冲和药物速渗治疗仪与正骨、针刀联合治疗腰软组织伤病研究

 目的 研究冲和药物速渗治疗仪与正骨、针刀疗法联合治疗腰软组织训练伤病的临床疗效、作用机制和不良反应.方法 将腰部软组织训练伤病患者80例随机分为冲和组和常规组.冲和组40例,采用每日1次冲和治疗,7次为一疗程;常规组40例,采用理疗、按摩等常规治疗方法;应用脊柱运动范围(Taimela test)测量腰椎活动度评估疗效.结果 经治疗2周后两组有效率:冲和组86.5%、常规组74.6%,差别虽无统计学意义,但观察随访1年,冲和组腰部损伤事件发生率明显低于常规组(P<0.01);治疗前后两组腰椎活动度相比较有统计学意义(P<0.01).结论 药械冲和疗法具有疏理肌丝,改善病理性骨骼肌细胞重构的作用,可有效地改变推拿、针刀术后肌丝修复过程中的粘连、结节和瘢痕形成等的病理过程,是正骨、针刀术后的连续性治疗方法.

Effect and mechanism of Chonghe therapy and massage and acupuncture on soft tissue injury

Objective To study the therapeutic effect and mechanism of Chonghe therapy on low back pain(LBP).Methods Eighty outpatients with LBP were randomly divided into two groups:one as study group(n=40) was treated with Chonghe therapy and the other as control group(n=40) was given regular treatment,including physiotherap and massage.Before and after a course of treatment,Taimela test was used to assess the degree of LBP,the capability of daily activity,and the general status of health.Results The changes of Taimela test in the two groups were both significantly improved after treatment(P<0.01).Furthermore,after a treatment course of 2 weeks,the effective rate in study group was 86.5%,much higher than 74.6% in control group(P>0.05).However,in the one year follow-up period,the occurrence of low back injury in the study group was significantly less freguent than in the control group(P<0.01).Conclusions Chonghe therapy alleviates or even cures LBP and it effectively controls the pain and reduces the occurrence of lower back injury during military training;therefore it is recommended to treat and prevent LBP after treatment with massage and acupuncture.