粗银针配合银质针温显固定器治疗腰背肌筋膜炎的临床观察
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摘要
目的:观察粗银针配合银质针温显固定器治疗腰背肌筋膜炎的临床有效性和安全性。方法:选取符合腰背肌筋膜炎纳入标准的患者40例,使用随机数字表法随机分为对照组和治疗组,每组20例,分别采用粗银针治疗和银质针温显固定器配合粗银针治疗,于治疗前和治疗后进行疼痛数字评价量表(NRS)评分、针体移动幅度、热舒适度评分、心率值和血压值、室温和固定器内温度的指标评价。结果:治疗后治疗组疼痛改善程度高于对照组,差异有统计学意义(P<0.05);两组治疗后针体移动幅度的差异有统计学意义(P<0.05);治疗组中固定器内温度和固定器外的室温比较,差异有统计学意义(P<0.05),治疗组中热舒适度评分高于对照组(P<0.05);两组患者治疗前后心率值和血压值无统计学意义(P>0.05)。固定器使用过程中结构牢固,无破损、无断裂,未对患者造成损伤。结论:粗银针配合银质针温显固定器治疗腰背肌筋膜炎具有显著临床疗效,且安全可行。
Objective:To observe the clinical efficacy and safety of silver needle combined with temperature displaying fixator in the treatment of lumbodorsal myofascitis.Methods:40 patients with lumbodorsal myofascitis were randomly divided into treatment group and control group by random number table.Each group had 20 patients,who were treated by silver needle and temperature displaying fixator combine with silver needle.Number rating scale(NRS)score,move range of needle, thermal comfort,heart rate value,blood pressure value, temperature inside the fixator and room were evaluated before and after treatment.Results: The pain improvement degree of the treatment group were significantly better than that of the control group after treatment(P<0.05).The differences between the range of needle movement in the treatment group and control group were significantly important(P<0.05).The temperature inside the fixator were significantly better than that of the temperature outside the fixator in the treatment group after treatment(P<0.05).The score of thermal comfort in the treatment group were significantly higher than that in the control group after treatment(P<0.05).There were no significant difference in heart rate and blood pressure rate between the two groups before and after treatment(P>0.05).During the use of the fixator, the structure is firm, no damage, no breakage, no damage to patients.Conclusion:Silver needle combined with temperature displaying fixator in the treatment of lumbodorsal myofascitis has significant clinical efficacy,safe and feasible.
Objective:To observe the clinical efficacy and safety of silver needle combined with temperature displaying fixator in the treatment of lumbodorsal myofascitis.Methods:40 patients with lumbodorsal myofascitis were randomly divided into treatment group and control group by random number table.Each group had 20 patients,who were treated by silver needle and temperature displaying fixator combine with silver needle.Number rating scale(NRS)score,move range of needle, thermal comfort,heart rate value,blood pressure value, temperature inside the fixator and room were evaluated before and after treatment.Results: The pain improvement degree of the treatment group were significantly better than that of the control group after treatment(P<0.05).The differences between the range of needle movement in the treatment group and control group were significantly important(P<0.05).The temperature inside the fixator were significantly better than that of the temperature outside the fixator in the treatment group after treatment(P<0.05).The score of thermal comfort in the treatment group were significantly higher than that in the control group after treatment(P<0.05).There were no significant difference in heart rate and blood pressure rate between the two groups before and after treatment(P>0.05).During the use of the fixator, the structure is firm, no damage, no breakage, no damage to patients.Conclusion:Silver needle combined with temperature displaying fixator in the treatment of lumbodorsal myofascitis has significant clinical efficacy,safe and feasible.
引文
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[16] 李向东,王海东,田雪梅.细银针导热疗法治疗膝骨关节炎的临床疗效观察[J].中国中医骨伤科杂志,2016,24(6):34-36.
[2] 李信明,张逸,李定明,等.密集型银质针松解术治疗慢性腰部软组织痛的临床评价[J].中国疼痛医学杂志,2010,16(5):272-275.
[3] 王福根.银质针导热治疗软组织痛[M].郑州:河南科学技术出版社,2008.
[4] 孙树椿,孙之镐.临床骨科学[M].北京:人民卫生出版社,2006:861-864.
[5] 郭政,王国年.疼痛诊疗学[M].北京:人民卫生出版社,2016:36.
[6] WAGNER D,BYRNE M,KOLCABA K.Effects of comfort warming on preoprerative patients[J].Aorn J,2006,84(3):427-432.
[7] 吴孟超,吴在德.黄家驷外科学[M].北京:人民卫生出版社,2008.
[8] 雷玲,耿祝生,章云海,等.经感受器通路银质针导热治疗急性腰扭伤近远期疗效观察[J].中国现代医药杂志,2015,17(6):51-54.
[9] 叶刚,韩国栋,林东阳,等.密集型银质针不同加热方法加热效果的临床研究[J].中国疼痛医学杂志,2010,16(S1):170-173.
[10] 侯京山,陈华,高谦,等.银质针在温热针法中热传导作用[J].中国康复理论与实践,2004,10(5):315-316.
[11] 孙武,朱立国,高景华.手法松解联合盐酸乙哌立松片口服治疗腰背肌筋膜炎的临床研究[J].中医正骨,2016,28(9):23-26.
[12] 詹玉明,殷稚飞,於伟.物理因子、中药熏药及手法治疗背肌筋膜炎疗效观察[J].中国临床研究,2013,26(11):1242-1243.
[13] 范卫星.基于调筋治骨法探讨银质针疗法治疗腰椎间盘突出症的疗效研究[J].中华全科医学,2015,13(9):1520-1522.
[14] 叶勇光,何锦勇,叶永亮.银质针治疗强制性脊柱炎的临床观察[J].中国中医骨伤科杂志,2009,17(5):30-32.
[15] 杨茂林,梁琳,范向凯.细银针和银质针治疗肱二头肌长头腱腱鞘炎的疗效比较[J].中国中医骨伤科杂志,2018,26(4):77-79.
[16] 李向东,王海东,田雪梅.细银针导热疗法治疗膝骨关节炎的临床疗效观察[J].中国中医骨伤科杂志,2016,24(6):34-36.