贺氏火针治疗慢性非特异性腰痛临床对照研究
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摘要
目的初步验证贺氏火针治疗慢性非特异性腰痛(CNLBP)临床疗效。方法采用随机临床对照研究方法,将110例患者随机分为常规毫针针刺组、贺氏火针组,各55例,均隔日1次,共治疗14次。主要评价指标采用疼痛视觉模拟评分法(VAS)评估累积效应(VAS1)和立即效应(VAS2)止痛效果,次要评价指标是生活质量评分(SF-36)。结果与对照组比较,治疗组VAS1评分在第3、7、14次治疗后明显降低(P <0.05),而VAS2评分在入组后即有明显降低(P <0.05);经过14次治疗,治疗组在SF-36量表中生理职能、生理机能、躯体疼痛、精力4项评分方面明显提高(P <0.05)。结论贺氏火针能够有效改善CNLBP患者疼痛症状,提高生活质量。
Objective To observe clinical effect on chronic nonspecific low back pain(CNLBP) treated with He's fire needle therapy. Methods Using randomized controlled clinical trial method, 110 patients were divided into normal acupuncture groupand He's fire needle group, 55 in each group. The primary outcome measure was used by the visual analogue scale(VAS) for cumulative pain(VAS1) and immediate pain(VAS2). The changes in the quality of life(SF-36) were analyzed. Results Compare with the control group, the VAS1 improved significantly in the treatment group(P <0.05) and the VAS2 improved significantly in the treatment group(P <0.05). The quality of life were exhibited better results after 14 times treatment(all P <0.05). Conclusion He's fire needle therapy can improve CNLBP patient's pain symptoms, enhance quality of life.
Objective To observe clinical effect on chronic nonspecific low back pain(CNLBP) treated with He's fire needle therapy. Methods Using randomized controlled clinical trial method, 110 patients were divided into normal acupuncture groupand He's fire needle group, 55 in each group. The primary outcome measure was used by the visual analogue scale(VAS) for cumulative pain(VAS1) and immediate pain(VAS2). The changes in the quality of life(SF-36) were analyzed. Results Compare with the control group, the VAS1 improved significantly in the treatment group(P <0.05) and the VAS2 improved significantly in the treatment group(P <0.05). The quality of life were exhibited better results after 14 times treatment(all P <0.05). Conclusion He's fire needle therapy can improve CNLBP patient's pain symptoms, enhance quality of life.
引文
[1]中国针灸学会.循证针灸临床实践指南:腰痛[M].北京:中国中医药出版社, 2014.
[2]刘伟,江蓉星,陈子锴,等.非特异性下腰痛病因与治疗方案分析[J].中医临床研究, 2016, 5(5):146-148.
[3]张浩,梁潇,徐浩,等.非特异性腰痛的研究概况[J].中国民族民间医药, 2017, 26(7):59-65.
[4] DEYO R A, DWORKIN S F, AMTMANN D, et al. Report of the NIH task force on research standards for chronic low back pain[J]. Pain Medicine, 2014, 15(8):1249-1267.
[5]杨怡,洪秋阳,赵杰,等.贺氏火针治疗特发性面神经麻痹[J].长春中医药大学学报, 2018, 34(3):541-544.
[6]刘绮,麦明泉,肖灵君,等.中文版Oswestry功能障碍指数评定慢性腰痛患者的反应度研究[J].中国康复医学杂志,2010, 25(7):621-624.
[7]何燕,赵龙超,刘丹萍,等. SF-36和SF-12在人群生命质量调查中的性能比较研究[J].现代预防医学, 2017, 23(5):852-862.
[8]沈峥嵘,王勇,吴哲.非特异性下腰痛评估量表、发病机制及诊疗的研究进展[J].中国临床医生杂志, 2017, 45(8):16-19.
[9] BALAGU?F, MANNION A F, PELLIS?F, et al. N onspecific low back pain[J]. Lancet, 2012, 379(9814):482-491.
[10]袁启令,刘亮,马江涛,等.针刺治疗慢性非特异性腰痛的临床研究[J].中医正骨, 2016, 28(6):12-17.
[11]袁仕国,张佩,邹宇聪,等.慢性非特异性腰痛Modic改变分型的针刺疗效分析——附78例临床资料[J].江苏中医药, 2016, 48(1):56-5 8.
[12]王桂玲,贺普仁.贺氏火针技术临床应用文献研究[J].医学综述, 2015, 21(1):137-138, 141.
[13]许明辉.贺氏火针的创新发展及临床应用[J].微创医学2017, 12(5):587-591, 615.
[14]胡秋生.火针治疗骨痹机理探讨[J].辽宁中医药大学学报,2011, 9(13):18-19.
[2]刘伟,江蓉星,陈子锴,等.非特异性下腰痛病因与治疗方案分析[J].中医临床研究, 2016, 5(5):146-148.
[3]张浩,梁潇,徐浩,等.非特异性腰痛的研究概况[J].中国民族民间医药, 2017, 26(7):59-65.
[4] DEYO R A, DWORKIN S F, AMTMANN D, et al. Report of the NIH task force on research standards for chronic low back pain[J]. Pain Medicine, 2014, 15(8):1249-1267.
[5]杨怡,洪秋阳,赵杰,等.贺氏火针治疗特发性面神经麻痹[J].长春中医药大学学报, 2018, 34(3):541-544.
[6]刘绮,麦明泉,肖灵君,等.中文版Oswestry功能障碍指数评定慢性腰痛患者的反应度研究[J].中国康复医学杂志,2010, 25(7):621-624.
[7]何燕,赵龙超,刘丹萍,等. SF-36和SF-12在人群生命质量调查中的性能比较研究[J].现代预防医学, 2017, 23(5):852-862.
[8]沈峥嵘,王勇,吴哲.非特异性下腰痛评估量表、发病机制及诊疗的研究进展[J].中国临床医生杂志, 2017, 45(8):16-19.
[9] BALAGU?F, MANNION A F, PELLIS?F, et al. N onspecific low back pain[J]. Lancet, 2012, 379(9814):482-491.
[10]袁启令,刘亮,马江涛,等.针刺治疗慢性非特异性腰痛的临床研究[J].中医正骨, 2016, 28(6):12-17.
[11]袁仕国,张佩,邹宇聪,等.慢性非特异性腰痛Modic改变分型的针刺疗效分析——附78例临床资料[J].江苏中医药, 2016, 48(1):56-5 8.
[12]王桂玲,贺普仁.贺氏火针技术临床应用文献研究[J].医学综述, 2015, 21(1):137-138, 141.
[13]许明辉.贺氏火针的创新发展及临床应用[J].微创医学2017, 12(5):587-591, 615.
[14]胡秋生.火针治疗骨痹机理探讨[J].辽宁中医药大学学报,2011, 9(13):18-19.