摘要
目的观察指针疗法治疗急性腰扭伤的临床疗效。方法纳入60例急性腰扭伤患者,采用随机数字表法分为治疗组和对照组,每组30例。两组均取穴委中、金门、肾俞、带脉,治疗组采用指针疗法,对照组采用常规针灸疗法;两组均隔天治疗1次,共治疗6次。观察临床疗效,以及简明疼痛评估量表(BPI)评分变化情况。结果治疗组、对照组总有效率分别为96.7%、93.3%;组间临床疗效比较,差异有统计学意义(P<0.05)。治疗后,两组疼痛程度和干扰程度积分均明显减少(P<0.05),且治疗组低于对照组(P<0.05)。结论指针疗法能改善急性腰扭伤患者的症状,降低疼痛对日常生活、工作等事项的干扰。
Objective To observe the clinical efficacy of acupuncture therapy with finger in the treatment of acute lumbar sprain.Methods Totally 60 patients of acute lumbar sprain were randomly divided into the treatment group and control group according to the random number table,30 cases in each group.Patients in the treatment group were treated with acupuncture therapy with finger,and patients in the control group were treated with the conventional acupuncture therapy,the points include Weizhong(BL40),Jinmen(B63),Shenshu(BL23) and Daimai(GB26).Both groups were treated one time every other day and a total of six times.The clinical efficacy and the score change of brief pain inventory(BPI) were observed.Results The total effective rate of treatment group and control group were96.7% and 93.3% respectively.There was statistically significant difference on the clinical efficacy between the two groups(P < 0.05).After treatment,the integral of pain degree and interference level were significantly decreased in both groups(P < 0.05),and the integral of the treatment group was lower than that of the control group(P < 0.05).Conclusion The acupuncture therapy with finger can improve the symptoms of patients with acute lumbar strain,reduce the interference of pain on daily life,work and other matters.
引文
[1]严隽陶.推拿学[M].北京:中国中医药出版社,2005:157.
[2]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:185.
[3]Cleeland CS.Measurement of pain by subjective report[M].New York:Raven Press,1989:391-403.
[4]沈乐,齐昌菊,葛谈.腕踝针结合体针治疗急性腰扭伤临床观察[J].上海中医药杂志,2015,49(6):58-59.
[5]罗晓曦,马立嵩.平衡火罐治疗急性腰扭伤临床观察[J].中国中医药信息杂志,2010,17(9):75-76.
[6]梁振新,王华兰,刘静.四部推拿法治疗急性腰扭伤疗效观察[J].中国中医药信息杂志,2010,17(11):77-80.
[7]杨卫华.针刺肾俞、委中穴配合拔罐治疗急性腰扭伤45例[J].针灸临床杂志,2010,26(1)56-57.