目的 探讨军事训练致腰肌劳损患者治疗中配合中医疗法的疗效。方法 选择2019-03至2021-03在空军军医大学第一附属医院治疗的军事训练伤腰肌劳损患者80例,随机分为对照组和观察组,每组40例,观察组配合针灸、拔罐、推拿、腰部力量康复训练等中医疗法,对照组仅接受常规治疗。比较两组的临床总疗效、疼痛评分[视觉模拟疼痛评分法(visual analogue scale/score,VAS)]、日常生活能力[Oswestry功能障碍指数 (oswestrydisabilityIndex,ODI)]、生活质量评分[健康状况调查简表(the MOS item short from health survey,SF-36)]、患者满意度。结果 观察组治疗总有效率95.00%,对照组80.00%,差异有统计学意义(P＜0.05);与对照组比较,观察组治疗后VAS评分、ODI评分低,SF-36各维度评分高,且观察组患者治疗满意度高(97.50% vs. 82.50%),差异均有统计学意义(P<0.05)。结论 应用中医疗法对军事训练中腰肌劳损的疗效显著,可以缓解患者疼痛,提高日常生活能力。

Objective To explore the clinical effect of Traditional Chinese Medicine (TCM) against lumbar muscle strain caused by military training. Methods Eighty patients with lumbar muscle strain caused by military training between March 2019 and March 2021 were selected. The subjects were randomly divided into two groups: the control group and observation group (n=40 ). The observation group received acupuncture, cupping, massage, lumbar strength rehabilitation training and other TCM therapies while the control group received routine treatment alone. The intervention results were compared in terms of the total clinical efficacy, pain score [visual analog scale / score (VAS)], ability of daily living [Oswestry Dysfunction Index (ODI)], quality of life score [the MOS 36-Item Short Form Health Survey (SF-36)], and patients'levels of satisfaction. Results The total effective rate of the observation group (95.00%) was significantly higher than that of the control group (80.00%) (P<0.05). The VAS score and ODI score of the observation group were significantly lower than in the control group, but the scores of SF-36 were significantly higher, so were the levels of satisfaction in the observation group (97.50% vs. 82.50%) (P<0.05). Conclusions The application of TCM therapies has a significant effect on lumbar muscle strain caused by military training by alleviating patients' pain, enhancing their ability of daily life, and improving their quality of life.