彭氏分筋推拿疗法治疗腰背肌筋膜炎的临床疗效观察

Clinical Observation on Curative Effect of PENG’s Tendon-separating Massage Manipulations for Treatment of Fasciitis of Lumbodorsal Muscles

【目的】通过比较彭氏分筋推拿疗法与常规推拿疗法治疗腰背肌筋膜炎的临床疗效,以期为临床提供一种更为安全有效的腰背肌筋膜炎治疗方法。【方法】将60例腰背肌筋膜炎患者随机分为治疗组和对照组,每组各30例。治疗组给予彭氏分筋推拿疗法治疗,对照组给予常规推拿疗法治疗。2组每次治疗20 min,每周治疗3次,6次为1个疗程,共治疗1个疗程。观察2组患者治疗前后疼痛视觉模拟量表(VAS)评分及功能障碍指数(ODI)评分的变化情况,并评价2组患者的临床疗效。【结果】(1)治疗1个疗程后,治疗组的总有效率为93.3%(28/30),对照组为76.7%(23/30),治疗组的疗效明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的VAS评分和ODI评分均较治疗前明显下降(P<0.05),且治疗组对VAS评分和ODI评分的降低作用均明显优于对照组,差异均有统计学意义(P<0.05)。【结论】彭氏分筋推拿疗法治疗腰背肌筋膜炎患者疗效确切,可显著改善患者的疼痛程度和功能障碍情况,其疗效优于常规推拿疗法。

Objective To compare the clinical efficacy of PENG’s tendon-separating massage manipulations and routine massage therapy in the treatment of fasciitis of lumbodorsal muscles,so as to explore the more effective and safe therapy for the treatment of fasciitis of lumbodorsal muscles. Methods Sixty patients who suffered from fasciitis of lumbodorsal muscles were randomly divided into treatment group and control group, with 30 cases in each group. The treatment group was given PENG’s tendon-separating massage manipulations and the control group was intervened by routine massage therapy. The two groups were treated for 20 minutes each time,3 times per week,6 times for one course of treatment,and the two groups were treated for one course of the treatment. Before and after the treatment,the pain scores of visual analogue scale(VAS) and the scores of Oswestry disability index(ODI) in the two groups were examined. And after treatment,the clinical efficacy in the two groups was evaluated. Results(1)After treatment for one course of the treatment,the total effective rate of the treatment group was 93.3%(28/30),and that of the control group was 76.7%(23/30). The intergroup comparison showed that the clinical efficacy in the treatment group was superior to that in the control group,and the difference was statistically significant(P<0.05).(2)After treatment,the VAS pain scores and ODI scores in the two groups were obviously decreased in comparison with those before treatment(P<0.05),and the decrease of VAS pain scores and ODI scores in the treatment group was superior to that in the control group, the difference being statistically significant(P<0.05). Conclusion PENG’s tendon-separating massage manipulations have certain efficacy for the treatment of fasciitis of lumbodorsal muscles by relieving the pain and disability,and the efficacy is stronger than that of the routine massage therapy.