王氏脊柱疗法治疗军训腰肌损伤临床疗效观察

Clinical effect of Wang’s spinal therapy on lumbar muscle injury during military training

目的 探讨王氏脊柱疗法治疗军训腰肌损伤的临床疗效。方法 选取自2019年5月至2021年4月收治的军训腰肌损伤患者80例,按照随机数字表法分为A组与B组,每组各40例。A组采用推拿治疗,B组采用王氏脊柱疗法联合推拿治疗。评估并比较两组患者治疗有效率。记录并比较两组患者治疗前、后中医症候积分(TCMSS)、视觉模拟疼痛评分(VAS)、腰肌耐力时间。结果 B组患者治疗有效率为90.0%(36/40),显著高于A组的72.5%(29/40),差异有统计学意义(P<0.05)。治疗后,两组患者腰痛如刺、转侧不利、舌苔白滑、加温缓解、冷痛重着及脉沉而迟缓的评分均较治疗前明显降低,且B组低于A组,差异有统计学意义(P<0.05)。治疗后,两组VAS评分明显低于治疗前,且B组低于A组;两组腰肌耐力时间明显高于治疗前,且B组高于A组,差异均有统计学意义(P<0.05)。结论 王氏脊椎疗法治疗军训腰肌损伤,能有效改善患者TCMSS,减轻疼痛,提高腰肌耐力时间。

Objective To observe the clinical efficacy of Wang’s spinal therapy in the treatment of lumbar muscle injury during military training.Methods A total of 80 patients with lumbar muscle injury during military training were selected from May 2019 to April 2021 and divided into group A and group B according to the random number table method,with 40 cases in each group.Patients in group A were treated with massage method,and patients in group B were treated with Wang’s spinal therapy combined with massage.The effective rate of treatment was evaluated and compared between the two groups.Traditional Chinese Medicine symptom score(TCMSS),visual analogue scale(VAS) and psoas muscle endurance time before and after the treatment were recorded and compared between the two groups. Results The effective rate of group B was 90.0%(36/40),which was significantly higher than that of group A [72.5%(29/40)],and the difference was statistically significant(P <0.05). After the treatment,the scores of low back pain such as stabbing,limited mobility,white tongue slip,warming relief,cold aggravation pain,pulse depression and slow in the two groups were significantly lower than those before the treatment,and those in group B were lower than those in group A,the differences were statistically significant(P<0.05).After the treatment,the VAS score of the two groups was significantly lower than before the treatment,and the VAS scores of group B was significantly lower than that of group A(P <0.05).After the treatment,the psoas muscle endurance time of the two groups was significantly higher than that before the treatment,and the psoas muscle endurance time of group B was significantly higher than that of group A(P<0.05).Conclusion Wang’s spinal therapy in the treatment of military training lumbar muscle injury can effectively improve patients’ TCMSS, relieve pain,and improve psoas muscle endurance time.