浮针治疗急性非特异性腰背痛临床研究

中华养生保健 ›› 2024, Vol. 42 ›› Issue (5): 19-22.

浮针治疗急性非特异性腰背痛临床研究

霍青云^1,2, 赵玉玲², 李伟², 路敏², 覃国忠², 于翱瑞², 许宏武^3,*

1.汕头大学医学院,广东汕头,515000;
2.深圳平乐骨伤科医院（深圳市坪山区中医院）平乐郭氏正骨科,广东深圳,518000;
3.汕头大学医学院第一附属医院神经外科,广东汕头,515000

出版日期:2024-03-01 发布日期:2024-02-27
通讯作者: ^*许宏武,E-mail：hwxu@qq.com。
作者简介:霍青云（1989—）,男,汉族,籍贯：河南省开封市,硕士研究生在读,主治中医师,研究方向：中西医结合骨伤科学。
基金资助:
深圳市医疗卫生“三名工程”项目资助（SZZYSM202108013）; 福建中医药大学校管课题（XB20232220）

Clinical Study on Treatment of Acute Nonspecific Low Back Pain with Floating Needle

HUO Qing-Yun^1,2, ZHAO Yu-Ling², LI Wei², LU- Min², TAN Guo-Zhong², YU Ao-Rui², XU Hong-Wu^3,*

1. Shantou University Medical College, Shantou Guangdong 515000, China;
2. Pingle Guo's Orthopedic Department, Shenzhen Pingle Orthopedic Hospital (Shenzhen Pingshan Hospital of Traditional Chinese Medicine), Shenzhen Guangdong 515000, China;
3. Neurosurgery, The First Affiliated Hospital of Shantou University Medical College, Shantou Guangdong 515000, China

Online:2024-03-01 Published:2024-02-27

摘要/Abstract

摘要： 目的研究浮针治疗急性非特异性腰背痛的临床疗效、慢性转归率和安全性。方法选取2020年1月—2023年6月深圳平乐骨伤科医院（深圳市坪山区中医院）收治的急性非特异性腰背痛患者256例,根据患者治疗方式不同分为浮针组和对照组,浮针组129例,对照组127例。两组患者均予中药封包治疗,对照组加服洛芬待因缓释片、盐酸乙哌立松片,浮针组在上述治疗基础上再加用浮针治疗,比较两组患者临床疗效、复发率、腰部疼痛[视觉疼痛模拟分法（VAS）评分]、腰部功能障碍[腰椎功能障碍指数评分量表（ODI）评分]、指地间距（FFD）。结果治疗前两组患者VAS评分、ODI评分、FFD比较,差异无统计学意义（P>0.05）;治疗后,两组患者VAS评分、ODI评分、FFD较治疗前显著下降,且浮针组VAS评分、ODI评分、FFD均低于对照组,差异有统计学意义（P<0.05）。浮针组复发率低于对照组,临床疗效高于对照组,差异有统计学意义（P<0.05）。结论浮针治疗急性非特异性腰背痛能够快速高效地降低痛感、改善腰背功能,降低复发率,近期疗效和远期疗效较好,值得临床应用。

关键词: 皮下筋膜, 肌筋膜, 浮针, 急性非特异性腰背痛

Abstract: Objective To study the clinical efficacy, chronic outcome rate and safety of acute nonspecific low back pain with floating needle. Methods A total of 256 patients with acute non-specific low back pain from January 1, 2020 to June, 2023 at Shenzhen Pingle Orthopedic and Traumatology Hospital (Shenzhen Pingshan District Traditional Chinese Medicine Hospital) were selected, depending on the patient's treatment method, they were randomly divided into a floating needle group and a control group, with 129 cases in the floating needle group and 127 cases in the control group. Both groups of patients were treated with traditional Chinese medicine package, and the control group was treated with Ibuprofen codeine sustained-release tablets and Eperisone hydrochloride tablets. The floating needle group was treated with floating needle on the basis of the above treatment; Compare the clinical efficacy, lumbar pain score (VAS), lumbar dysfunction index score (ODI), and finger to ground distance (FFD) between two groups of patients. Results There was no statistically significant difference in general condition, VAS, ODI and FFD between the two groups of patients before treatment (P>0.05).After treatment, the VAS, ODI and FFD of the two groups of patients showed a significant downward trend compared to before treatment (P<0.05). The clinical efficacy, recurrence rate, VAS, ODI and FFD of the floating needle group were higher than those of the control group (P<0.05). Conclusion Floating needle treatment of acute nonspecific low back pain can quickly and efficiently reduce pain, improve low back function, reduce the recurrence rate, short-term efficacy and long-term efficacy is good, worthy of clinical application.

Key words: subcutaneous fascia, myofascia, floating needle, acute non-specific low back pain

中图分类号:

R274

霍青云, 赵玉玲, 李伟, 路敏, 覃国忠, 于翱瑞, 许宏武. 浮针治疗急性非特异性腰背痛临床研究[J]. 中华养生保健, 2024, 42(5): 19-22.

HUO Qing-Yun, ZHAO Yu-Ling, LI Wei, LU- Min, TAN Guo-Zhong, YU Ao-Rui, XU Hong-Wu. Clinical Study on Treatment of Acute Nonspecific Low Back Pain with Floating Needle[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(5): 19-22.

参考文献

[1] 顾蕊,王岩,陈伯华.中国非特异性腰背痛临床诊疗指南[J].中国脊柱脊髓杂志,2022,32(3):258-268.
[2] 苏晗,崔俊武,王晶晶,韦业,张志勇,陈广辉.肌筋膜疼痛综合征的治疗研究进展[J].广西医学,2021,43(5):621-624.
[3] 邵银进,谢水平,王晓春等.浮针疗法治疗慢性非特异性下腰痛随机对照研究[J].湖北中医杂志,2021,43(7):45-48.
[4] 王雪强,陈佩杰,矫玮,等.运动疗法治疗腰痛的专家共识[J].体育科学,2019,39(3):19-29.
[5] 中国康复医学会脊柱脊髓专业委员会专家组.中国急/慢性非特异性腰背痛诊疗专家共识[J].中国脊柱脊髓杂志,2016,26(12):1134-1138.
[6] 符仲华. 浮针医学纲要[M].北京:人民卫生出版社,2016:140-155,231.
[7] 尤焱南,周涛,赵霞.《中医病证诊断疗效标准》修订中文献研究法探析[J].中医药导报,2019,25(21):22-25.
[8] 泮利锋. 针药结合治疗急性腰扭伤气滞血瘀证的临床观察[J].中国中医药科技,2022,29(1):96-97.
[9] 冯昊. 浮针干预对肌筋膜疼痛综合征大鼠的组织形态学及致痛因子表达影响的研究[D].西安:西安体育学院,2020.
[10] IANOLA S, BARGERI S, DEL CASTILLO G, et al.Effectiveness of treatments for acute and subacute mechanicalnon-specific low back pain: a systematic review with network meta-analysis[J]. Br J Sports Med,2022,56(1):41-50.
[11] 朱博文,袁欣瑶,叶树良,等.针刺带脉治疗急性腰扭伤38例[J].中国针灸,2022,42(8):871-872.
[12] 黄奏琴,王思瑶,李甜,等.银质针温针灸加电针治疗腰椎间盘突出症疗效观察[J].现代中西医结合杂志,2021,30(28):3118-3121,3130.
[13] 罗登攀,黄节,赵宁.基于肌筋膜触发点的干针疗法治疗颈肩肌筋膜疼痛综合征临床研究[J].新中医,2022,54(5):205-210.
[14] 唐晓敏,林蓝,黄海城,等.循膀胱经推拿联合平衡针治疗急性腰扭伤的临床观察[J].广州中医药大学学报,2023,40(8):1995-2001.
[15] 王小飞. 浮针疗法治疗慢性非特异性下腰痛(气滞血瘀型)的临床观察[D].武汉:湖北中医药大学,2019.
[16] 白杨,杨仕年,李芝慧,等.核心肌群训练联合肌效贴治疗急性非特异性腰背痛临床疗效观察[J].西部医学,2016,28(9):1293-1296.
[17] 郑兵,朱江,吴雪莲,等.针刺肌筋膜触发点在疼痛治疗中的研究进展[J].中国康复医学杂志,2022,37(1):117-120.
[18] 邹洋,盛莉,吴宗辉.运动疗法在慢性非特异性腰痛中的治疗进展[J].中华全科医学,2022,20(5):839-843.
[19] GIANOLA S, CASTELLINI G, ANDREANO A, et al.Effectiveness of treatments for acute and sub-acute mechanical non-specific low back pain:protocol for a systematic review and network meta-analysis[J]. Syst Rev,2019,8(1):196.
[20] 张薇薇,何欣,蔡明星,等.腹浮针治疗急性腰扭伤的临床研究[J].中国中医急症,2021,30(12):2116-2118.
[21] NIEMINEN L K, PYYSALO L M, KANKAANPÄÄ M J.Prognostic factors for pain chronicity in low back pain: a systematic review[J]. Pain Rep,2021,6(1):e919.