药棒循经推按法治疗腰椎间盘突出症缓解期疼痛临床研究

The Clinical Research into Lumbar Disc Hemiation Remission Stage Pain Treated with Method of Pushing and Pressing with Drug Stick Along the Meridian

目的:观察药棒循经推按法治疗腰椎间盘突出症缓解期疼痛的疗效,探讨其可能机制。方法:选取2013年5月—2015年5月在南宁市中医医院骨科住院治疗的腰椎间盘突出症缓解期患者60例,随机分为观察组和对照组,各30例。观察组给予药棒循经推按法治疗,对照组给予西药治疗。结果:两组治疗后JOA评分均优于治疗前,差异有统计学意义(P<0.05);观察组治疗后JOA评分优于对照组,差异有统计学意义(P<0.05);对照组有效率为60.0%,观察组有效率为93.3%,观察组优于对照组(P<0.05)。结论:药棒循经推按法治疗腰椎间盘突出症疗效显著,其可能机制是松解肌肉粘连,减少无菌性炎症反应,改善肌肉疲劳。

Objective： To observe the clinical curative effect of method of pushing and pressing with drug stick along the meridian on lumbar disc hemiation remission stage pain,and probe into its possible mechanism. Methods： Sixty patients who were during lumbar disc hemiation remission stage and treated in our hospital＇ s orthopaedics department between May 2013 and May 2015 were chosen as the research subjects,and randomly divided into the observation group and the control group,with 30 cases in each group. The ones in the observation group were treated with method of pushing and pressing with drug stick along the meridian,while the ones in the control group were treated with Western medicine. Results： After the treatment,the two groups＇ JOA scores were better than those before the treatment,and the differences were statistically significant（ P〈0. 05）. The observation group＇ s JOA score was better than that of the control group,and the difference was statistically significant（ P〈0. 05）. The effective rate of the control group was 60. 0 %,while that of the observation group was 93. 3%; And the observation group was better than the control group（ P〈0. 05）. Conclusion： Method of pushing and pressing with drug stick along the meridian has a remarkable clinical curative effect on lumbar disc hemiation. The possible mechanism is to loosen muscle adhesion,reduce aseptic inflammatory reaction and improve muscle fatigue.