腰部按摩治疗肾绞痛158例临床分析

目的:探讨对肾绞痛腰部按摩治疗的方法及疗效。方法:腰部采用压、叩、揉、推方法,治疗肾绞痛158例。结果:完全缓解133例,部分缓解12例,轻度疼痛9例,无效3例。总有效率达98%。结论:腰部按摩治疗肾绞痛有较好疗效。

腰部按摩法对腰痛疗效的对比观察

探讨与常规药物相比,腰部按摩法对腰痛的临床治疗效果。方法:从2020年5月至2021年1月这一时间段内抽取研究对象,抽样对象为在我院接受治疗的腰痛患者,抽样数量为60。将所有患者按照腰痛严重程度、发病特点以及治疗方法分为急性腰痛组(n=20例)、慢性腰痛组(n=20例)以及药物治疗组(n=20例)。收集几组患者在接受治疗后的临床信息并加以分析,对比急性腰痛组、慢性腰痛组和药物治疗组患者经过治疗后的康复功能评分。结果:急性、慢性腰痛组和药物治疗组比较腰椎康复功能评分,急性和慢性腰痛组腰椎康复功能分数明显高于药物治疗组,两组患者分数对比差异显著,具有统计学意义(P<0.05)。急性腰痛组腰椎康复功能评分和慢性腰痛组两组之间进行比较,两组患者分数接近,差异较小,无统计学意义(P>0.05)。结论:腰部按摩法对急性腰痛、慢性腰痛均有较好的治疗效果,并且对急性腰痛效果更明显,能够显著改善急性腰痛病临床症状,促进腰椎病的康复,值得在临床应用中大力推广。

养生保健穴位按摩法(二)

二、腰背部穴位按摩法 腰背部常用穴,主要分布在督脉及膀胱经上。五脏六腑在背部皆有相应的俞穴,如肝有肝俞穴、胆有胆俞穴、肺有肺俞穴、肾有肾俞穴,脾有脾俞穴,胃有胃俞穴,心有心俞穴,小肠有小肠俞穴等,统称背俞穴(图6)。

足部按摩配合腰、肾部按摩治愈两例肾结石的体会

肾结石是一种泌尿系统常见病，由于结石病程较长，药物治疗效果不理想，而手术给病人带来很大痛苦，笔者用足部按摩配合腰、肾部按摩治疗两例肾结石，获得满意疗效。现报告如下：

妊娠期腰部疼痛的防护

腰部由于各种用力姿势不当,持续时间较长、受力过大,就可能发生软组织损伤,引起腰痛.女性脊柱有其自身特点,腰椎生理前凸较男性大,随着子宫增大,重量增加前凸会更加明显,脊柱承力不但有量的增加更有方向变化,这时如果不注意腰部防护,就可能发生微观损伤,致慢性腰痛.1 妊娠期应适当运动 每日2次,腰部做前屈、后伸、侧弯、旋转等活动,活动的次数和幅度以感觉舒适为宜,运动后平卧10min.2 腰部按摩 ①揉法:用手掌由上而下、由外向内有顺序地揉搓腰部3～5次为宜.

自我按摩除痛经

腹部按摩:患者仰卧,自然呼吸,保持情绪稳定。双手平放于上腹部,拇指在腹中线相交,其余手指放于两侧,由上向下徐徐推至耻骨。然后手掌根部抬起,手指触皮肤,沿原路退回上腹部,再放下掌根往下推。

腰部推顶牵引治疗装置控制系统研究

为解决现有临床上牵引治疗装置操作不便、模式单一,无法进行腰部推顶问题,满足腰椎间盘突出患者进一步治疗需求,设计了一种腰部推顶牵引治疗装置控制系统。系统以STM32F103系列单片机为主控芯片,用模块化思想,对推顶模块、牵引模块、人机交互模块进行软硬件设计,实时控制推顶按摩过程中的频率、幅度、压力、位移量。对输出脉宽占空比PWM进行调控,并采用PID控制算法对腰部推顶速度进行精确控制。实验结果表明,采用PID算法控制的腰部推顶装置运行平稳,在受试者负载相同的情况下,推顶电机加速动作时间减少了7.75ms,减速动作时间减少了7.8ms,系统运行平稳,腰部推顶调速响应迅速,进一步完善了腰部推顶牵引治疗装置作业过程。

Churg-Strauss综合征1例报告

Churg-Strauss综合征（CSS）临床罕见,现将我科收治的1例报告如下。1病例女,50岁。因＂反复出现右下肢无力26d、再发8d、加重3d＂于2008年10月5日入院。患者于26d前无明显诱因出现右下肢无力,伴双肩疼痛,即至当地医院行颈、腰部按摩后症状完全缓解。8d前患者再次出现右下肢无力,

中医护理干预对腰肌劳损患者的影响

目的:探究针对腰肌劳损患者采用艾灸、刮痧、腰部穴位按摩结合的中医护理干预方案的效果.方法:将2017年4月-2019年4月笔者所在医院收治的82例腰肌劳损患者作为研究对象,将其随机平均分为两组,每组41例.对照组采用常规护理,试验组应用艾灸、刮痧、腰部穴位按摩结合的中医护理干预方案.比较两组护理效果.结果:试验组治疗总有效率显著高于对照组,差异有统计学意义(P<0.05).试验组心理功能、躯体功能、情感职能及社会职能等生活质量评分均高于对照组,差异有统计学意义(P<0.05).结论:采用中医护理干预方式对腰肌劳损患者进行干预,能够提高治疗效果及患者的生活质量.

Treatment of Protrusion of the Lumbar Intervertebral Disc by Massotherapy

Clinically, there is a higher incidence of protrusion of the lumbar intervertebral disc. It can cause a terrible pain. The author has treated 66 cases by massotherapy, who were confirmatively diagnosed as having protrusion of the lumbar intervertebral disc by X-ray film and computer-aided tomography, with satisfactory results as reported in the following.Clinical DataAmong the 66 cases in this series, 49 were male and 17 female, ranging in age from 26 to 59 years, averaging 36.2 years. All the patients had got lumbago and unilateral ischialgia, with the left side affected in 37 cases and the right side in 29 cases. The leg pain radiating to lateral malleolus was found in 28 cases, to dorsum of the foot in 24 cases, and to the toes in 14 cases. Intermittent claudication was present in 22 cases, numbness of the affected foot in 16 cases, pain exacerbated when coughing in 35 cases, scoliosis in 21 cases, and positive Lasegue's sign in 48 cases.

腹部按摩对单纯性肥胖大鼠下丘脑神经肽Y表达的影响

目的观察腹部按摩对单纯性肥大鼠Lee's指数变化、脂代谢及下丘脑中神经肽Y(neuropeptide Y,NPY)表达的影响,探讨推拿治疗单纯性肥胖的作用机制。方法采用高脂饮食喂养诱导的方法建立单纯性肥胖大鼠模型,筛选出造模成功的肥胖大鼠,随机分为治疗组、模型组,另设置正常组进行对照。治疗组大鼠腹部推拿按摩治疗,6周后,观察大鼠Lee's指数的变化;生化法检测甘油三酯(Triglyceride,TG)、总胆固醇(total cholesterol,TC)、高密度脂蛋白胆固醇(HDLC)、低密度脂蛋白胆固醇(LDL-C)含量;免疫组化法检测下丘脑神经肽Y(NPY)含量。结果模型组大鼠Lee's指数,血清中TG、LDL-C水平,下丘脑NPY含量较正常大鼠显著升高(P<0.05,P<0.01),血清中HDL-C水平较正常组显著降低(P<0.05);治疗组大鼠Lee's指数、血清中LDL-C及下丘脑NPY含量下降,均具有统计学意义(P<0.05或P<0.01);对血清中TG含量有下调作用、对HDL-C含量有上调作用,但统计结果无统计学意义(P>0.05)。结论按摩对单纯性肥胖病症有显著的治疗作用,其可能的机制与按摩治疗能够降低下丘脑中NPY表达水平有关。

Observation on therapeutic effect of acupuncture at abdomen acupoints plus tuina for lumbar intervertebral disc herniation

Objective: To observe the clinical efficacy of acupuncture at abdomen acupoints plus tuina for lumbar intervertebral disc herniation (LIDH). Methods: A total of 70 patients with LIDH were randomized into an observation group and a control group, with 35 cases in each group. The observation group was treated with acupuncture at abdomen acupoints plus tuina, while the control group was treated only with tuina treatment. The clinical efficacy was observed after one course of treatment. Results: The cure rate and the total effective rate of the observation group were 83.3% and 96.7%, respectively. The cure rate and the total effective rate of the control group were 39.4% and 78.8%, respectively. There were significant differences in the cured rate and the total effective rate between the two groups (both P<0.05). There was no significant differenee in Japanese Orthopedic Association (JOA) score between the two groups before treatment (P>0.05). After treatment, the JOA scores of both groups in creased sign ifica ntly, and the in tra-group differe nces were statistically sign ifica nt (both P<0.05);the JOA score of the observation group was significantly higher than that of the control group (P<0.05). Conclusion: Acupuncture at abdomen acupoints plus tuina has a better therapeutic effect than tuina alone in the treatment of LIDH.

Clinical Observation on Acupoint Sticking Therapy for Lumbar Intervertebral Disc Hernination

Objective： To observe the clinical effects of acupoint sticking therapy for umbar intervertebral disc herniation. Methods： Seventy patients with lumbar intervertebral disc herniation were randomly divided into two groups by the visit order, 35 cases in each group. The treatment group was treated with acupoint sticking therapy and the control group was treated with tuina. After treatment, the clinical effects, pain integral and Japanese Orthopedic Association （JOA） scores were compared between the two groups. Results： The total effective rate, pain integral and improvement of JOA scores were better in the treatment group than in the control group （P〈O.O5）. Conclusion： Acupoint sticking therapy is affirmative in the therapeutic effects and better than tuina treatment for lumbar intervertebral disc herniation.

Therapeutic Efficacy Observation on Combining Acupuncture,Tuina and Functional Exercise for Transverse Process Syndrome of the Third Lumbar Vertebra

Objective： To observe the clinical effect of combining acupuncture, tuina and functional exercise for transverse process syndrome of the third lumbar vertebra. Methods： A total of 90 cases were randomly allocated into an observation group and a medication group. The 48 cases in the observation group were treated with acupuncture, tuina and functional exercise, whereas the 42 cases in the medication group were treated with Ibuprofen sustained release capsules. Before and after treatment, the short-form McGill pain questionnaire （SF-MPQ） was employed to observe the changes in pain rating index （PRI）, visual analogue scale （VAS） and present pain intensity （PPI）. In addition, therapeutic efficacies were compared between two groups. Results： The total effective rate in the observation group was 97.9%, versus 61.9% in the medication group, showing a statistical difference （P〈O.05）. After treatment, there were statistical differences between the two groups in sensory PRI score, affective PRI score, total PRI score, VAS score and PPI score （P〈O.05）; and there were also statistical differences between two groups in clinical sign scoring （P〈O.05）. After 4 and 8 weeks of treatment, there was a statistical difference between the two groups in re^apse rate （P〈O.05）. Conclusion： Combining acupuncture, tuina and functional exercise can obtain better effects and has a lower relapse rate than Ibuprofen sustained release capsules for transverse process syndrome of the third lumbar vertebra.

Effect of Electroacupuncture Combined with Tuina on Lumbar Muscle Tone in Patients with Acute Lumbar Sprain

Objective: To observe the clinical effect of electroacupuncture(EA)combined with tuina on acute lumbar sprain and lumbar muscle tone before and after treatment. Methods: A total of 130 acute lumbar sprain cases were randomly allocated into an observation group and a control group, 65 in each group. Cases in the observation group were treated with EA combined with tuina, whereas cases in the control group were treated with Diclofenac Sodium Dual Release Enteric-coated capsules. The muscle tones in two groups were tested before and after treatment. Results: The recovery rate and overall response rate in the observation group were 66.2% and 93.8% respectively, versus 56.9% and 87.7% in the control group, showing no between-group statistical significances(P>0.05). After treatment, the force-displacement area under curve(AUC) in both groups showed a significance difference(P<0.05). Conclusion: Both EA combined with tuina and aforementioned oral medication have remarkable effects for acute lumbar sprain, and the former can better improve the lumbar muscle tone in patients with acute lumbar sprain.

Clinical Observation on Comprehensive Treatment on Cutaneous Region for Low Back Pain

Objective： To observe the clinical effects of comprehensive treatmenton cutaneous region for low back pain. Methods： One hundred and twenty outpatients with low back pain who met the diagnostic criteria were randomly divided into a cutaneous region group or a medication group, 60 cases in each group. The cases in the cutaneous region group were treated by Nie-pinching up the skin of the lumbosacral region, cupping and acupuncture. Those in the medication group were treated by oral administration of Celecoxib capsule. The visual analogue scale （VAS） and Oswestry disability index （ODI） were used to assess the therapeutic effects. Results： After treatment, the VAS scores of both groups were different from those before treatment, showing statistical significances （allP＆lt;0.01）. The D-valuse of VAS scores of both groups were different from those before treatment, showing statistical significances （allP＆lt;0.01）. The D-value of OID scores in the cutaneous region group was significantly different from that in the medication group（P＆lt;0.01）. After treatment, the total effective rate was 91.7% in the cutaneous region group versus 76.7% in the medication group, there was a significant difference in comparing the clinical effect （P＆lt;0.01）. Conclusion： Both comprehensive treatment on the cutaneous region and Celecoxib capsule can obviously relieve low back pain. But comprehensive treatment on the cutaneous region is better than Celecoxib capsule in the therapeutic effects.