| Background TUINA is a traditional Chinese medicine external therapy guided by TCM theory.It is one of the natural therapies.It is also the most easily accepted and recognized TCM therapy.It has been widely used in the treatment of various clinical diseases.With the great support of the country to Chinese medicine,more and more Chinese scholars study on TUINA,however,the study mainly concentrates in the TUINA effect on clinical diseases,research rarely involves the manipulation of elements affect the relationship itself,also referred to the less manipulation of treatment effects,Pressing is one obvious example.Pressing is widely used in the treatment of various diseases.The operative elements that influence the efficacy of Pressing include: the intensity of pressing,the direction of pressing and the duration of press.The effective way is determined by the above 3 conditions.Among them,the most difficult thing to hold is the pressing time,because there is no fixed standard to follow.As the different performer,the continuous pressing time is different,resulting in the therapeutic effect on the diseases are far away.In the operation of the law,there is the requirement of "keeping it by".However,how long should the "stay" be left? There is no specific description of this point.Through consulting literature,I find that in modern articles or reports on disease treatment according to the law,there is little mention of the effect of different duration on the curative effect,or when it refers to the time of operation,it is vague and unspecific.Therefore,it is particularly important to standardize and standardize the point of time by studying the point of law.Objective In order to study the same way different points according to the time difference of symptoms to improve the situation,on the premise of control pressure and direction of the same,the pressing time,namely each point 30 s,1min,1min30 s,2min continued to press time,treatment of patients with chronic lumbar muscle strain.Through the comparison of different groups of remission between waist pain symptoms,to explore the best time by pressing method,effective pressing time and(or)invalid press time,paving the way for the manipulation of standardization and standardization,make manipulation according to follow,so as to improve the rationality and validity of manipulation.Methods This study collected 80 patients mainly from Guangzhou University of Chinese Medicine affiliated East martyrs clinic department TUINA department and the Guangdong provincial public security department outpatient department of rehabilitation,are in line with the research design of chronic lumbar muscle strain were.This randomly 80 cases of chronic lumbar muscle strain were divided into A group,B group,C group and D group,in the same basic treatment methods,according to the law by the other elbow pressing Shenshu(double),Dachangshu(double),Guan Yuanyu(double)and waist on both sides of a total of 8 points.At the same acupoints,acupoints of the same pressure,A group 30 s B group each acupoint pressing,each acupoint pressing 1min,C group were each acupoint pressing 1min30 s,D group were each acupoint pressing2 min,every other day for 1 times,3 times in 1 weeks,a total of 2 weeks of treatment.The evaluation index by a simple Mc Gill pain questionnaire(see Appendix 2),the changes of patients with waist pain symptoms were observed before and after treatment,the data entered into the computer to form a database,all data analysis using SPSS21.0 software package,the measurement data using t test if accord with normal distribution and homogeneity of variance,F test was used to compare the groups between groups,the rest of the data and the Wilcoxon test was used to compare the differences between groups,treatment outcome.Results1.in the comparison of the total score of Mc Gill scale before and after treatment,the difference between group A and P=0.061>0.05 was not statistically significant.Therefore,the pain symptoms of A group were not significantly improved before and after treatment.B group P=0.000<0.05,C group P=0.000<0.05,D group P=0.000<0.05,the difference is statistically significant,so the B group,C group and D group before and after treatment pain symptoms have been improved.2.in their own before and after treatment Mc Gill scores between A group,sensory scores of P=0.355>0.05,scores of PRI P=0.145>0.05,VAS P=0.089>0.05 score,the difference was not statistically significant,so that A was no obvious improvement in the treatment before and after the feeling of pain,pain intensity;emotion scores P=0.035<0.05,PPI score P=0.006<0.05,statistically the significance of differences,so that A group improved in the treatment of pain before and after the emotional experience and feeling pain now.B group and C group in sensory scores,emotional scores,PRI scores,VAS scores and PPI scores of the P=0.000<0.05 group,D scores,PRI scores,VAS in the sense scores and PPI scores of P=0.000<0.05,scores of emotional P=0.004<0.05,there were statistically significant difference,B group,C group and D group the feeling of pain before and after treatment,pain,pain intensity,emotional experience and current pain were improved.3.of the A group,B group,C group and D group before and after treatment Mc Gill score difference 22,scores of C group improved the most obvious,compared with the A group,D P=0.000<0.05 group,the difference was statistically significant,compared with the B group P=1.000>0.05,and there was no significant difference in scores of B group;improve the contrast group A and P=0.0000<0.05,compared with D group P=0.0030<0.05,the difference was statistically significant,D group and A group compared to P=0.114>0.05,the difference was not statistically significant,visible C group and B group for the best treatment time.4.in the four groups before and after treatment Mc Gill scores difference22,B group compared with C group,P=0.397>0.05 scores of emotional feeling,a fraction of P=1.000>0.05,PRI P=1.000>0.05 VAS P=0.059 >0.05 score,PPI score,P=1.000>0.05 score,the difference was not statistically significant,B group and C group before and after the treatment of pain feel pain,emotional experience,pain intensity and the feeling of pain improvement no difference.5.before and after the comparison of emotional items,the score of group D increased after treatment.The scores of other groups decreased.D group compared with A group P=0.010<0.05,P value =0.000<0.05 compared with B group and C group,the difference was statistically significant.Conclusion Continuous compression by elbow press to improve the pain symptoms of chronic lumbar muscle strain,the best treatment time for each acupuncture point was 1min-1min30 s,and the time was too short(<30s).The treatment time was too long(>2min),which reduced the therapeutic effect. |
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