一指禅推拿手法治疗老年坐骨神经损伤患者的疗效观察

Curative Effect of One Finger Massage on the Elderly with Sciatic Nerve Injury

中文关键词: 推拿  坐骨神经损伤  疗效比较研究

英文关键词: massage  sciatic neuropathy  comparative effectiveness research

中文摘要:

      目的 采用一指禅推拿治疗老年坐骨神经损伤患者,评价其疗效及安全性.方法 126例老年坐骨神经损伤患者,男性71例,女性55例,随机分为治疗组64例和对照组62例.对照组给予西医基础治疗,治疗组在对照组西医治疗基础上联合应用一指禅推拿,疗程4周.分别记录治疗前和治疗后的神经功能愈合标准(main clinical recovery rate,MCRR)、肌电图(electromyography,EMG)、运动神经传导速度(motor nerve conduction velocity,MCV)、感觉神经传导速度(sensory nerve conduction velocity,SCV)和视觉疼痛评分(visual analogue score,VAS).结果 治疗后,治疗组患者较对照组患者MCRR评分改善[(优6例,良34例,一般14例,差10例)vs(优3例,良12例,一般18例,差29例),P=0.000].再生电位增多[(失神经电位6例,再生电位34例)vs(失神经电位32例,再生电位14例),P=0.001],运动电位中混合相增多[(混合相35例,单纯相16例,无力收缩13例)vs(混合相12例,单纯相29例,无力收缩21例),P=0.000].MCV加快[腓总神经:(57.27±4.32) vs (49.58±4.05),P=0.037;胫神经:(48.36±3.56)vs (39.48±4.13),P=0.035],SCV加快[腓浅神经:(49.17±4.21) vs (41.43±4.00),P=0.047;腓深神经:(51.45±4.70)vs (40.27±4.58),P=0.043].VAS评分降低[(1.56±0.50)vs(3.65±0.73),P=0.003].结论 一指禅推拿治疗能促进老年坐骨神经损伤患者神经功能恢复,提高患者生活质量.

英文摘要:

      Objective To evaluate the curative effect of one finger massage on the elderly with sciatic nerve injury and its safety.Methods 126 elderly with sciatic nerve injury,71 male and 55 female,were randomly divided into 2 groups:treatment group (n=64) and control group (n=62);basic western medicine treatment was applied to the elderly in both groups while one finger massage was added to the elderly in treatment group;the courses of the 2 groups both lasted for 4 weeks;main clinical recovery rate (MCRR),electromyography (EMG),motor nerveconductionvelocity (MCV),sensory nerve conduction velocity.(SCV) and visual analogue score (VAS) of all the elderly in the 2 groups before and after treatment were recorded.Results After treatment,MCRR scores in treatment group increased much more than those in control group [(6 cases of excellent,34 cases of good,14 cases of general and 10 cases of poor) vs (3 cases in excellent,12 cases of good,18 cases in general and 29 cases in poor),P=0.000];the EMG changes in treatment group were bigger than those in control group [(6 cases of nerve lose potential and 34 cases of regeneration potential) vs (32 cases of nerve lose potential and 14 cases of regeneration potential),P=0.001] and the action potential in mixed phase increased more [(35 cases of mixed phase,16 cases of pure phase and 13 cases of inability to contract) vs (12 cases of mixed phase,29 cases of pure phase and 21 cases of inability to contract),P=0.000];MCV values in treatment group also increased more than those in control group [nervusperoneuscommunis:(57.27±4.32) vs (49.58-t-4.05),P=0.037;tibialnerve:(48.36±3.56) vs (39.48±4.13),P=0.035],as well as SCV values [superficial peroneal nerve:(49.17±4.21) vs (41.43±4.00),P=0.047;deep peroneal nerve:(51.45±4.70) vs (40.27±4.58),P=0.043];VAS scores in treatment group decreased [(1.56±0.50) vs (3.65 ±0.73),P=0.003].Conclusions One finger massage can promote the recovery of neurological function and improve the quality of life of the elderly with sciatic nerve injury.