摘要
目的研究针灸与推拿结合足弓矫正疗法治疗慢性腰肌劳损的临床疗效。方法选取2019年5月~2020年5月在我院诊治的67例慢性腰肌劳损患者为研究对象,采用随机数字表法分为对照组(n=34例)和观察组(n=33例),对照组采用针灸治疗,观察组在对照组基础上采用推拿联合足弓矫正疗法治疗,比较两组临床治疗总有效率、功能障碍(RMDQ)评分、疼痛(VAS)评分、临床症状(压痛、酸麻、行动不利)评分、腰椎功能评分以及复发情况。结果观察组临床治疗总有效率为93.93%,高于对照组的82.35%(P<0.05);治疗后两组RMDQ评分、VAS评分均低于治疗前,且观察组低于对照组(P<0.05);治疗后两组临床压痛、酸麻、腰部功能障碍评分均低于治疗前,且观察组低于对照组(P<0.05);治疗后两组腰椎功能评分均高于治疗前,且观察组高于对照组(P<0.05);随访2个月,观察组复发率为3.03%,低于对照组的11.76%(P<0.05)。结论针灸与推拿结合足弓矫正疗法治疗慢性腰肌劳损效果确切,有助于减轻疼痛,改善功能障碍,提高腰椎功能评分,且复发率低,具有良好的临床应用有效性和安全性。
Objective To study the clinical efficacy of acupuncture and massage combined with arch correction therapy for chronic lumbar muscle strain.Methods A total of 67 patients with chronic lumbar muscle strain who were diagnosed and treated in our hospital from May 2019 to May 2020 were selected as the research objects,and they were divided into a control group(n=34 cases)and an observation group(n=33 cases)using a random number table method,the control group was treated with acupuncture and the observation group was treated with massage combined with arch correction therapy on the basis of the control group.The total effective rate,functional impairment(RMDQ)score,pain(VAS)score,clinical symptoms(tenderness,numbness,disability)score,lumbar function score,and recurrence.Results The total effective rate of clinical treatment in the observation group was 93.93%higher than 82.35%in the control group(P<0.05).After treatment,both RMDQ and VAS scores of the two groups were lower than those before treatment,and the observation group was lower than that of the control group(P<0.05).After treatment,the scores of clinical tenderness,acid anaesthetic and adverse movement in the two groups were all lower than before treatment,and the observation group was lower than the control group(P<0.05).After treatment,the lumbar function score of both groups was higher than that before treatment,and the observation group was higher than that of the control group(P<0.05).Following up for 2 months,the recurrence rate in the observation group was 3.03%lower than that in the control group 11.76%(P<0.05).Conclusion Acupuncture and massage combined with arch correction therapy have a definite effect in treating chronic lumbar muscle strain,which can help relieve pain,improve dysfunction,and improve lumbar function scores.It has a low recurrence rate and has good clinical application effectiveness and safety.
作者
李斯
LI Si(Department of Acupuncture and Moxibustion,Tianjin Jinnan District Traditional Chinese Medicine Hospital,Tianjin 300350,China)
出处
《医学信息》
2021年第2期171-173,共3页
Journal of Medical Information
关键词
针灸
推拿
足弓矫正疗法
慢性腰肌劳损
Acupuncture
Massage
Arch correction therapy
Chronic lumbar muscle strain
