[1]熊国星,王鑫,程元辉,等.动推疗法与单纯推拿疗法治疗慢性非特异性腰痛的近期疗效对比研究[J].中医正骨,2017,29(11):33-37.
　XIONG Guoxing,WANG Xin,CHENG Yuanhui,et al.A comparative study of short-term clinical curative effect of massage during exercise versus monotherapy of TUINA for treatment of chronic nonspecific low back pain[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(11):33-37.
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动推疗法与单纯推拿疗法治疗慢性非特异性腰痛的近期疗效对比研究()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期数:
2017年11期
页码:
33-37
栏目:
临床研究
出版日期:
2017-11-20

文章信息/Info

Title:
A comparative study of short-term clinical curative effect of massage during exercise versus monotherapy of TUINA for treatment of chronic nonspecific low back pain
作者:
熊国星; 王鑫; 程元辉; 肖湘; 吴夏
重庆医药高等专科学校,重庆 401331
Author(s):
XIONG Guoxing; WANG Xin; CHENG Yuanhui; XIAO Xiang; WU Xia
Chongqing Medical and Pharmaceutical College,Chongqing 401331,China
关键词:
腰痛;  慢性非特异性腰痛;  推拿;  运动疗法;  动推疗法;  临床试验
Keywords:
Key words low back pain;  chronic nonspecific low back pain;  TUINA;  exercise therapy;  massage during exercise;  clinical trial
摘要:
目的:比较动推疗法与单纯推拿疗法治疗慢性非特异性腰痛(chronic nonspecific low back pain,CNLBP)的近期疗效。方法:将180例CNLBP患者随机分为动推疗法组和单纯推拿组,每组90例。2组患者每周均治疗2次,每次10 min,连续治疗3周。分别于治疗前和治疗结束后1个月,比较2组患者腰部疼痛视觉模拟量表(visual analogue scale,VAS)评分、Roland腰椎功能障碍评分和Oswestry功能障碍指数(Oswestry disability index,ODI)评分。结果:①腰部疼痛VAS评分。治疗前2组患者腰部疼痛VAS评分比较,差异无统计学意义[(2.6±0.7)分,(2.4±0.8)分,t=0.672,P=0.678]; 治疗结束后1个月,动推疗法组腰部疼痛VAS评分低于单纯推拿组[(1.2±0.6)分,(1.8±0.8)分,t=2.652,P=0.014],2组患者腰部疼痛VAS评分均低于治疗前(t=27.465,P=0.000; t=2.533,P=0.012)。②Roland腰椎功能障碍评分。治疗前2组患者Roland腰椎功能障碍评分比较,差异无统计学意义[(10.3±1.5)分,(9.8±1.8)分,t=0.473,P=0.908]; 治疗结束后1个月,动推疗法组Roland腰椎功能障碍评分低于单纯推拿组[(1.6±0.6)分,(3.7±1.1)分,t=41.951,P=0.000],2组患者Roland腰椎功能障碍评分均低于治疗前(t=29.456,P=0.000; t=21.013,P=0.000)。③ODI评分。治疗前2组患者ODI评分比较,差异无统计学意义[(15.35±2.62)分,(14.81±3.41)分,t=0.612,P=0.532]; 治疗结束后1个月,动推疗法组ODI评分低于单纯推拿组[(6.52±1.64)分,(9.34±2.41)分,t=2.413,P=0.025],2组患者ODI评分均低于治疗前(t=32.467,P=0.000; t=19.314,P=0.000)。结论:采用动推疗法和单纯推拿法治疗CNLBP均能缓解腰部疼痛,改善腰部功能,但前者的近期临床疗效优于后者。
Abstract:
ABSTRACT Objective:To compare the short-term clinical curative effect of massage during exercise versus monotherapy of TUINA in the treatment of chronic nonspecific low back pain(CNLBP).Methods:One hundred and eighty patients with CNLBP were randomly divided into monotherapy of massage during exercise group(group A)and TUINA group(group B),90 cases in each group.All patients were treated twice a week,10 minutes at a time for consecutive 3 weeks.The low back pain visual analogue scale(VAS)scores,Roland lumbar dysfunction scores and Oswestry disability index(ODI)scores were compared between the 2 groups before treatment and at 1 month after the end of the treatment respectively.Results:There was no statistical difference in the low back pain VAS scores between the 2 groups before treatment(2.6+/-0.7 vs 2.4+/-0.8 points,t=0.672,P=0.678).The low back pain VAS scores were lower in group A compared to group B at 1 month after the end of the treatment(1.2+/-0.6 vs 1.8+/-0.8 points,t=2.652,P=0.014),and the low back pain VAS scores of the 2 groups were lower at 1 month after the end of the treatment compared to pre-treatment(t=27.465,P=0.000; t=2.533,P=0.012).There was no statistical difference in the Roland lumbar dysfunction scores between the 2 groups before treatment(10.3+/-1.5 vs 9.8+/-1.8 points,t=0.473,P=0.908).The Roland lumbar dysfunction scores were lower in group A compared to group B at 1 month after the end of the treatment(1.6+/-0.6 vs 3.7+/-1.1 points,t=41.951,P=0.000),and the Roland lumbar dysfunction scores of the 2 groups were lower at 1 month after the end of the treatment compared to pre-treatment(t=29.456,P=0.000; t=21.013,P=0.000).There was no statistical difference in the ODI scores between the 2 groups before treatment(15.35+/-2.62 vs 14.81+/-3.41 points,t=0.612,P=0.532).The ODI scores were lower in group A compared to group B at 1 month after the end of the treatment----------------------------------------------- (6.52+/-1.64 vs 9.34+/-2.41 points,t=2.413,P=0.025),and the ODI scores of the 2 groups were lower at 1 month after the end of the treatment compared to pre-treatment(t=32.467,P=0.000; t=19.314,P=0.000).Conclusion:Both massage during exercise and monotherapy of TUINA can relieve the low back pain and improve the low back function in the treatment of CNLBP,however,the short-term clinical curative effect of the former is better than that of the latter.

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备注/Memo

备注/Memo:
基金项目:重庆医药高等专科学校人才引进计划项目(ygz2016303) 通讯作者:王鑫 E-mail:1043994645@qq.com
更新日期/Last Update: 2018-04-02