摘要
目的:观察平衡针配合运动及针刺腰部阿是穴对急性腰扭伤疼痛和运动功能的影响。方法:将46例急性腰扭伤患者采用随机数字表法分为治疗组26例和对照组20例。治疗组采用平衡针刺,配合活动腰部,得气后取针,局部阿是穴留针20 min,隔日治疗1次,共治疗1周。对照组口服洛索洛芬钠片,每次60mg,每日2次,共治疗1周。观察两组的临床疗效、治疗前后的腰椎活动度(ROM)评分、视觉模拟量尺(VAS)评分和现时疼痛强度(PPI)评级。结果:两组总有效率比较,治疗组(96.2%,25/26)优于对照组(75.0%,15/20,P<0.05)。ROM及VAS评分,与同组治疗前比较,治疗后评分均降低(P<0.01);治疗组低于对照组(P<0.01)。两组PPI分级比较,针刺治疗第1次、第2次和第3次后,治疗组的PPI改善情况均优于对照组(P<0.01)。结论:平衡针配合运动及针刺阿是穴的综合疗法对急性腰扭伤疼痛以及功能活动改善的即刻和整体效应均明显。
Objective To observe the clinical effect of acupuncture stimulation of＂Yaotong＂-point（one acupoint of balance acupuncture therapy）and Ashi-points combined with patients＇ lumbar movement in the treatment of acute lumbar sprain.Methods Forty-six acute lumbar sprain patients were randomized into treatment group（26cases）and control group（20cases）using a random number table.The patients of the treatment group were treated by acupuncture stimulation of＂Yaotong＂-point[above Yintang（EX-HN 3）]and local Ashi-points for 20 min,and were asked to move the waist simultaneously during acupuncture stimulation.The treatment was conducted once every other day,3times a week,one week in total.Those of the control group were treated by oral administration of loxoprofen sodium tablets（60mg,twice a day,for one week）.The pain severity of lumbago and motor function were assessed by using visual analogue scale（VAS）and present pain intensity（PPI）and lumbar range of motion（ROM）separately.Results Following the treatment,of the 20 and 26acute lumbar sprain patients in the control and treatment groups,6（30.0%）and 14（53.8%）were cured,9（45.0%）and11（42.4%）experienced an improvement in their symptoms,5（25.0%）and 1（3.8%）was invalid,with the effective rates being75.0% and 96.2%,respectively.Compared with pre-treatment,the ROM and VAS scores were significantly decreased in both the control and treatment groups post-treatment（P0.01）,and the therapeutic effects of the treatment group were obviously superior to those of the control group in the effective rate and in the improvement of lumbar motion function and in pain relief（P0.05,P0.01）.Conclusion Acupuncture treatment plus patients＇ lumbar movement is effective in reducing lumbar pain and improving lumbar motor function in the treatment of acute lumbar sprain.
作者
刘莉莉
卢婧
马惠芳
LIU Li-li LU Jing MA Hui-fang(Department of Acu-moxibustion, Beijing Jishuitan Hospital, Beijing 100035, China Department of Acu-moxibustion , Beijing Water Conservancy Hospital ,Beijing 100036 Beijing University of Chi- nese Medicine, Beijing 100029)
出处
《针刺研究》
CAS
CSCD
北大核心
2017年第1期72-75,共4页
Acupuncture Research
关键词
急性腰扭伤
综合疗法
平衡针
阿是穴
腰部运动
Acute lumbar sprain
Combined treatment
Balance acupuncture
Ashi-pionts
Lumbar movement
