摘要
目的:观察手指对应取穴针刺法治疗颈腰背部慢性软组织疼痛的临床疗效。方法:将200例颈腰背部慢性软组织疼痛患者随机分为2组,每组100例。手指对应针法组采用手指对应取穴针刺法治疗,每天治疗1次,每次5 min,7 d为1个疗程,共2个疗程;中药离子透入组采用中药离子透入治疗,每天治疗1次,每次20 min,7 d为1个疗程,共2个疗程。分别于治疗前和治疗结束后记录并比较2组患者疼痛视觉模拟量表(visual analogue scale,VAS)评分,并于治疗结束后比较2组患者的综合疗效和治疗费用。结果:①疼痛VAS评分。治疗前2组患者疼痛VAS评分比较,差异无统计学意义[(7.33±1.63)分,(7.83±1.58)分,t=-1.301,P=0.435];治疗结束后,手指对应针法组疼痛VAS评分低于中药离子透入组[(1.30±1.34)分,(3.80±1.84)分,t=-2.318,P=0.023],2组患者疼痛VAS评分均低于治疗前(t=-3.718,P=0.000;t=-3.753,P=0.000)。②综合疗效。治疗结束后,手指对应针法组治愈32例、好转59例、无效9例,中药离子透入组治愈4例、好转72例、无效24例;手指对应针法组的综合疗效优于中药离子透入组(Z=-5.178,P=0.034)。③治疗费用。手指对应针法组的治疗费用低于中药离子透入组[(108.00±37.44)元,(403.20±148.40)元,t=-16.177,P=0.000]。结论:手指对应取穴针刺法治疗颈腰背部慢性软组织疼痛,在缓解疼痛、综合疗效方面均优于中药离子透入疗法,且治疗费用更低。
Objective:To observe the clinical curative effects of finger holographic acupuncture therapy for treatment of chronic neck-waist-back soft tissue pain.Methods:Two hundred patients with chronic neck-waist-back soft tissue pain enrolled in the study were randomly divided into group A and group B,100 cases in each group.The patients in group A were treated with finger holographic acupuncture therapy,once a day for consecutive 2 courses of treatment,5 minutes at a time,7 days for each course;while the patients in group B were treated with traditional Chinese drugs(TCD)iontophoresis therapy,once a day for consecutive 2 courses of treatment,20 minutes at a time,7 days for each course.The pain visual analogue scale(VAS)scores were recorded and compared between the 2 groups before the treatment and after the end of treatment respectively,and the clinical comprehensive curative effects and cost of treatment were compared between the 2 groups after the end of treatment.Results:There was no statistical difference in pain VAS scores between the 2 groups before the treatment(7.33+/-1.63 vs 7.83+/-1.58 points,t=-1.301,P=0.435).The pain VAS scores were lower in group A compared to group B after the end of the treatment(1.30+/-1.34 vs 3.80+/-1.84 points,t=-2.318,P=0.023),and decreased in both of the 2 group after the end of the treatment compared to pre-treatment(t=-3.718,P=0.000;t=-3.753,P=0.000).After the end of the treatment,32 patients were cured,59 good and 9 poor in group A;while 4 patients were cured,72 good and 24 poor in group B.The group A surpassed the group B in the clinical comprehensive curative effects(Z=-5.178,P=0.034).The total cost of treatment was less in group A compared to group B(108.00+/-37.44 vs 403.20+/-148.40 RMB,t=-16.177,P=0.000).Conclusion:For patients with chronic neck-waist-back soft tissue pain,finger holographic acupuncture therapy can better relieve pain and achieve better clinical comprehensive curative effects with less cost of treatment as compared with TCD iontophoresis therapy.
作者
史俊德
梁梯
江涛
SHI Junde;LIANG Ti;JIANG Tao(Liuyang Orthopedic Hospital,Liuyang 410327,Hunan,China)
出处
《中医正骨》
2020年第6期27-30,共4页
The Journal of Traditional Chinese Orthopedics and Traumatology
关键词
慢性疼痛
颈痛
背痛
软组织损伤
针刺疗法
全息疗法
中药离子透入
临床试验
chronic pain
neck pain
back pain
soft tissue injuries
acupuncture therapy
holotherapy
iontophoresis(TCD)
clinical trial
