壮医经筋三联疗法在腰肌劳损中的应用

王粤湘

(广西中医药大学第一附属医院，南宁 530023)

摘要：目的通过对腰肌劳损病人实施壮医经筋三联疗法，进行壮医经筋三联疗法的疗效分析。方法将100例病人,采用壮医经筋三联疗法治疗。于治疗前和治疗后进行腰部疼痛评分，同时，查阅文献，探讨腰肌劳损治疗中应用壮医经筋三联疗法的理论依据。结果治疗前和治疗后5次、10次、15次的腰部疼痛评分分别为(6.75±1.43)(4.79±1.64)(3.16±1.49)(1.89±1.51)，临床总有效率分别为48.00%、81%和98.00%,比较差异有统计学意义(P<0.05)。并发现腰肌劳损的发病既有局部的因素，也有全身的因素。结论壮医经筋三联疗法是通过经络、腧穴的良性刺激调整作用达到防治疾病的目的，在治疗过程中重视梳理筋结，坚持“以灶为腧”，强调通调脏腑经络来促进疾病康复，并主张治疗时间要间隔,在康复前要定期治疗,使有效率提高，康复率高。

关键词：壮医;经筋三联疗法;腰肌劳损;梳理筋结;以灶为腧

DOI::10.13463/j.cnki.jlzyy.2015.07.028

中图分类号：R274.3文献标志码： A

文章编号：1003-5699(2015)07-0740-04

基金项目:国家中医药部门公共卫生专项资金项目：民族医药文献整理及适宜技术筛选推广(2010MZJSGX17)。广西壮族自治区中医药管理局中医药民族医药标准化研究课题(GZBZ0902)。

作者简介:王粤湘(1959-)，女，主任护师，主要从事中医、民族医药临床应用研究。

Zhuang medicine by reinforcement of triple therapy on lumbar muscle strain application

WANG Yuexiang

(The First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,China)

Abstract:ObjectiveThrough the implementation of the tendons of Zhuang medicine triple therapy on lumbar muscle strain of the patient,the Zhuang medicine analysis of curative effect after reinforcement of triple therapy.MethodsThe 100 patients by Zhuang medicine meridian sinews triple therapy.Before treatment and after treatment for back pain score,at the same time,literature,discussion of strain of lumbar muscles in the treatment of Zhuang medicine by theoretical basis reinforcement of triple therapy.ResultsBefore treatment and after 5 times,10 times,15 times the waist pain scores were (6.75±1.43),(4.79±1.64),(3.16±1.49),(1.89±1.51),the total clinical effective rate were 48.00%,81.00% and 98.00%,the difference was statistically significant (P<0.05).And found that the incidence of lumbar muscle strain both local factors,also a systemic factors.ConclusionZhuang medicine meridian sinews triple therapy is to treat and prevent the disease by benign stimulation to adjust the role of meridians,acupoints purpose,pay attention to carding tendons knot in the treatment process,adhere to the “focal points for shu”,emphasize on the Zang Fu organs and meridians to adjust promoting disease rehabilitation,and advocate the treatment time interval,to regular therapy in rehabilitation before,so that the efficiency of the recovery rate is high.The tendon of Zhuang medicine triple therapy to improve the treatment effect of lumbar muscle strain patients has great significance.

Keywords:Zhuang medicine;reinforcement of triple therapy;lumbar muscle degeneration;carding tendons knot;focal points for shu

腰肌劳损(Lumbar muscle strain)是因体力劳动过度或急性腰部损伤引起肌肉筋膜、韧带等软组织受损，形成无菌性炎症，从而反复刺激神经末梢而产生疼痛[1]，是腰背痛常见原因之一[2]，其临床发病率占腰腿痛患者的80%[3]。易发人群多为30～50岁的中青年人[4]具有慢性,易复发特点。如何减轻肌肉纤维充血、水肿、黏连等炎症反应，缓解腰肌痉挛、解除腰部疼痛，恢复腰肌正常肌力活动度很重要。

1资料与方法

1.1临床资料符合腰肌劳损诊断患者100例,均来自广西中医药大学第一附属医院壮医门诊，男41例，女59例；年龄19～79岁(45.95±15.02)；……