[1]柯洪奎,叶盈盈,朱峻松.针刺联合三步七法推拿对颈肩腰腿痛肾虚血瘀证患者颈肩腰腿活动功能的影响[J].西部中医药,2024,37(10):144-146.[doi:10.12174/j.issn.2096-9600.2024.10.33]
　KE Hongkui,YE Yingying,ZHU Junsong.Influence of Needling and Three-step Seven-Method Massage on Motor Function of Neck, Shoulder, Waist and Leg in Patients Suffering Kidney Deficiency and Blood Stasis Type of Neck, Shoulder, Waist and Leg Pain[J].Western Journal of Traditional Chinese Medicine,2024,37(10):144-146.[doi:10.12174/j.issn.2096-9600.2024.10.33]
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针刺联合三步七法推拿对颈肩腰腿痛肾虚血瘀证患者颈肩腰腿活动功能的影响
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
37
期数:
2024年10期
页码:
144-146
栏目:
特色医疗
出版日期:
2024-10-15

文章信息/Info

Title:
Influence of Needling and Three-step Seven-Method Massage on Motor Function of Neck, Shoulder, Waist and Leg in Patients Suffering Kidney Deficiency and Blood Stasis Type of Neck, Shoulder, Waist and Leg Pain
作者:
柯洪奎, 叶盈盈, 朱峻松
武汉市普仁医院，湖北 武汉 430080
Author(s):
KE Hongkui, YE Yingying, ZHU Junsong
Wuhan Puren Hospital, Wuhan 430080, China
关键词:
颈肩腰腿痛; 肾虚血瘀证; 针刺; 三步七法推拿
Keywords:
neck;  shoulder;  waist and leg pain; kidney-deficiency blood- stasis; needling; three-step seven-method massage
分类号:
R246.9
DOI:
10.12174/j.issn.2096-9600.2024.10.33
文献标志码:
B
摘要:
目的探讨针刺联合三步七法推拿对颈肩腰腿痛（neck，shoulder，waist and leg pain，NSWLP）肾虚血瘀证患者颈肩腰腿活动功能的影响。 方法将NSWLP肾虚血瘀证患者112例按照随机数字表法分为对照组和观察组各56例。对照组予西医常规干预方案，观察组在对照组基础上采取针刺联合三步七法推拿治疗，连续治疗4周后比较两组患者疼痛程度，颈椎、肩关节、腰椎、膝关节功能以及临床疗效。 结果治疗4周后，两组患者视觉模拟量表（visual analogue scale，VAS）评分均降低（P＜0.01），观察组降低更明显（P＜0.01）；两组患者颈椎病临床评价量表（cervical spondylosis clinical evaluation scale，CASCS）、Constant-Murley欧美肩关节评分法（constant-murley score，C-M）、日本骨科协会（Japanese Orthopaedic Association，JOA）评分、Lysholm评分均升高，观察组升高更明显（P＜0.01）；观察组总有效率为94.64%（53/56），高于对照组的80.36%（45/56）（P＜0.05）。 结论西医常规治疗基础上予针刺联合三步七法推拿治疗NSWLP肾虚血瘀证疗效更佳，可进一步减轻患者疼痛，改善颈肩腰腿活动功能。
Abstract:
ObjectiveTo explore the influence of needling joined with three-step seven-method massage on motor function of neck, shoulder, waist and leg in patients with kidney-deficiency blood-stasis type of neck, shoulder, waist and leg pain (NSWLP). MethodsAll 112 patients were allocated to the control group and the observation group according to random number table method with 56 cases in each group. The control group accepted conventional intervention program of Western medicine, and the observation group adopted needling joined with three-step seven-method massage on the foundation of the therapy the control group received, to compare VAS scores, cervical, shoulder, lumbar and knee function and clinical effects between both groups after four weeks of the treatment. ResultsAfter four weeks of the treatment, VAS scores of both groups were lowered (P<0.01), the decrease of the observation group was more evident (P<0.01); CASCS, C-M, JOA scores and Lysholm scores elevated in the two groups, the elevation was more pronounced in the observation group (P<0.01); total effective rate of the observation group was 94.64% (53/56), higher than 80.36% (45/56) of the control group(P<0.01). ConclusionOn the foundation of conventional program of Western medicine, needling joined with three-step seven-method massage could obtain the best clinical effects in the treatment of kidney-deficiency blood- stasis type of NSWLP, it could further alleviate the pain and improve motor function of neck, shoulder, waist and leg.

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备注/Memo

备注/Memo:
柯洪奎（1985—），男，主治医师。研究方向：颈肩腰腿痛的中西医结合治疗。E-mail：Kehongkui1985@163.com。湖北省卫生和计划生育委员会联合基金项目（WJ2018H0106）。
更新日期/Last Update: 2024-10-15