腹部推拿结合腰椎斜扳法治疗急性腰扭伤的随机对照研究

Abdominal Tuina Combined with Lumbar Positioned Oblique Trigger Method for Acute Lumbar Sprains:A Randomized Controlled Study

目的:观察腹部推拿结合腰椎定位斜扳法治疗急性腰扭伤的临床疗效与安全性。方法:100例急性腰扭伤患者被随机分为试验组(50例)和对照组(50例),试验组采用腹部推拿结合腰椎定位斜扳法治疗,对照组采用传统推拿结合腰椎定位斜扳法治疗。疗程结束后,对患者的腰部视觉模拟量表(VAS)评分、腰椎疾患疗效日本骨科协会(JOA)评分及腰椎活动度进行记录及统计分析;同时还观察并记录患者的不良反应,评价治疗的安全性。结果:试验组的显效率为64%,显著高于对照组的52%,差异有统计学意义(P<0.05)。两组受试者治疗后VAS评分逐渐降低,且第一次治疗后两组患者疼痛VAS评分的差异有统计学意义(P<0.05),但第三次治疗后两组患者疼痛VAS评分差异无统计学意义(P>0.05)。治疗后两组受试者的腰椎活动度均好于治疗前,并且两组治疗后较治疗前JOA评分差异有统计学意义(P<0.05)。两组受试者均未见严重不良反应。结论:腹部推拿结合腰椎定位斜扳法治疗急性腰扭伤具有确切的疗效,能迅速减轻急性腰扭伤患者腰部疼痛并改善腰椎活动功能,值得临床推广应用。

Objective:To observe the clinical efficacy and safety of abdominal massage combined with lumbar spine positioning oblique pulling method on the treatment of acute lumbar sprain.Methods:100 patients with acute lumbar sprain were randomly divided into an experimental group(50 cases)and a control group(50 cases).The experimental group was treated with abdominal massage combined with lumbar positioning oblique pulling method,while the control group was treated with traditional massage combined with lumbar positioning oblique pulling method.After the treatment,the patient's lumbar visual analogue scale(VAS)score,lumbar disease efficacy evaluation standard Japanese Orthopaedic Association(JOA)score,and lumbar range of motion were recorded and statistically analyzed.At the same time,adverse reactions of patients were observed and recorded to evaluate the safety of treatment.Results:The effective rate of the experimental group was 64%,significantly higher than the control group's 52%,and the difference was statistically significant(P<0.05).After treatment,the VAS scores of the two groups of subjects gradually decreased,and there was a statistically significant difference in pain VAS scores between the two groups of patients after the first treatment(P<0.05),but there was no statistically significant difference in pain VAS scores between the two groups of patients after the third treatment(P>0.05).The lumbar spine activity of both groups of subjects after treatment was better than before treatment,and there was also a statistically significant difference in JOA scores between the two groups after treatment compared to before treatment(P<0.05).There were no serious adverse reactions observed in both groups of subjects.Conclusion:Abdominal massage combined with lumbar spine positioning and oblique pulling method has a definite therapeutic efficacy on acute lumbar sprain,which can quickly alleviate lumbar pain and improve lumbar mobility dysfunction in patients with acute lumbar sprain,and is worthy of clinical promotion and application.