舒筋正骨手法结合穴位敷贴在退行性腰椎管狭窄症患者干预中的应用*
作者：宋迎迎，唐世技，沈豆丽，黄 伟，王雪芹，牛梦雨
单位：淮北市中医医院，安徽 淮北 235000
引用：引用：宋迎迎，唐世技，沈豆丽，黄伟，王雪芹，牛梦雨.舒筋正骨手法结合穴位敷贴在退行性腰椎管狭窄症患者干预中的应用[J].中医药导报,2025,31(7):105-109.
DOI：10.13862/j.cn43-1446/r.2025.07.017
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摘要：
目的：探究舒筋正骨手法结合穴位敷贴在退行性腰椎管狭窄症患者干预中的作用。方法：按随机数字表法将106例气滞血瘀型退行性腰椎管狭窄症患者分为观察组53例和对照组53例。对照组接受常规护理干预，观察组在对照组基础上予以舒筋正骨手法结合穴位敷贴干预。比较干预前和干预后3个月时两组患者的中医证候积分、腰椎功能恢复情况（ODI）、疼痛程度（VAS）、步行距离（SCWD）、腰椎活动度、脊柱生物力学水平[骨盆倾斜角（PT）、骶骨倾斜角（SS）、腰前凸角（LL）]和生活质量（QLS-DSD）。结果：干预后3个月时，两组患者的中医证候积分、ODI评分、VAS评分、PT值和QLS-DSD评分均较干预前显著降低，且观察组显著低于对照组（P<0.05）；两组患者的SCWD值，主动直腿抬高角度、屈伸、侧弯、旋转值，SS和LL值均较干预前显著提高，且观察组显著高于对照组（P<0.05）。结论：舒筋正骨手法结合穴位敷贴干预能够有效恢复退行性腰椎管狭窄症患者腰椎功能，显著改善患者疼痛程度、步行距离、腰椎活动度、脊柱生物力学水平和生活质量。
关键词：退行性腰椎管狭窄症；舒筋正骨手法；穴位敷贴；气滞血瘀；脊柱生物力学
Abstract：
Objective:
To explore the effect of tendon-soothing and bone-setting manipulation combined
with acupoint application in the intervention of patients with degenerative
lumbar spinal stenosis. Methods: Adopting a prospective study, patients with
degenerative lumbar spinal stenosis of qi-stagnation and blood stasis were
divided into observation group (n=53) and control group (n=53) according to the
random number table method. The control group received routine nursing
intervention, while the observation group was given tendon-soothing and
bone-setting manipulation combined with acupoint application in addition to the
standard care provided to the control group. The TCM syndromes scores, lumbar
function recovery status [Oswestry Disability Index (ODI)], pain degree [Visual
Analogue Scale (VAS)], walking distance [Single Continuous Walking Distance
(SCWD)], lumbar range of motion (active straight leg elevation angle, flexion
and extension, scoliosis, rotation), spinal biomechanics [pelvic tilt angle
(PT), sacral slope angle (SS), lumbar lordosis angle (LL)] and quality of life
[Quality of Life Scale for Degenerative Spine Disease (QLS-DSD)] were compared
between the two groups before intervention and at 3 months after intervention.
Results: At 3 months after intervention, the TCM syndromes scores, ODI score,
VAS score, PT value and QLS-DSD scores in the two groups were significantly
reduced compared with those before intervention, and the above indicators in
observation group were significantly lower than those in control group
(P<0.05). The SCWD value, active straight leg elevation angle, flexion and
extension, scoliosis, rotation, SS and LL were significantly enhanced in both
groups than those before intervention, and the indicators in observation group
were significantly higher (P<0.05). Conclusion: Tendon-soothing and
bone-setting manipulation combined with acupoint application intervention can
effectively restore the lumbar function, and significantly improve the pain
degree, walking distance, lumbar range of motion, spinal biomechanics and
quality of life in patients with degenerative lumbar spinal stenosis.
Key words：degenerative lumbar spinal stenosis; tendon-soothing and bone-setting manipulation; acupoint application; qi-stagnation and blood stasis; spinal biomechanics
发布时间：2026-01-06
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