文献类型：期刊文献

中文题名：祖师麻膏药外敷联合针刀疏筋解结术治疗腰肌劳损临床观察

英文题名：Observation on the Effect of External Application of Zushima Plaster Combined with Needle-knife Tendon Sparing and Knot Detoxification in the Treatment of Lumbar Muscle Strain Injury

作者：高韵奇[1];田雪梅[2];王海东[2];年芳红[2];陈平[2];刘雪君[2];雷海桃[2];杨静[1];张昊[1]

第一作者：高韵奇

机构：[1]甘肃中医药大学,甘肃兰州730000;[2]甘肃省中医院风湿骨病中心,甘肃兰州730050

第一机构：甘肃中医药大学

年份：2025

卷号：34

期号：3

起止页码：112

中文期刊名：中国民族民间医药

外文期刊名：Chinese Journal of Ethnomedicine and Ethnopharmacy

基金：甘肃省针刀医学产学研合作平台建设(GZKP-2022-3-33);祖师麻膏药作用机制与临床疗效研究(2022-0915);王海东甘肃省名中医传承工作室建设项目(甘卫中医函[2022]50号)。

语种：中文

中文关键词：祖师麻膏药;针刀;腰肌劳损

外文关键词：Zushima Plaster;NeedleKnife;Lumbar Muscle Strain

摘要：目的:观察分析祖师麻膏药外敷联合针刀疏筋解结术治疗腰肌劳损的临床疗效。方法:选取我院诊治的腰肌劳损患者96例,依据随机数字表法分成试验组与对照组,每组均纳入48例。对照组予针刀疏筋解结术治疗;试验组予祖师麻膏药贴敷联合针刀疏筋解结术治疗。观察比较两组治疗前后VAS评分、改良ODI评分、JOA评分变化以及临床疗效。结果:两组治疗后VAS评分与改良ODI评分明显降低,且试验组降低更明显(P<0.05);两组治疗后JOA评分显著提高,且试验组指标改善更明显(P<0.05);治疗后试验组腰肌劳损50%以上改善率明显多于对照组(P<0.05),且试验组总有效率明显高于对照组(P<0.05)。结论:祖师麻膏药外敷可有效缓解腰肌劳损临床症状,改善临床体征,并且联合针刀疏筋解结术可进一步减轻患者腰部疼痛,提高远期疗效,缓解术后不适感。
Objective To observe and analyse the clinical efficacy of external application of Zushima Plaster combined with needle-knife tendon detoxification in the treatment of lumbar muscle strain injury.Methods Ninety-six patients with lumbar muscle strain injury treated in our hospital were selected and divided into the experimental group and the control group according to the method of random number table,and 48 cases were included in each group.The control group was treated with acupuncture and knifing;the experimental group was treated with Zushima Plaster combined with acupuncture and knifing.Observe and compare the changes of VAS score,modified ODI score,JOA score and clinical efficacy before and after treatment.Results VAS score and modified ODI score were significantly reduced after treatment in both groups,and the reduction was more obvious in the experimental group(P<0.05);JOA score was significantly improved after treatment in both groups,and the improvement of the indexes was more obvious in the experimental group(P<0.05);the rate of improvement of more than 50% in the lumbar strain injury in the experimental group after treatment was significantly more than that of the control group(P<0.05),and the total effective rate of the experimental group was significantly higher than that of the control group(P<0.05).Conclusion External application of Zushima Plaster can effectively alleviate the clinical symptoms of lumbar muscle strain injury and improve the clinical signs,and combined with needle-knife tendon detoxification can further reduce the patient's lumbar pain,improve the long-term therapeutic effect,and alleviate the postoperative discomfort.