循经推拿法结合常规西药治疗颈肩腰腿痛的效果

Effects of meridian massage combined with conventional Western medicine in the treatment of neck,shoulder,waist and leg pain

目的观察循经推拿法结合常规西药治疗颈肩腰腿痛的临床效果。方法选取108例颈肩腰腿痛患者作为研究对象,按照随机数字表法分为两组,每组54例。西医组实施常规西药治疗,联合组采用循经推拿法配合治疗,比较两组患者的疼痛情况、肩关节活动度、颈椎及腰椎功能、肢体运动功能。结果在不同治疗方案下,联合组的日本改良颈腰腿痛(M-JOA)评分、疼痛发作频率、每次疼痛持续时间均少于西医组,差异有统计学意义(P<0.05);联合组的肩关节外展、后伸、水平内收活动度均高于西医组(P<0.05);联合组治疗15、30 d后的颈椎病临床评价量表(CASCS)评分均高于西医组(P<0.05),Oswestry功能障碍指数(ODI)评分均低于西医组(P<0.05);联合组治疗15、30 d后的简化Fugl-Meyer运动功能评定量表(FMA)上肢功能与下肢功能评分均高于西医组(P<0.05)。结论循经推拿法结合常规西药治疗能进一步缓解颈肩腰腿痛患者的疼痛症状,对促进肩关节、颈椎、腰椎功能及肢体运动功能恢复均有积极意义。

Objective To observe the clinical effects of meridian based massage combined with conventional Western medicine in the treatment of neck,shoulder,waist and leg pain.Methods 108 patients with neck,shoulder,waist and leg pain were selected as the research subjects and randomly divided into two groups using a random number table method,with 54 cases in each group.The Western medicine group were implemented routine Western medicine treatment,while the combined group were adopted the meridian massage method in combination with treatment.The pain,shoulder range of motion,cervical and lumbar spine function,and limb motor function were compared between two groups of patients.Results Under different treatment regimens,the Japanese modified neck,waist,and leg pain(M-JOA)score,frequency of pain attacks,and duration of each pain in the combination group were lower than those in the Western medicine group,showing a statistically significant difference(P<0.05).The range of motion of shoulder joint abduction,extension,and horizontal adduction in the joint group was higher than that in the Western medicine group(P<0.05);the clinical evaluation scale(CASCS)scores of cervical spondylosis in the combination group after 15 and 30 days of treatment were higher than those in the Western medicine group,and the Oswestry Dysfunction Index(ODI)scores were lower than those in the Western medicine group(P<0.05).The simplified Fugl Meyer Motor Function Assessment(FMA)scores for upper and lower limb function in the combination group after 15 and 30 d of treatment were higher than those in the Western medicine group(P<0.05).Conclusion The combination of meridian based massage and conventional Western medicine treatment can further alleviate the pain symptoms of patients with neck,shoulder,waist,and leg pain,promote the recovery of shoulder joint,cervical spine,lumbar spine function,and limb motor function of patients.