腰痛经验方联合推拿治疗腰肌劳损临床研究.docVIP

腰痛经验方联合推拿治疗腰肌劳损临床研究 　　[摘要] 目的 ?哪诜?外治理论出发，观察内服腰痛经验方联合推拿手法治疗腰肌劳损的临床疗效。 方法 选取2015年1月～2016年12月于我院门诊就诊的符合腰肌劳损诊断的病例105例，采用随机原则将患者分为内服腰痛经验方联合推拿的治疗组55例、口服塞来昔布的对照组50例。治疗4周后，对两组病例的疗效进行总结，对比两组在总有效率和VAS评分上差异。 结果 治疗组55例中，治愈40例，好转11例，无效4例，总有效率为92.73%；对照组50例中，治愈23例，好转12例，无效15例，总有效率为70.00%。治疗组的总有效率明显高于对照组（P0.05）；经4周治疗后，治疗组评分为（1.23±0.34）分，对照组评分为（2.63±0.98）分，两组之间差异显著（t=7.84，P0.01）；而治疗组、对照组组内治疗前后评分差异有统计学意义（P0.01）。 结论 腰痛经验方内服联合推拿治疗腰肌劳损的疗效明显优于口服塞来昔布的对照组。 　　[关键词] 腰痛经验方；推拿手法；腰肌劳损；VAS评分 　　[中图分类号] R274.34 [文献标识码] B [文章编号] 1673-9701（2017）17-0121-03 　　[Abstract] Objective To study the clinical curative effect of lumbago proved recipe oral administration combined with massage technique in the treatment of lumbar muscle strain from the theory of oral administration and external treatment. Methods A total of 105 cases of lumbar muscle strain in our hospital outpatient clinic from January 2015 to December 2016 were divided into treatment group （n=55） and control group（n=50）. The treatment group was given lumbago proved recipe oral administration combined with massage technique， and the control group was given oral celecoxib. After 4 weeks of treatment， the efficacy of the two groups was summarized， and the differences in the total effective rate and the VAS scores between the two groups were compared. Results In 55 cases of the treatment group， 40 patients were cured， 11 patients were improved， and 4 cases were ineffective， with the total effective rate of 92.73%. In 50 patients of the control group， 23 cases were cured， 12 cases were improved， and 15 cases were ineffective， with the total effective rate of 70.00%. The total effective rate of the treatment group was significantly higher than that of the control group（P0.05）. After 4 weeks of treatment， the treatment group was （1.23±0.34） scores and the control group was（2.63±0.98） scores， and the difference between the two groups was significant（t=7.84， P 　　[Key words] Lumbago proved recipe； Massage technique； Lumbar muscle strain； VAS scor