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1.
目的:观察推拿手法联合腰椎牵引治疗腰椎间盘突出症急性发作期患者的效果。方法:选取90例腰椎间盘突出症急性发作期患者为研究对象,按照随机数字表法分为对照组和观察组各45例。对照组采用腰椎牵引治疗,观察组在对照组基础上联合推拿治疗,两组均治疗4周。比较两组治疗前后视觉模拟评分法(VAS)评分、腰椎功能[日本骨科协会评估治疗分数(JOA)]评分、腰椎活动度、炎性因子[白细胞介素-1β(IL-1β)、IL-6、肿瘤坏死因子-α(TNF-α)]水平和治疗总有效率。结果:治疗后,两组VAS评分均低于治疗前,且观察组低于对照组,两组JOA评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);治疗后,两组腰椎前屈、后伸、左弯、右弯角度均大于治疗前,且观察组大于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率为95.56%,高于对照组的82.22%,差异有统计学意义(P<0.05);治疗后,两组IL-1β、TNF-α、IL-6水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:推拿手法联合腰椎牵引治疗腰椎间盘突出症急性发作期患者可提高治疗总有效率、JOA评分,改善腰椎活动度,降低疼痛评分和炎性因子水平,优于单纯腰椎牵引治疗效果。  相似文献   
2.
BackgroundFindings on the usefulness of massage therapy (MT) in postoperative pain management are often inconsistent among studies.ObjectivesThis study’s aim is to conduct a meta-analysis of randomized controlled trials (RCT) to clarify the effects of massage therapy in the treatment of postoperative pain.MethodsThree databases (PubMed, Embase, and Cochrane Central Register of Controlled Trials) were searched for RCTs published from database inception through January 26, 2021. The primary outcome was pain relief. The quality of RCTs was appraised with the Cochrane Collaboration risk of bias tool. The random-effect model was used to calculate the effect sizes and standardized mean difference (SMD) with 95 % confidential intervals (CIs) as a summary effect. The heterogeneity test was conducted through I2. Subgroup and sensitivity analyses were used to explore the source of heterogeneity. Possible publication bias was assessed using visual inspection of funnel plot asymmetry.ResultsThe analysis included 33 RCTs and showed that MT is effective in reducing postoperative pain (SMD, −1.32; 95 % CI, −2.01 to −0.63; p = 0.0002; I2 = 98.67 %). A similar significant effect was found for both short (immediate assessment) and long terms (assessment performed 4–6 weeks after the MT). Remarkably, we found neither the duration per session nor the dose had an impact on the effect of MT and there seemed to be no difference in the effects of different MT types. In addition, MT seemed to be more effective for adults. Furthermore, MT had better analgesic effects on cesarean section and heart surgery than orthopedic surgery.LimitationsPublication bias is possible due to the inclusion of studies in English only. Additionally, the included studies were extremely heterogeneous. Double-blind research on MT is difficult to implement, and none of the included studies is double-blind. There was some heterogeneity and publication bias in the included studies. In addition, there is no uniform evaluation standard for the operation level of massage practitioners, which may lead to research implementation bias.ConclusionsMT is effective in reducing postoperative pain in both short and long terms.  相似文献   
3.
目的观察温针灸推拿辅以中药治疗膝骨性关节炎的临床疗效。方法100例膝骨性关节炎患者,按照随机数字表法分为综合治疗组及对照组,每组50例。综合治疗组采取温针灸推拿辅以中药治疗,对照组采取常规西药治疗。比较两组治疗前后的膝关节疼痛评分、炎症指标[肿瘤坏死因子-α(TNF-α)、超敏C反应蛋白(hs-CRP)、白介素-6(IL-6)]、生活质量评分,治疗效果。结果治疗1周后,综合治疗组患者的膝关节疼痛评分(2.01±0.12)分、TNF-α(1.52±0.24)ng/ml、hs-CRP(7.45±1.02)mg/L、IL-6(61.52±2.16)pg/ml均低于对照组的(3.56±0.45)分、(2.42±0.28)ng/ml、(9.18±1.56)mg/L、(121.25±2.11)pg/ml,生活质量评分(92.19±3.35)分高于对照组的(85.21±2.12)分,差异具有统计学意义(P<0.05)。综合治疗组患者的总有效率94.00%高于对照组的72.00%,差异具有统计学意义(P<0.05)。结论对膝骨性关节炎患者实行温针灸推拿辅以中药治疗的临床效果确切,可缓解症状及膝关节的疼痛程度,改善患者的生活质量,值得推广和应用。  相似文献   
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ObjectiveTo systematically review the effects of soft tissue mobilization (STM) on both surgical and non-surgical abdominal adhesion-related symptoms.Study designSystematic Review.BackgroundIt is known that abdominal adhesions can cause a variety of symptoms with one of the most common being abdominal pain. To date, there is no known systematic review that documents the effects of STM on adhesion-related abdominal symptoms.Methods and measuresA systematic review of literature was indexed in the following databases: PubMed, Cochrane, Google Scholar, OVID, and EBSCO. The quality of the studies was assessed using the MINORS scale.ResultsNine studies satisfied the eligibility criteria for this systematic review. The studies' population age ranged from 10.7 to 89.4 years. Four articles were nonrandomized and had scores ranging from 3 to 14 out of 16 total on the MINORS scale. Five articles were randomized controlled trials or comparative studies and scores ranged from 16 to 23 out of 24 total on the MINORS scale. There were five articles that used pain as an objective measure and all of them reported a decrease in pain after treatment. Two studies looked at quality of life and function and both saw objective improvements following abdominal adhesion treatment. Collectively, there were also improvements seen in scar mobility, infertility, posture, a reduction in medication, increased pressure tolerance and decreased postoperative ileus.ConclusionThe results of this review indicate preliminary strong evidence for the benefits of STM on symptoms relating to acute post-surgical adhesions, preliminary moderate evidence for the benefits of STM on symptoms relating to chronic non-surgical related adhesions (fertility and SBO) and moderate evidence for the benefits of STM on symptoms relating to chronic post-surgical adhesions.  相似文献   
6.
ObjectiveThe purpose was to involve women’s personal experiences of daily life with primary dysmenorrhea (PD) and their body perceptions of the dysmenorrhea-related symptoms in relation to the treatment procedure and to explore the perception of Heart Rate Variability Biofeedback (HRV-BF) or Rhythmical Massage (RM) according to Ita Wegman as a therapeutic intervention within the framework of Anthroposophic Medicine (AM).DesignFrom 60 women who participated in our randomized controlled trial analyzing the effects of HRV-BF or RM, we examined 14 women to get an in-depth understanding of this prevalent disease, using a qualitative design. The women drew their body image before and after the 3-month-intervention on body silhouette diagrams and described their body-perceptions. Semi-structured interviews were conducted and analyzed using content analysis.ResultsWomen perceive dysmenorrhea as a disturbance of their daily lives. The body images showed the variations of experience, from misbalances of body perception to overwhelming attacks of pain hindering a normal life for several days per month. Perception of therapeutic interventions range from relaxing without effects on complaints to important changes and benefits on the physical, emotional, and/or social level. Both therapies can support stronger self-awareness through enabling a more differentiated sense of body-awareness, sometimes resulting in women experiencing fewer limitations in their daily lives. Effects may be influenced by the readiness to resonate with the therapeutic process. Qualitative interviews and body images can serve as tools to integrate individuality and help to integrate embodied more or less conscious aspects of complaints.ConclusionsThe body silhouette diagram could be used systematically to include reflections of embodiment in the therapeutic and research settings and help to diagnose in advance the ability of participants to resonate with interventions. RM and HRV-BF influence self-awareness and may enable salutogenic and self-management capacities. For more effective treatment it may be helpful to make treatment suggestions based on an integrative individual history that includes preferences, expectations and a body silhouette diagram.  相似文献   
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8.
《中国现代医生》2020,58(20):104-106+110
目的 探讨扶阳罐结合推拿手法治疗小儿咳嗽(肺气亏虚型)的临床效果。方法 将2018年5月~2019年5月收治156例的小儿咳嗽(肺气亏虚型)患儿随机抽签分为对照组(n=76)和观察组(n=80),对照组给予盐酸氨溴索口服溶液,观察组在对照组基础上给予扶阳罐结合推拿治疗。比较患儿临床治疗效果,对比患儿症状改善时间、咳嗽频率及咳痰量评分情况。结果 观察组患儿总有效率显著高于对照组,差异有统计学意义(P0.05);观察组患儿症状改善时间均明显短于对照组,差异有统计学意义(P0.05);治疗后,患儿咳嗽频率及咳痰量评分均显著下降,观察组显著低于对照组,差异有统计学意义(P0.05)。结论 扶阳罐结合推拿治疗小儿咳嗽(肺气亏虚型),能显著改善患儿症状,提升临床效果,值得推广。  相似文献   
9.
目的:探讨中药离子导入联合穴位按摩应用在糖尿病周围神经病变的临床疗效及应用价值。方法:选取2016年1月至2018年10月西宁市城北区中医院收治的糖尿病周围神经病变210例作为研究对象,按照治疗方案不同分为对照组和观察组,每组105例,对照组给予西医基础治疗,观察组在对照组基础上联合中药离子导入与穴位按摩治疗,比较2组治疗效果。结果:观察组患者治疗总有效率为97.14%显著高于对照组的86.67%,组间比较差异有统计学意义(P<0.05)。观察组治疗后肢体麻木评分(1.53±0.11)分,肢体疼痛评分(1.34±0.12)分,倦怠乏力评分(1.23±0.14)分,手足畏寒评分(1.33±0.14)分;对照组疗后肢体麻木评分(2.06±0.38)分,肢体疼痛评分(1.96±0.34)分,倦怠乏力评分(1.84±0.37)分,手足畏寒评分(1.85±0.32)分,组间比较差异有统计学意义(P<0.05)。观察组治疗后尺神经传导速度(51.68±3.75)m/s,胫神经传导速度(39.96±2.98)m/s,腓总神经传导速度(38.43±2.88)m/s;对照组治疗后尺神经传导速度(45.32±2.86)m/s,胫神经传导速度(37.04±2.41)m/s,腓总神经传导速度(35.06±2.19)m/s,组间比较差异有统计学意义(P<0.05)。结论:中药离子导入联合穴位按摩应用在糖尿病周围神经病变可以提升临床疗效,改善神经传导素,减轻临床症状评分,值得在临床推广应用。  相似文献   
10.
《中国现代医生》2020,58(29):67-70
目的 研究腹部推拿按摩对产后子宫复旧的疗效。方法 选择2016 年9 月~2019 年3 月我院收治的200 例顺产产妇,根据抽签法将产妇随机分为A、B 两组,每组各100 例。A 组采用腹部推拿按摩的治疗方法,B 组不做特殊处理,使其自然康复。观察至产后42 d,比较两组产妇的产后宫底下降情况、排尿时间、肛门排气时间及恶露干净时间等指标,并比较两组产妇生产1 周后的子宫总复旧率。结果 A 组产妇产后平均宫底高度为(10.07±1.34)cm,低于B 组的(16.37±2.42)cm,差异有统计学意义(P<0.05)。A 组产妇产后排尿时间(8.65±1.13)h、肛门排气时间(30.16±5.16)h,分别短于B 组的(15.46±1.44)h、(37.90±7.45)h,差异有统计学意义(P<0.05)。A 组产妇产后恶露干净时间为(12.67±1.64)d,短于B 组的(21.57±2.30)d,差异有统计学意义(P<0.05);A 组产妇产后子宫总复旧率为99.00%,高于B 组的85.00%,差异有统计学意义(P<0.05)。结论 产后对产妇采取腹部推拿按摩治疗,能有效促进子宫收缩、及时排出恶露、防止组织残留,同时可缩短排尿及肛门排气时间、防止尿潴留、减少产后出血,有利于子宫复旧,具有较高的临床价值。  相似文献   
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