“调神针法”对产后腰痛的影响:随机对照研究
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摘要
目的:观察"调神针法"对产后腰痛的影响。方法:将98例产后腰痛患者随机分成观察组和对照组,每组49例。对照组脱落4例,45例进入统计分析,观察组脱落2例,47例进入统计分析。对照组采用常规针刺治疗,观察组在此基础上配合"调神针法",穴取百会、内关、太冲,每次治疗30 min,每周5次,共治疗10次。治疗前及治疗结束后,采用简式McGi1l疼痛问卷(SF-MPQ)评价疼痛情况,Oswestry功能障碍指数(ODI)评价功能障碍程度,爱丁堡产后抑郁量表(EPDS)评价抑郁程度,并观察治疗前后各项指标的变化。结果:治疗结束后,对照组与观察组患者SF-MPQ中疼痛分级指数(PRI)评分、视觉模拟量表(VAS)评分与现有疼痛强度(PPI)评分均较治疗前显著下降(均P<0.001),ODI评分及EPDS评分也较治疗前显著下降(均P<0.001),观察组治疗前后各项评分下降值明显大于对照组(P<0.001,P<0.01)。结论:"调神针法"配合常规针刺与单纯常规针刺均可有效改善产后腰痛患者的疼痛、功能障碍及抑郁等症状,且前者明显优于后者。
Objective To observe the effect of "Tiaoshen Acupuncture" on postpartum low back pain. Methods A total of 98 cases of postpartum low back pain were randomly divided into a control group(45 cases, 4 cases dropping) and a treatment group(47 cases, 2 cases dropping). Conventional acupuncture was treated in the control group, and "Tiaoshen Acupuncture" was added in the treatment group on the basis treatment in the control group, acupuncture was applied at Baihui(GV 20), Neiguan(PC 6), Taichong(LR 3). The treatment was given 30 minutes each time, 5 times a week, 10 times for a total course of treatment. Before and after treatment, pain was assessed by the short-form of McGill pain questionnaire(SF-MPQ), dysfunction was assessed by Oswestry disability index(ODI), and depression was assessed by the Edinburgh postnatal depression scale(EPDS). And the changes of various indexs were observed before and after treatment. Results After treatment, the pain grade index(PRI) score, visual analog scale(VAS) score and present pain intensity(PPI) score in SF-MPQ of the control group and the treatment group were significantly lower than those before treatment(all P<0.001). The ODI score and EPDS score were also significantly lower than those before treatment(all P<0.001). The decline scores of the treatment group before and after treatment were significantly higher than those in the control group(P<0.001, P<0.01). Conclusion "Tiaoshen Acupuncture" combined with conventional acupuncture and conventional acupuncture can effectively improve the symptoms of pain, dysfunction and depression in patients with postpartum low back pain, and the former is significantly better than the latter.
Objective To observe the effect of "Tiaoshen Acupuncture" on postpartum low back pain. Methods A total of 98 cases of postpartum low back pain were randomly divided into a control group(45 cases, 4 cases dropping) and a treatment group(47 cases, 2 cases dropping). Conventional acupuncture was treated in the control group, and "Tiaoshen Acupuncture" was added in the treatment group on the basis treatment in the control group, acupuncture was applied at Baihui(GV 20), Neiguan(PC 6), Taichong(LR 3). The treatment was given 30 minutes each time, 5 times a week, 10 times for a total course of treatment. Before and after treatment, pain was assessed by the short-form of McGill pain questionnaire(SF-MPQ), dysfunction was assessed by Oswestry disability index(ODI), and depression was assessed by the Edinburgh postnatal depression scale(EPDS). And the changes of various indexs were observed before and after treatment. Results After treatment, the pain grade index(PRI) score, visual analog scale(VAS) score and present pain intensity(PPI) score in SF-MPQ of the control group and the treatment group were significantly lower than those before treatment(all P<0.001). The ODI score and EPDS score were also significantly lower than those before treatment(all P<0.001). The decline scores of the treatment group before and after treatment were significantly higher than those in the control group(P<0.001, P<0.01). Conclusion "Tiaoshen Acupuncture" combined with conventional acupuncture and conventional acupuncture can effectively improve the symptoms of pain, dysfunction and depression in patients with postpartum low back pain, and the former is significantly better than the latter.
引文
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[4]曹向光,杨华.非甾体消炎药的不良反应研究进展[J].中国医药,2017,12(4):631-633.
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[6]陈雄,何菊,谢浩洋.温热痹消散治疗产后腰痛38例[J].浙江中医杂志,2017,52(4):267.
[7]张华,王宝成,王富春.平衡针法治疗产后腰痛[J].吉林中医药,2017,37(4):415-417.
[8]黄大成,方明敏,曾科学.中药热烫疗法结合整脊手法治疗产后腰痛的效果观察[J].实用中西医结合临床,2016,16(2):48-50.
[9]刘锦秀,田翔.温针灸配合火药酒治疗产后腰痛83例体会[J].内蒙古中医药,2016,35(5):117.
[10]刘易涛.活血止痛方中药熏洗治疗产后腰痛的效果观察[J].中外医学研究,2016,14(16):143-144.
[11]娄玉钤.中医风湿病学[M].北京:人民卫生出版社,2001:308.
[12]王启才.针灸治疗学[M].7版.北京:中国中医药出版社,2003:60,62.
[13]袁睆,肖水源.疼痛评估工具的临床应用[J].中国心理卫生杂志,2013,27(5):331-334.
[14]Fairbank JC,Pynsent PB.The oswestry disability index[J].Spine,2000,25(22):2940.
[15]Petrozzi A,Gagliardi L.Anxious and depressive components of Edinburgh Postnatal Depression Scale in maternal postpartum psychological problems[J].J Perinat Med,2013,41(4):343-348.
[16]方剑乔,邵晓梅.针刺镇痛的新思路--针灸参与疼痛多维度调节的可行性[J].针刺研究,2017,42(1):85-89.
[2]Schwerla F,Rother K,Rother D,et a1.Osteopathic manipulative therapy in women with postfIartum low back pain and disability:a pragmatic randomized controlled trial[J].J Am Osteopath Assoc,2015,115(7):416-425.
[3]羊维,刘芬芬,包洁,等.产后风湿“血郁同病”的病因病机探索[J].中华中医药杂志,2015,30(1):20-22.
[4]曹向光,杨华.非甾体消炎药的不良反应研究进展[J].中国医药,2017,12(4):631-633.
[5]陈权韩,马志杰,吴晓鹏.中医药治疗产后腰痛的研究进展[J].中国中医骨伤科杂志,2014,22(10):73-74.
[6]陈雄,何菊,谢浩洋.温热痹消散治疗产后腰痛38例[J].浙江中医杂志,2017,52(4):267.
[7]张华,王宝成,王富春.平衡针法治疗产后腰痛[J].吉林中医药,2017,37(4):415-417.
[8]黄大成,方明敏,曾科学.中药热烫疗法结合整脊手法治疗产后腰痛的效果观察[J].实用中西医结合临床,2016,16(2):48-50.
[9]刘锦秀,田翔.温针灸配合火药酒治疗产后腰痛83例体会[J].内蒙古中医药,2016,35(5):117.
[10]刘易涛.活血止痛方中药熏洗治疗产后腰痛的效果观察[J].中外医学研究,2016,14(16):143-144.
[11]娄玉钤.中医风湿病学[M].北京:人民卫生出版社,2001:308.
[12]王启才.针灸治疗学[M].7版.北京:中国中医药出版社,2003:60,62.
[13]袁睆,肖水源.疼痛评估工具的临床应用[J].中国心理卫生杂志,2013,27(5):331-334.
[14]Fairbank JC,Pynsent PB.The oswestry disability index[J].Spine,2000,25(22):2940.
[15]Petrozzi A,Gagliardi L.Anxious and depressive components of Edinburgh Postnatal Depression Scale in maternal postpartum psychological problems[J].J Perinat Med,2013,41(4):343-348.
[16]方剑乔,邵晓梅.针刺镇痛的新思路--针灸参与疼痛多维度调节的可行性[J].针刺研究,2017,42(1):85-89.