针灸序贯疗法对慢性腰肌劳损患者腰部疼痛的影响

摘要/Abstract

摘要： 目的探讨与分析针灸序贯疗法对慢性腰肌劳损患者腰部疼痛的影响。方法选择2020年9月—2022年12月重庆市忠县中医医院收治的86例慢性腰肌劳损患者作为研究对象,根据1:1随机抛硬币原则将其分为针灸组与药物组,每组43例。药物组给予常规西药治疗,针灸组在药物治疗基础上给予针灸序贯疗法治疗,两组均治疗观察2周,对比两组治疗总有效率,评定患者治疗前后Oswestry功能障碍指数问卷表（ODI）评分、腰部疼痛视觉模拟标尺法（VAS）评分、腰屈曲范围变化情况。结果治疗后,针灸组治疗总有效率显著高于药物组,差异有统计学意义（P<0.05）;治疗后,两组腰部VAS评分均低于治疗前,且针灸组腰部VAS评分低于药物组,差异有统计学意义（P<0.05）;治疗后,两组ODI评分均低于治疗前,且针灸组ODI评分低于药物组,差异有统计学意义（P<0.05）;治疗后,两组腰屈曲范围大于治疗前,针灸组腰屈曲范围大于药物组,差异有统计学意义（P<0.05）。结论针灸序贯疗法在慢性腰肌劳损患者的应用能促进缓解腰部疼痛,提高总体治疗效果,还可改善患者的腰椎功能,提高腰屈曲范围。

关键词: 针灸序贯疗法, 慢性腰肌劳损, 腰部疼痛, 腰屈曲范围, 腰椎功能

Abstract: Objective To explore and analysis the effects of sequential acupuncture and moxibustion therapy on lumbar pain in patients with chronic lumbar muscle strain. Methods From September 2020 to December 2022, 86 patients with chronic lumbar muscle strain diagnosed and treated in Chongqing Zhongxian Hospital of Traditional Chinese Medicine were selected as research objects. Accorded to the principle of 1:1 envelope random drawing, 86 patients were divided into acupuncture group and western medicine group with 43 cases in each groups. The western medicine group were treated with conventional western medicine. The acupuncture group were treated with sequential acupuncture therapy based on the treatment of the western medicine group. Both groups were treated and observed for 2 weeks. Comparing the total response rate of the western medicine group and the acupuncture group, the visual analog scale (VAS of lumbar pain) score, Oswestry dysfunction index questionnaire (ODI) score and lumbar flexion range. Results After treatment, the total effective rate of the acupuncture group were significantly higher than that of the western medicine group (P<0.05). The VAS score of lumbar pain in the acupuncture group and the western medicine group were lower than that before treatment, and the VAS score of lumbar pain in the acupuncture group after treatment were also significantly lower than that in the western medicine group (P<0.05). The Oswestry score of the acupuncture group and the western medicine group were lower than that before treatment, and the Oswestry score of the acupuncture group after treatment were also significantly lower than that of the western medicine group (P<0.05). The range of lumbar flexion in the western medicine group and the acupuncture group after treatment were significantly higher than that before treatment, and the range of lumbar flexion in the acupuncture group after treatment were also significantly higher than that in the western medicine group (P<0.05). Conclusion The application of sequential acupuncture therapy in patients with chronic lumbar muscle strain can promote the relief of lumbar pain, improve the overall treatment effect, improve the lumbar function of patients, and increase the range of lumbar flexion.

Key words: sequential acupuncture therapy, internal heat needle, chronic lumbar muscle strain, lumbar pain, lumbar flexion range, lumbar function

中图分类号:

R246.9

龙瑶. 针灸序贯疗法对慢性腰肌劳损患者腰部疼痛的影响[J]. 中华养生保健, 2023, 41(21): 30-33.

LONG Yao. Effect of Sequential Acupuncture and Moxibustion on Lumbar Pain in Patients with Chronic Lumbar Muscle Strain[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(21): 30-33.

参考文献

[1] 黎霞,李多多,程潞瑶,等.中西医治疗慢性腰痛临床研究的有效率定义及其判定标准存在差异:一项概况性评价[J].中国全科医学,2022,25(20):2534-2540.
[2] 于长志,曹林辉,郑连伟,等.中医推拿复位手法治疗腰肌劳损的临床研究[J].按摩与康复医学,2022,13(24):1-3,7.
[3] 林蕙泽,闫文茜,张萍萍,等.针灸治疗慢性非特异性腰痛随机对照试验结局指标的现状研究[J].中国全科医学,2023,26(9):1053-1063.
[4] 章薇,娄必丹,李金香,等.中医康复临床实践指南·腰痛(腰椎间盘突出症)[J].康复学报,2021,31(4):265-270.
[5] 陈学强,吴群峰,田丰然,等.散寒除湿通络汤联合针灸治疗寒湿型腰肌劳损的临床观察[J].中国中医药科技,2021,28(1):71-72.
[6] 王思佳,林佳平,李琰异,等.针刺局部阿是穴腹部对应点治疗慢性腰肌劳损32例[J].中国针灸,2020,40(8):863-864.
[7] 祝琳. 温针灸联合止痛通痹液治疗腰椎间盘突出症的临床观察及对血清TNF-α、IL-1β、IL-6 PGE2水平的影响[J].中国中医药科技,2019,26(2):162-165.
[8] 世界中医药学会联合会,中华中医药学会.国际中医临床实践指南退变性腰椎管狭窄症(2019-10-10)[J].世界中医药,2021,16(16):2371-2374.
[9] 严广斌. 视觉模拟评分法[J].中华关节外科杂志(电子版),2014,8(2):34-34.
[10] 程继伟,王振林,刘伟,等.Oswestry功能障碍指数的改良及信度和效度检验[J].中国脊柱脊髓杂志,2017,27(3):235-241.
[11] 上海市卫生局.上海市中医病症诊疗常规(第2版)[M].上海:中医药大学出版社,2003:461-462.
[12] 李江涛,齐雨.推拿联合针灸治疗血瘀型腰椎间盘突出症的临床疗效观察[J].世界中医药,2020,16(6):920-924.
[13] 苏毅,朱俊琛,马幸福,等.夹脊穴温针灸治疗腰椎间盘突出症的疗效及安全性评价[J].针灸临床杂志,2021,37(1):44-47.
[14] 李宏强,彭志辉,赵中亭.热证可灸理论在运动员热证型腰肌劳损中的应用[J].新中医,2020,52(16):189-191.
[15] 崔家铭. 温针灸治疗腰椎间盘突出症疗效及对血清β-内啡肽与炎性因子的影响[J].颈腰痛杂志,2019,40(2):244-245.
[16] 彭党兵,陈塍林.针灸联合中药热敷对慢性腰肌劳损患者腰椎功能、疼痛程度及生活质量的影响[J].医学临床研究,2021,38(1):29-31.
[17] 寇鹏,雷永红,孙志高,等.针灸在军事训练相关腰肌损伤中的应用进展[J].长春中医药大学学报,2022,38(4):455-460.
[18] 宰风雷,邬瑞兰,郑美凤,等.温针灸对腰椎间盘突出症患者血浆β-内啡肽的影响[J].针刺研究,2018,43(8):512-515.
[19] 孟繁亮,王元,陈焕林,等.针灸联合MIS-TLIF治疗老年退行性腰椎滑脱症的疗效及对腰椎稳定性的影响[J].中国老年学杂志,2022,42(20):5023-5026.
[20] 李齐,符碧峰,张熙南,等.气滞血瘀型腰椎间盘突出症患者MRI表现与疼痛程度、腰椎功能、中医症状积分的相关性分析[J].天津中医药,2022,39(2):166-170.
[21] 贾雅迪,刘阳阳,刘江,等.基于复杂网络分析的针刺治疗腰肌劳损腧穴配伍规律研究[J].针灸临床杂志,2020,36(5):55-61.
[22] 邓兰,李志明,吴辉渊,等.益气活血通络法联合艾灸对肿瘤化疗所致手足综合征及免疫功能的影响[J].中国当代医药,2023,30(1):159-162.