摘要
目的评价推拿治疗慢性腰肌劳损的临床疗效。方法将110例慢性腰肌劳损患者按照1∶1比例随机分为治疗组和对照组,每组55例。治疗组接受为期4周的推拿治疗,对照组接受为期4周的规范健康教育。分别于治疗前、治疗后、治疗结束后1个月评价疼痛VAS评分和中文版改良ODI指数。结果共有99例患者完成整个研究。与本组治疗前比较,治疗后两组VAS评分、ODI在不同访视点均显著降低(P<0.001);治疗后及治疗结束后1个月时,治疗组VAS评分、ODI下降幅度均大于对照组(P<0.001)。结论推拿能够缓解慢性腰肌劳损患者的腰痛症状,改善腰部功能活动,且疗效优于健康教育。
Objective To evaluate the clinical efficacy of Tuina for the treatment of chronic lumbar muscle strain （CLMS）. Methods One hundred and ten cases with CLMS were randomized into treatment group and control group by 1 to 1 ratio, with 55 cases in each group. The treatment group was treated by Tuina for 4 weeks, and control group was treated by standardized health education for 4 weeks. We evaluated the YAS score and ODI before treatment, rafter treatment, and I month after treatment. Results Ninety-nine cases were finished the trial. In both groups, the scores of VAS and ODI were decreased after treatment （ P 〈0. 001 ） ; After treatment and I month after treatment, the reduction of VAS score and ODI score in treatment group were much more than that of the control group （P 〈0. 001 ）. Conclusion Tuina can alleviate low back pain in patients with CLMS, and improve the patient＇s waist activity. It is more effective than health education.
出处
《上海中医药杂志》
2014年第5期82-85,共4页
Shanghai Journal of Traditional Chinese Medicine
基金
教育部"中医骨伤科学"国家重点学科项目(100508)
上海市科委医学领军人才项目(041)
上海市科委医学重点项目(09dZ1973800)
上海市教委高校"中医脊柱病损研究"创新团队建设项目(2009-26)
上海市教委优秀青年教师基金项目(szy08079)
上海市卫生局科研项目(20124082)
上海市卫计委"杏林新星"计划项目(ZYSNXD011-RC-XLXX-20130049)
关键词
慢性腰肌劳损
推拿
随机对照
临床试验
chronic lumbar muscle strain （CLMS）
Tuina
randomized eontrolled trial
elinical trial
