通脉松筋易骨推拿法治疗腰椎管狭窄症:随机对照

“Tongmai songjin yigu” massage therapy for lumbar spinal stenosis: a randomized controlled trial

背景:中医保守疗法对于轻中度患者有效,且远期疗效高于手术患者,可增强围手术期疗效,预防椎管再次狭窄。目的:评价通脉松筋易骨推拿法治疗腰椎管狭窄症的临床疗效。方法:将84例退行性腰椎管狭窄症患者随机分为治疗组和对照组,各42例。治疗组采用通脉松筋易骨推拿法;对照组采用中华中医药学会颁布的中医骨伤科常见病诊疗指南中手法操作进行治疗,1次/d,连续2周。结果与结论:治疗后治疗组患者目测类比评分较治疗前明显降低(P<0.05),日本骨科协会下腰痛评分自觉症状和日常生活动作评分较对照组差异有显著性意义(P<0.05)。治疗组临床有效率优于对照组(P<0.05)。说明通脉松筋易骨推拿法治疗比传统手法有效,试验样本量偏小,尚需临床大样本量进一步研究。

BACKGROUND：Chinese medicine therapy is effective for patients with mild-to-moderate lumbar spinal stenosis and also has a better long-term effect than surgical patients, which can enhance perioperative efficacy and prevent spinal restenosis. OBJECTIVE：To evaluate the clinical efficacy of “Tongmai songjin yigu” massage therapy on lumbar spinal stenosis. METHODS：Eighty-four patients with degenerative lumbar spinal stenosis were randomly and equaly divided into treatment group and control group. Treatment group were treated with “Tongmai songjin yigu” massage therapy; patients in the control group were treated according to the guidelines for diagnosis and treatment of common disease in orthopedics and traumatology promulgated by China Association of Chinese Medicine, once a day, continuous for 2 weeks. RESULTS AND CONCLUSION：After treatment, the visual analog scale score in the treatment group was improved significantly （P 〈 0.05）, and there was a significant difference in the Japanese Orthopaedic Association Scores on subjective symptom and daily life between the treatment and control groups （P 〈 0.05）. The effective rate of the treatment group was higher than that of the control group （P〈 0.05）. These findings indicate that “Tongmai songjin yigu” massage therapy is better than traditional massage, but clinical large-sample studies are required.