针灸、推拿配合足弓矫正疗法治疗慢性腰肌劳损疗效研究

Study on curative effect of acupuncture and massage combined with foot arch correction therapy for treating chronic lumbar muscle strain

目的探讨针灸、推拿配合足弓矫正疗法对慢性腰肌劳损的疗效。方法将60例慢性腰肌劳损患者随机分为对照组(n=30)和观察组(n=30),对照组予以针灸与推拿疗法,观察组在对照组基础上增加足弓矫正疗法;对两组临床疗效、视觉模拟疼痛评分(VAS)、腰痛症状量化评分及血清白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平进行统计分析。结果观察组临床疗效优于对照组(P<0.05)。治疗1、2、4周时VAS比较,观察组均明显低于对照组(P<0.05)。治疗后,观察组腰痛症状各项量表评分及总分均明显低于对照组(P<0.05)。治疗后,观察组血清IL-6、TNF-α水平明显低于对照组(P<0.05)。结论针灸、推拿配合足弓矫正疗法疗效显著,可有效缓解疼痛,改善腰部症状。

Objective To investigate the curative effect of acupuncture and massage combined with foot arch correction therapy for treating chronic lumbar muscle strain.Methods Sixty patients with chronic lumbar muscle strain were randomly divided into the control group(n=30)and observation group(n=30).The control group was treated with acupuncture and massage therapy.On this basis,the observation group was added with the foot arch correction therapy.The clinical curative effect,pain score of visual analogue scale(VAS),quantitative scores of lumbago symptoms,levels of serum interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)of the two groups were statistically analyzed.Results The clinical curative effect of the observation group was better than that of the control group(P<0.05).The VAS scores at 1,2,4 weeks after treatment in the observation group were significantly lower than those in the control group(P<0.05).After treatment,all items scores and total scores of lumbago symptoms in the observation group were significantly lower than those in the control group(P<0.05).After treatment,the levels of serum IL-6 and TNF-αin the observation group were significantly lower than those in the control group(P<0.05).Conclusion The acupuncture and massage combined with foot arch correction therapy have the significant effects for treating chronic lumbar muscle strain,which can effectively relieve pain and improve the lumbar symptoms.