摘要
【目的】探讨三圣汤加减联合棍点理筋手法治疗退行性脊柱侧凸的临床疗效。【方法】将70例退行性脊柱侧凸患者随机分为治疗组和对照组,每组各35例。2组患者均给予三圣汤加减治疗,在此基础上,对照组给予常规按摩治疗,治疗组给予棍点理筋手法治疗,疗程均为2周。观察2组患者治疗前及治疗1周、2周后疼痛视觉模拟量表(VAS)评分、腰椎功能Oswestry功能障碍指数(ODI)评分和侧凸Cobb角的变化情况,并评价2组患者的临床疗效。【结果】(1)治疗2周后,治疗组的总有效率为91.43%(32/35),对照组为77.14%(27/35),组间比较(秩和检验),治疗组的临床疗效明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗1周、2周后,2组患者的疼痛VAS评分、腰椎ODI评分均较治疗前明显降低(P<0.05),且治疗组在治疗1周、2周后对疼痛VAS评分和腰椎ODI评分的降低作用均明显优于对照组,差异均有统计学意义(P<0.05)。(3)治疗1周后,2组患者的Cobb角与治疗前比较,差异无统计学意义(P>0.05);治疗2周后,2组患者的Cobb角均较治疗前明显降低(P<0.05);组间比较,治疗组在治疗2周后对Cobb角的降低作用明显优于对照组,差异有统计学意义(P<0.05)。【结论】三圣汤加减联合棍点理筋手法治疗退行性脊柱侧凸患者疗效确切,可有效缓解患者腰痛、下肢痹痛等症状,改善患者腰椎功能,且其操作简便,无明显副作用,值得在临床上推广使用。
Objective To investigate the modified Sansheng Decoction combined with the therapy of rod pointpressing for soothing tendons in treating degenerative scoliosis(DS).Methods Seventy patients with DS were randomly divided into treatment group and control group,35 cases in each group.Patients in both groups were given modified treatment of Sansheng Decoction,and additionally,the control group was given conventional massage treatment,while the treatment group was given therapy of rod point-pressing for soothing tendons.The course of treatment for the two groups lasted for two weeks.The changes of pain visual analogue scale(VAS)score,lumbar Oswestry disability index(ODI)score and scoliotic Cobb angle were observed before treatment,one week and 2 weeks after treatment,and the clinical efficacy of the two groups were also evaluated.Results(1)After 2 weeks of treatment,the total effective rate of the treatment group was 91.43%(32/35),and that of the control group was 77.14%(27/35).The intergroup comparison by rank sum test showed that the clinical efficacy of the treatment group was significantly superior to that of the control group,and the difference was statistically significant(P<0.05).(2)After one week and 2 weeks of treatment,the pain VAS score and lumbar ODI score in the two groups were significantly decreased compared with those before treatment(P<0.05),and the effect on lowering the pain VAS score and lumbar ODI score after one week and 2 weeks of treatment in the treatment group was significantly superior to that in the control group,and the difference was statistically significant(P<0.05).(3)After one week of treatment,the difference of Cobb angle in the two groups was no statistically significant in comparison with that before treatment(P>0.05).After 2 weeks of treatment,the Cobb angle was significantly decreased in the two groups compared with that before treatment(P<0.05).The intergroup comparison showed that the effect on lowering Cobb angle in the treatment group was superior to that in the control group a
作者
徐强
刘永皑
吴俊哲
苏培基
陈新涌
黄森
池伟东
XU Qiang;LIU Yong-Ai;WU Jun-Zhe;SU Pei-Ji;CHEN Xin-Chong;HUANG Sen;CHI Wei-Dong(Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan 528400 Guangdong,China;Graduate School of Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2022年第3期540-545,共6页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
广东省医学科研基金专项项目(编号:B2021247)。
关键词
三圣汤
棍点理筋手法
退行性脊柱侧凸
腰痛
腰椎功能
临床研究
Sansheng Decoction
therapy of rod point-pressing for soothing tendons
degenerative scoliosis(DS)
lumbago
lumbar function
clinical study
