摘要
目的:观察浮针不同留置时间对急性腰扭伤的临床疗效差异。方法:将120例急性腰扭伤患者随机分为浮针留置6h组、12h组、24h组和西药组,每组各30例。浮针留置组采用腰部压痛点旁浮针扫散治疗后留置塑料软管的方法,分别留置6h、12h和24h,西药组每日口服75mg扶他林片剂,共治疗4天。于治疗前后观察各组视觉模拟量表评分(VAS)和下腰痛Oswestry功能障碍指数评分(ODI),并在治疗后进行综合疗效判定。结果:各组治疗后VAS评分和ODI评分均较治疗前明显改善(均P<0.05);3组不同留置时间浮针组的VAS和ODI的改善程度均优于西药组(均P<0.05);3组浮针留置组治疗后VAS评分和ODI评分组间比较差异均无统计学意义(均P>0.05);浮针留置6h、12h、24h组有效率分别为93.3%(28/30)、90.0%(27/30)、93.3%(28/30),均优于西药组的73.3%(22/30,均P<0.05)。结论:浮针治疗急性腰扭伤的效果优于口服西药扶他林,并且浮针留置时间的差异对急性腰扭伤的疗效无明显影响。
Objective To observe the difference of the clinical effects of different needle retention times for acute lumbar sprain treated with float needle.Methods One hundred and twenty patients with acute lumbar sprain were randomly divided into a 6hgroup,a 12 hgroup,a 24 hgroup and a western medication group,30 cases in each one.In the three float needle groups,plastic hose was detained near the pressure pain point on the lumbar after subcutaneous scattering with float needle.The needle retention time was 6h,12 hand 24hrespectively.In the western medication group,75 mg voltaren tablet was adopted orally every day and the treatment was given for four days.Visual analogue scale（VAS）and Oswestry dysfunction index（ODI）about low back pain were observed before and after treatment.Also,the comprehensive effect was assessed after treatment.Results After treatment,the VAS scores and the ODI scores were improved obviously than those before treatment in all groups（allP〈0.05）.In the three float needle groups,the VAS scores and the ODI scores were superior to those in the western medication group（allP〈0.05）.The differences in VAS scores and ODI scores among the three float needle groups were not statistically significant after treatment（allP〈0.05）.The effective rate in the 6h,12 hand 24h group was 93.3%（28/30）,90.0%（27/30）and 93.3%（28/30）respectively,which were better than 73.3%（22/30）in the western medication group（allP〈0.05）.Conclusion The effect of float needle for acute lumbar sprain is better than voltaren,and there is no apparent difference in retention times.
出处
《中国针灸》
CAS
CSCD
北大核心
2015年第9期891-894,共4页
Chinese Acupuncture & Moxibustion
基金
上海市卫生局中医药科研基金项目:2012L094B
上海市优秀青年中医临床人才培养计划项目:ZYSNXD011-RC-XLXX-20110006
关键词
急性腰扭伤
针刺疗法
浮针
留置时间
acute lumbar sprain
acupuncture therapy
float needle
retention time
