经筋疗法与传统手法治疗腰背肌筋膜炎临床疗效的比较研究

Clinical study of JINGJIN therapy compares with traditional massage in waist and back muscle fasciitis

目的观察并比较经筋疗法与传统手法治疗腰背肌筋膜炎的临床疗效。方法将90例腰背肌筋膜炎患者按随机数字表法随机分为传统手法组(45例)及经筋疗法组(45例),分别进行传统手法及经筋疗法治疗,每日1次,6次为1个疗程,观察2个疗程后两组的总疗效及简化Mc Gill量表[(疼痛分级指数(PRI)、目测类比定级法(VAS)、现有疼痛强度(PPI)]评分变化。结果治疗后两组PRI、VAS和PPI均较治疗前下降(P<0.05);经筋疗法组治疗后的PRI和PPI评分低于传统手法组(P<0.05);传统手法组总有效率为68.89%,经筋疗法组总有效率为91.11%,经筋疗法组总疗效率优于传统手法组(Z=-2.052,P=0.040)。结论传统手法与经筋疗法对腰背肌筋膜炎均有较好的治疗效果,但经筋疗法的治疗效果优于传统手法。

Objective To compare the clinical curative effect of waist and back muscle fasciitis treated by the traditional massage and the JINGJIN therapy. Methods 90 patients with low back muscle faseiitiswere randomly divided into the traditional massage group （45 cases） and the JINGJIN treatment group （45 cases）. Observed two groups of McGill scale [ pain rating index （PRI）, visnal analogue scale （VAS） and present pain intensity （PPI） ] before and after the treatment and the total curative effect after two treatment periods. Results The PRI, VAS and PPI scores of two groups after treatment were significantly different from those of before treatment （P〈0.05）. The PRI and PPI scores of the JINGJIN treatment group were lower than those of traditional massage group after treatment period. The total effective rate of the JINGJIN treatment group was 91.11% and was significantly different from that of traditional massage group （68.89%） （Z=-2.052, P=0.040）. Conclusion Both of traditional massage and the JINGJIN treatment had good treatment effect on lumbar back muscle fasciitis, but the JINGJIN treatment effect is superior to the traditional massage.