摘要
目的:观察以《黄帝内经》理论指导针刺治疗腰痛的临床疗效。方法:将82例临床诊断为腰痛的患者,随机分为治疗组(按《黄帝内经》理论针刺治疗)和对照组(常规针刺治疗),每组41例。两组均治疗2个疗程,每周3次,10次为1个疗程,采用视觉模拟评分法(VAS)、功能障碍指数问卷表(ODI)、日本骨科协会下腰痛(JOA)和下腰痛功能障碍调查表(RMDQ)评分观察治疗前及治疗1、2个疗程后两组疗效,并进行分析与评估,2个月后随访测评RMDQ调查表分析各组复发率。结果:治疗2个疗程后,两组患者VAS评分和ODI评分较治疗前均减少(P<0.05),且治疗组显著低于对照组(P<0.01);两组患者JOA评分中主观症状、临床体征和日常活动受限度比较评分较治疗前显著增加(P<0.05),且治疗组显著高于对照组(P<0.01);治疗组RMDQ评分低于对照组(P<0.05);治疗组有效率为97.56%(40/41),显著优于对照组90.24%(37/41)(P<0.05),治疗组2个月后复发率2.50%(1/40),对照组为16.21%(6/37)。结论:还原《黄帝内经》六经辨治理论取穴合严谨的补泻手法治疗腰痛能取得更好的疗效。
Objective:To observe the clinical efficacy of acupuncture in the treatment of lumbago under the guidance of Huangdi Neijing.Methods:A total of 82 patients with clinically diagnosed lumbago were randomly divided into the treatment group(treated with acupuncture according to the theory of Huangdi Neijing)and the control group(treated with conventional acupuncture),with 41 cases in each group.Both groups were treated for two courses of treatment,three times a week,with 10 sessions as one course.Visual analog scale(VAS)scores,dysfunction index questionnaire(ODI)score,Roland morris disbility questionnaire(RMDQ)score and Japanese orthopaedic association low back pain(JOA)scores were used to observe the efficacy of the two groups before and after treatment for 1 and 2 courses,and the recurrence rate of each group was analyzed and evaluated.Two months later,the RMDQ questionnaire was followed up to evaluate the recurrence rate of each group.Results:After two courses of treatment,the VAS score and ODI score of the two groups of patients decreased significantly compared to before treatment(P<0.05),and the treatment group was significantly lower than the control group(P<0.01).The subjective symptoms,clinical signs,and daily activity limits in the JOA scores of the two groups of patients increased compared to before treatment(P<0.05),and the treatment group was significantly higher than the control group(P<0.01).The RMDQ score of the treatment group was significantly lower than that of the control group(P<0.05).The total effective rate of the treatment group was 97.56%(40/41),in the treatment group which was significantly better than the control group's 90.24%(37/41)(P<0.05);The recurrence rate in the treatment group 2 months later was 2.50%(1/40),while that in the control group was 16.21%(6/37).Conclusion:Restoring the theory of differentiation and treatment of channels and collaterals in Huangdi Neijing combined with rigorous reinforcing and reducing manipulation can achieve better curative effect in the treatment of lumba
作者
李宗伟
徐忞
徐佳静
LI Zongwei;XU Min;XU Jiajing(Department of Acupuncture and Moxibustion,Ningbo Haishu Traditional Chinese Medicine Hospital,Ningbo 315000,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2023年第10期5095-5098,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
宁波市公益类科技计划项目(No.2021S112)
宁波市李宗伟名中医专家传承工作室。
关键词
腰痛
针刺
《黄帝内经》
六经辨治
补泻
Lumbago
Acupuncture
Huangdi Nejing
Six-channel differentiation
Reiforcing and reducing
