益气舒筋汤联合循经推拿对颈肩腰腿痛患者中医症候及功能恢复的影响

Effect of Yiqi Shujin Decoction Combined with Meridian Massage on TCM Symptoms and Functional Recovery of Patients with Neck,Shoulder,Waist and Leg Pain

目的研究益气舒筋汤联合循经推拿对颈肩腰腿痛患者中医症候及功能恢复的影响。方法选择2019年3月至2021年8月于本院接受诊治的116例颈肩腰腿痛患者作为观察对象,按照随机数字表法分成2组,各58例。对照组行循经推拿治疗,研究组行益气舒筋汤+循经推拿联合治疗,均持续治疗30d。对比两组治疗前后中医症候积分、疼痛程度[视觉模拟评分法(VAS)]、颈椎/腰椎功能[日本骨科协会评估治疗分数(JOA)]、肩关节功能[欧美肩关节评分系统(CMS)]、肢体运动功能[Fugl-Meyer肢体运动功能评估量表(FMA)]及不良反应。结果与治疗前相比,两组患者治疗30d后中医症候积分、VAS评分均降低,且研究组相比于对照组更低,有统计学差异(P<0.05);与治疗前相比,两组患者治疗30d后颈椎功能JOA评分、腰椎功能JOA评分、肩关节功能CMS评分、肢体运动功能FMA评分均增高,且研究组较对照组更高,有统计学差异(P<0.05);两组治疗期间未见不良反应。结论益气舒筋汤+循经推拿联合治疗颈肩腰腿痛效果确切,能减轻临床症状及局部疼痛,促进患者颈椎、腰椎、肩关节及肢体运动功能恢复,安全可靠,可于临床推广。

Objective To study the effect of Yiqi Shujin decoction combined with meridian massage on TCM symptoms and functional recovery of patients with neck,shoulder,waist and leg pain.Methods 116 patients with neck,shoulder,waist and leg pain treated in our hospital from March 2019 to August 2021 were selected as the observation objects.They were randomly divided into two groups with 58 cases in each group.The control group was treated with meridian massage,and the study group was treated with Yiqi Shujin Decoction+meridian massage for 30 days.The TCM symptom score,pain degree[visual analogue scale(VAS)],cervical/lumbar function[Japanese Orthopaedic Association evaluation treatment score(JOA)],shoulder function[European and American Shoulder scoring system(CMS)],limb motor function[Fugl Meyer limb motor function evaluation scale(FMA)]and adverse reactions were compared between the two groups before and after treatment.Results compared with before treatment,the TCM symptom score and VAS score of the two groups decreased after 30 days of treatment,and the study group was lower than the control group(P<0.05);Compared with before treatment,the JOA score of cervical function,JOA score of lumbar function,CMS score of shoulder function and FMA score of limb motor function in the study group were higher than those in the control group after 30 days of treatment(P<0.05);There were no adverse reactions in the two groups during treatment.Conclusion Yiqi Shujin decoction combined with meridian massage is effective in the treatment of neck,shoulder,waist and leg pain.It can reduce clinical symptoms and local pain,and promote the recovery of cervical spine,lumbar spine,shoulder joint and limb motor function.It is safe and reliable,and can be popularized in clinic.