摘要
目的探讨揿针治疗飞行员腰痛的疗效及对患者满意度依从性的影响。方法选择2017年12月-2019年2月分别于空军特色医学中心中医科针灸门诊、空军某3个单位就诊的腰痛飞行员113例。所有患者按照随机数字表法将所有患者分为揿针组(n=39),药物组(n=36)及联合组(n=38)。3组患者分别给予新揿针敷贴、奇正消痛贴敷贴及二者联合治疗的方式共计治疗2个疗程,5 d为1个疗程,中间间隔2 d。对比3组患者治疗前,治疗1个疗程(T1)、治疗结束(T2)及治疗后1个月(T3)时疗效、McGill疼痛评分量表及中文版Oswestry功能障碍指数量表(ODI)之间的差异。并统计比较治疗期间患者不良反应,治疗满意度及依从性相关指标。结果揿针组和联合组T2、T3时刻总有效率高于T1时刻(P<0.05)。T1时刻联合组和药物组治疗总有效率显著高于揿针组(P<0.05)。T2及T3时刻揿针组及联合组治疗总有效率显著高于药物组(P<0.05)。T1时刻联合组和药物组McGill疼痛评分及ODI评分显著低于揿针组(P<0.05)。T2及T3时刻揿针组及联合组治疗McGill疼痛评分及ODI评分显著低于药物组(P<0.05)揿针组患者不良反应总人次显著低于药物组合联合组,Morisky评分及满意度显著高于联合组和药物组(P<0.05)。结论揿针对于飞行员腰痛具有较好的治疗效果,远期疗效及疗效维持作用显著优于膏药敷贴,可以作为一种优势项目在基层部队中推广。
Objective To investigate the therapeutic effect of sputum acupuncture against low back pain of pilots and its effect on patients'level of satisfaction and compliance.Methods From December 2017 to February 2019,113 cases of low back pain pilots treated in the Acupuncture Clinic of the Air Force Specialized Medical Center and other three clinics of Air Force were selected.These patients were randomized into the sputum needle group(n=39),a medication group(n=36),and a combination group(n=38)using the random number table method.The three groups of patients were treated with a new type of sputum acupuncture plaster,Qizheng pain-killing plaster and a combination of the two treatments,respectively,for a total of 2 courses.Each course lasted five days with an interval of two days.The difference in the efficacy before treatment,after one course of treatment(T1),at the end of treatment(T2)and one month after treatment(T3),the McGill pain rating scale and in the Chinese version of the Oswestry dysfunction index(ODI)was compared between the three groups.Such indicators as the rate of adverse reactions during treatment,levels of satisfaction with treatment and compliance were compared between the three groups.Results The total effective rate of the combination group and the sputum needle group at T2 and T3 was significantly higher than at T1(P<0.05).The total effective rate of the combined group and the medication group at T1 was significantly higher than that of the sputum needle group(P<0.05).At T2 and T3,the total effective rate of the sputum needle group and the combination group was significantly higher than that of the medication group(P<0.05).The McGill pain score and ODI score of the combination group and the medication group at T1 were significantly lower than those of the sputum needle group(P<0.05).At T2 and T3,the McGill pain score and ODI score were significantly lower in the sputum group and the combination group than in the medication group(P<0.05).The total number of adverse reactions in the sputum needle grou
作者
吕麟亚
孙旭
吕壮
杨忠良
孙雪峰
马新英
LV Linya;SUN Xu;LV Zhuang;YANG Zhongliang;SUN Xuefeng;MA Xinying(Department of Infectious No.925 Hospital of PLA Joint Logistics Support Force,Guiyang 550009,China)
出处
《空军医学杂志》
2020年第3期206-209,共4页
Medical Journal of Air Force
基金
空军总医院课题(KZY2014007)。
关键词
皮内针
飞行员
腰痛
疗效分析
依从性调查
intradermal needle
pilot
low back pain
efficacy analysis
compliance investigation
