【摘要】：目的:通過強(qiáng)刺激手法治療對(duì)臀中肌綜合征的臨床療效評(píng)價(jià),并與口服非留體抗炎藥治療對(duì)照,篩選療效更佳的臀中肌綜合征治療方法,以期能尋找療程短、副作用小,復(fù)發(fā)率低、誤診率少的方法。方法:從2016年3月至2017年3月期間,根據(jù)診斷標(biāo)準(zhǔn)、納入標(biāo)準(zhǔn)從浙江中醫(yī)藥大學(xué)附屬第三醫(yī)院推拿科門診中納入60例患者,根據(jù)隨機(jī)化(Block randomization)的分組原則,把病例分成2個(gè)組:治療組30例,運(yùn)用強(qiáng)刺激手法(治療隔日1次治療,治療5次,其治療周期為10天),對(duì)照組30例,口服非甾體抗炎藥治療(飯后服用塞來昔布膠囊為200m g,1日1次,其治療周期為10天)。規(guī)范各種治療方法、療程,運(yùn)用疼痛視覺量表(VAS)觀察評(píng)分、JOA下腰痛疾患療效評(píng)定標(biāo)準(zhǔn)、Oswestry功能障礙指數(shù),進(jìn)行療前、療后對(duì)照,確立臨床療效評(píng)價(jià)。結(jié)果:治療組30例臀中肌綜合征患者中,28例獲得臨床痊愈,2例有效,總有效為100%,獲得臨床痊愈的治療次數(shù)最少者為1次,最多者為5次。對(duì)照組30例臀中肌綜合征患者中,12例獲得臨床痊愈,15例有效,3例無效。治療組30例臀中肌綜合征患者治療后的(VAS)觀察評(píng)分、JOA下腰痛疾患療效評(píng)定標(biāo)準(zhǔn)、Oswestry功能障礙指數(shù),與治療前比較均有顯著性差異。治療組與對(duì)照組中均為出現(xiàn)不能堅(jiān)持治療者或出現(xiàn)嚴(yán)重不良反。結(jié)論:通過解剖學(xué)原理,準(zhǔn)確找到臀中肌的損傷部位,予以強(qiáng)刺激手法治療,可以快速消除或減輕癥狀,起到解痙止痛的效果,使患者臨床痊愈。
[Abstract]:Objective: to evaluate the clinical effect of strong stimulation and manipulation on gluteal middle muscle syndrome, and compare it with oral non-body anti-inflammatory drugs to screen the better treatment method for gluteal middle muscle syndrome, in order to find a shorter course of treatment and less side effect. The method of low recurrence rate and low misdiagnosis rate. Methods: from March 2016 to March 2017, 60 patients were included in the clinic of Tuina Department of the third affiliated Hospital of Zhejiang University of traditional Chinese Medicine according to the diagnostic criteria and the principle of randomized (Block randomization) grouping. The patients were divided into two groups: treatment group (30 cases) and control group (30 cases). Oral non-steroidal anti-inflammatory drugs (celecoxib 200 mg, once a day, 10 days after meals). Standard treatment methods, course of treatment, using pain visual scale (VAS) observation score, JOA low back pain disease evaluation standard, Oswestry dysfunction index, pre-treatment, post-treatment control, to establish clinical efficacy evaluation. Results: in the treatment group, 28 cases were clinically cured, 2 cases were effective, the total effective rate was 100, the least number of times of clinical cure was 1, and the most frequent was 5 times in the treatment group of 30 cases of gluteal middle muscle syndrome. In the control group, 12 cases were cured, 15 cases were effective and 3 cases were ineffective. In the treatment group, there were significant differences between 30 patients with gluteal middle muscle syndrome (GMS) after treatment and before treatment by observing (VAS) score, evaluating the efficacy of low back pain under JOA, and the index of Oswestry dysfunction. In both the treatment group and the control group, patients who could not adhere to the treatment or severe adverse reactions were found. Conclusion: through anatomical principle, finding the injured part of gluteus middle muscle accurately and giving strong stimulation and manipulation treatment can quickly eliminate or alleviate symptoms, play the effect of relieving spasmolysis and relieving pain, and make the patients recover clinically.
【學(xué)位授予單位】：浙江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.9

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