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魏氏伤科手法联合走罐治疗风寒湿邪型背肌筋膜炎的临床研究 被引量:7

The Clinical Study on the Treatment of Back Myofascial Caused by Wind-cold-dampness Evil with Wei’s Manipulation combined with Moving Cupping
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摘要 目的:观察魏氏伤科手法联合走罐治疗风寒湿邪型背肌筋膜炎的临床疗效。方法:将120例背肌筋膜炎患者随机分为3组,各40例,观察组行魏氏伤科手法联合走罐治疗,对照理疗组行低频电子脉冲联合特定电磁波治疗器(TDP)治疗,对照药物组予以口服塞来昔布胶囊并外敷消痛贴膏。治疗4周后评估其疗效,并对3组患者治疗前后VAS视觉模拟评分及SF-36量表生理健康PH得分的情况进行比较。结果:观察组总有效率为95.00%,对照理疗组为87.50%,对照药物组为72.50%,3组疗效比较,差异有统计学意义(P<0.05);观察组总有效率高于对照药物组(P<0.0125),但观察组和对照理疗组比较,差异无统计学意义(P>0.0125)。治疗后3组VAS评分均较治疗前降低,观察组降低程度大于其他两组,差异均有统计学意义(P<0.05)。治疗后3组PH得分均较治疗前上升,观察组上升程度大于其他两组,差异均有统计学意义(P<0.05)。结论:魏氏伤科手法联合走罐治疗风寒湿邪型背肌筋膜炎疗效显著,可有效减轻患者背痛症状,提高生活质量。目前尚不能认为魏氏伤科手法联合走罐的疗效与低频电子脉冲联合TDP有差异,需要进一步增加样本含量以深入研究。 Objective:To observe the clinical efficacy of Wei’s manipulation and moving cupping in the treatment of back myofascitis caused by wind-cold-dampness evil.Methods:120 patients with back myofascitis that met the inclusion criteria were randomly divided into three groups,40 in each group.The observation group was treated with Wei’s manipulation and moving cupping.The control group of physiotherapy was treated with electronic impulse in low frequency and TDP device.The control group of medication was treated with taking celebrex capsule and sticking Xiaotong plaster(消痛贴膏).The efficacy was evaluated after 4 weeks of treatment,while the visual analogue scale and the physical health score of SF-36 were compared amongst the three groups before and after the treatment.Results:The total effective rate of the observation group was 95.00%,the control group of physiotherapy was 87.50%,and the control group of medication was 72.50%,there was a statistically significant difference in the total effective rate amongst the three groups(P<0.05).The effective rate in observation group was higher than that in control group of medication(P<0.0125).It can not be considered yet that there was a statistically difference in the total effective rates between the observation group and the control group of physiotherapy(P>0.0125).After the treatment,the VAS scores of the three groups were lower than those before the treatment,and the degree of decrease in the observation group was greater than that of the other two control groups,the difference was statistically significant(P<0.05).After the treatment,the PH scores of the three groups were higher than those before the treatment,and the degree of increase in the observation group was higher than that of the other two control groups,the difference was statistically significant(P<0.05).Conclusions:Wei’s manipulation combined with moving cupping have significant clinical efficacy in the treatment of back myofascitis caused by wind-cold-dampness evil,which can effectually ease the back pain and improve the quality of life.While at present,it can not be considered yet that the therapeutic effect of Wei’s manipulation combined with moving cupping is statistically different from that of electronic impulse in low frequency combined with TDP.Increasing sample size is needed for further study.
作者 曹俊杰 顾健华 吴诗瑜 张弘 CAO Jun-jie;GU Jian-hua;WU Shi-yu;ZHANG Hong(Luwan Branch of Ruijin Hospital,Affiliated to Shanghai Jiao Tong University,Shanghai 200020,China;Shanghai Institute of Traumatology and Orthopaedics,Shanghai 200025,China)
出处 《中医药导报》 2020年第8期49-52,共4页 Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金 上海市中医薄弱领域专科建设项目(BRZK2016020) 上海市黄浦区卫生健康系统培育专科项目(2019pyzk02)。
关键词 背肌筋膜炎 风寒湿 魏氏伤科 手法 走罐 临床研究 back myofascitis wind-cold-dampness evil Wei’s traumatology manipulation moving cupping clinical study
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