中国中医药现代远程教育
中國中醫藥現代遠程教育
중국중의약현대원정교육
CHINESE MEDICINE MODERN DISTANCE EDUCATION OF CHINA
2015年
8期
23-25
,共3页
梁勇%李易%肖壬川%胡乔军
樑勇%李易%肖壬川%鬍喬軍
량용%리역%초임천%호교군
腰背痛%腰背筋膜水肿%MRI
腰揹痛%腰揹觔膜水腫%MRI
요배통%요배근막수종%MRI
lumbodorsal pain%lumbodorsal myofascial edema%MRI
目的:初步探讨腰背痛腰背筋膜水肿患者治疗前后背侧腰椎棘突后方肌筋膜MRI信号表现特点,为临床诊断及治疗后随访提供参考。方法选取因腰背痛就诊病人进行MRI检查,随访进行了中医理疗、针灸、推拿按摩等保守治疗的患者;对比患者治疗前和治疗后一个疗程后或3个月后患者的背侧腰椎棘突后方肌筋膜的异常信号区进行对比分析,以对比观察其临床疗效。结果治疗1个疗程后或治疗3个月后,患者的症状、体征、日常生活情况等绝大部分均有明显的改善,复查MRI与治疗前的MRI图像比较,患者背侧腰椎棘突后方肌筋膜的异常信号区范围大多数有不同程度的缩小。结论中医理疗、针灸、推拿按摩等保守治疗对腰背痛腰背筋膜水肿患者的症状、体征、日常生活情况有明显改善作用(临床疗效显著);MRI检查对腰背痛腰背筋膜水肿患者的诊断、治疗后评估有明显指导作用。
目的:初步探討腰揹痛腰揹觔膜水腫患者治療前後揹側腰椎棘突後方肌觔膜MRI信號錶現特點,為臨床診斷及治療後隨訪提供參攷。方法選取因腰揹痛就診病人進行MRI檢查,隨訪進行瞭中醫理療、針灸、推拿按摩等保守治療的患者;對比患者治療前和治療後一箇療程後或3箇月後患者的揹側腰椎棘突後方肌觔膜的異常信號區進行對比分析,以對比觀察其臨床療效。結果治療1箇療程後或治療3箇月後,患者的癥狀、體徵、日常生活情況等絕大部分均有明顯的改善,複查MRI與治療前的MRI圖像比較,患者揹側腰椎棘突後方肌觔膜的異常信號區範圍大多數有不同程度的縮小。結論中醫理療、針灸、推拿按摩等保守治療對腰揹痛腰揹觔膜水腫患者的癥狀、體徵、日常生活情況有明顯改善作用(臨床療效顯著);MRI檢查對腰揹痛腰揹觔膜水腫患者的診斷、治療後評估有明顯指導作用。
목적:초보탐토요배통요배근막수종환자치료전후배측요추극돌후방기근막MRI신호표현특점,위림상진단급치료후수방제공삼고。방법선취인요배통취진병인진행MRI검사,수방진행료중의리료、침구、추나안마등보수치료적환자;대비환자치료전화치료후일개료정후혹3개월후환자적배측요추극돌후방기근막적이상신호구진행대비분석,이대비관찰기림상료효。결과치료1개료정후혹치료3개월후,환자적증상、체정、일상생활정황등절대부분균유명현적개선,복사MRI여치료전적MRI도상비교,환자배측요추극돌후방기근막적이상신호구범위대다수유불동정도적축소。결론중의리료、침구、추나안마등보수치료대요배통요배근막수종환자적증상、체정、일상생활정황유명현개선작용(림상료효현저);MRI검사대요배통요배근막수종환자적진단、치료후평고유명현지도작용。
Objective Preliminary study signal characteristic of M RI on lumbodorsal pain of lumbar dorsal rear fascia around lumbar spinous pre and post treatment, and to provide a reference for clinical diagnosis and follow-up after treatment. Methods To summarize and analyze signal characteristic of MRI on lumbodorsal pain of lumbar dorsal rear fascia around lumbar spinous pre and post conservative treatment of physiotherapy, acupuncture and Tuina,and to observe the clinical curative effect. Results The patient's symptoms, signs and the situation of daily life were improved after treatment for one course or 3 months, and the abnormal MRI signal area size of lumbar dor-sal rear fascia around lumbar spinous was decreased inordinately comparing with pre treatment. Conclusion The conservative treatment of the Chinese medicine physiotherapy, acupuncture and Tuina of lumbar dorsal fascia edema in patients with low back pain symptoms, signs and the situation of daily life has improved significantly (clinical efficacy was significant) . The MRI examination played a clear guiding and role in the diagnosis and treatment evaluation for the patients with low lumbodorsal myofascial edema about lumbodorsal pain.