摘要
目的:探讨颈肩腰腿痛患者实施局部正骨推拿治疗的同时,增加中药内服治疗的临床疗效。方法:选取漳浦县医院2019年1月至2022年3月期间收治的200例颈肩腰腿痛患者,按照随机数字表法分为对照组与观察组,各100例。对照组患者使用局部正骨推拿治疗,观察组患者在对照组的基础上给予中药内服治疗,观察比较两组患者的临床疗效。结果:治疗后观察组患者血清肿瘤坏死因子-α、C反应蛋白、白细胞介素-6水平均低于对照组,差异具有统计学意义(P<0.05)。治疗后观察组患者视觉模拟评分法(VAS)评分低于对照组,上肢运动功能、下肢运动功能评分、主要颈椎病临床评价量表(CASCS)评分均高于对照组,差异具有统计学意义(P<0.05)。两组患者治疗总疗效率为98.00%,高于对照组的91.00%,差异具有统计学意义(P<0.05)。治疗后观察组患者各项中医证候积分均低于对照组,差异具有统计学意义(P<0.05)。结论:运用局部正骨推拿治疗颈肩腰腿痛患者时,配合使用中药内服治疗方案可显著提高其总体疗效,并将各项临床指标有效改善。
Objective To explore the clinical effect of local bone setting massage combined with oral Chinese medicine in the treatment of neck,shoulder,waist and leg pain.Methods A total of 200 patients with neck,shoulder,low back and leg pain admitted to Zhangpu County Hospital from January 2019 to March 2022 were selected and divided into a control group and an observation group according to the random number table method,with 100 cases in each group.The patients in the control group were treated with local bone setting massage,and the patients in the observation group were treated with oral Chinese medicine on the basis of the control group.The clinical efficacy of the two groups were observed and compared.Results After treatment,the levels of tumor necrosis factor-α,C-reactive protein and interleukin-6 in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the visual analog scale(VAS)of the score of observation group was lower than that of the control group,and the scores of upper limb motor function,lower limb motor function and clinical assessment scale for cervical spondylosis(CASCS)were higher than those of the control group,with statistical significance(P<0.05).The total efficacy rate of the two groups was 98.00%,higher than 91.00%of the control group,the differences were statistically significant(P<0.05).After treatment,the traditional Chinese medicine(TCM)syndrome scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The application of local bone setting massage in the treatment of patients with neck,shoulder,waist and leg pain,combined with the use of oral Chinese medicine treatment can significantly improve the overall efficacy,and effectively improve the clinical indicators.
作者
黄凯明
刘鸿麒
HUANG Kai-ming;LIU Hong-qi(Zhangpu County Hospital,Fujian Zhangpu 363200)
出处
《深圳中西医结合杂志》
2022年第19期45-48,共4页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
颈肩腰腿痛
中药内服
局部正骨推拿
Neck,shoulder,waist and leg pain
Oral Chinese medicine
Local bone setting massage
作者简介
黄凯明,男,主治医师,主要研究方向是骨科学。
