疗法治疗腰椎间盘突出症的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年07期
页码:
47-50
栏目:
临床论著
出版日期:
2018-07-02

文章信息/Info

Title:
The Clinical Effect of Zhanjin Treatment Based on Waist Exercise for Lumbar Disc Herniation
文章编号:
1005-0205(2018)07-0047-04
作者:
张文扬1△ 陈舒强1 叶海程1
1厦门大学附属第一医院(福建 厦门,361003)
Author(s):
ZHANG Wenyang1△ CHEN Shuqiang1 YE Haicheng1
1The First Affiliated Hospital of Xiamen University, Xiamen 361003, Fujian China.
关键词:
腰部练功;  展筋;  腰椎间盘突出症
Keywords:
Keywords: waist exercise;  Zhanjin treatment;  lumbar disc herniation
分类号:
R681.5
文献标志码:
A
摘要:
目的:探讨腰部练功展筋疗法治疗腰椎间盘突出症的临床疗效。方法:选取腰椎间盘突出症患者76例,采用简单数字表法随机分为治疗组及对照组(各38例)。治疗组运用腰部练功展筋疗法,对照组运用传统推拿疗法,治疗2周后采用疼痛视觉模拟评分(VAS)、腰椎疾患综合评分(JOA)、改良的Schober试验(MMS)和总体疗效评价为疗效评定标准,评定患者的临床疗效。全程观察腰部练功展筋疗法治疗过程的安全性。结果:治疗前,两组疗效评定指标组间比较(JOA评分P=0.387,VAS评分P=0.94,MMS数值P=0.49)差异无统计学意义; 治疗2周后,两组JOA,VAS评分及MMS数值,均较治疗前明显好转,差异有统计学意义(P均<0.01),且治疗后组间疗效评定指标JOA评分、MMS数值比较,治疗组的改善更为明显,差异有统计学意义(JOA评分P<0.05,MMS数值P<0.01),而VAS评分比较差异无统计学意义(P=0.13>0.05)。两组最后总体疗效比较,差异有统计学意义(P=0.047<0.05)。治疗过程中未发生不良反应。结论:腰部展筋疗法治疗腰椎间盘突出症疗效肯定,安全性好,在改善JOA和MMS方面明显优于传统推拿治疗。
Abstract:
Abstract Objective: To explore the clinical effect of Zhanjin treatment based on waist exercise for lumbar disc herniation. Methods: 76 patients were randomly divided into the treatment group and the control group, 38 cases in each group. The treatment group was treated with Zhanjin treatment based on waist exercises, while the control group was treated with traditional massage therapy. The clinical efficacy was compared between the two groups after 2 weeks of treatment by VAS pain score, lumbar comprehensive score, MMS and the overall efficacy and treatment safety were evaluated. Results: Before treatment, there was no significant difference between the two groups in efficacy evaluation(JOA score,P=0.387; VAS score,P=0.94; MMS value, P=0.49). After 2 weeks of treatment, the JOA, VAS score and MMS of two groups were improved obviously, and the difference is statistically significant(P<0.01).The JOA score and MMS of the treatment group improved more obviously than those of the control group, the difference is statistically significant(JOA score,P<0.05; MMS,P<0.01), while the VAS score between the 2 groups shows no statistically significant difference(P>0.05). The difference of final overall efficacy between the two groups was statistically significant(P<0.05), and there was no adverse reaction in the treatment. Conclusion: Zhanjin treatment based on waist exercise for lumbar disc herniation is effective and safe, and it is superior to the traditional massage therapy in improving JOA and MMS.

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备注/Memo

备注/Memo:
基金项目:2016年福建省卫生计生科研人才培养项目 (2016026) △通信作者 E-mail:281412607@qq.com
更新日期/Last Update: 2018-07-02