摘要
目的 观察超声引导下针刺委中穴得气对急性腰扭伤患者的临床疗效。方法 将符合标准的急性腰扭伤患者随机分为针刺组与假针刺组。在超声引导下针刺腰痛侧委中穴,针刺组针刺深度到达胫神经附近深筋膜位置,施以捻转提插手法使之得气,假针刺组针刺深度到达浅筋膜处,不运针不得气。两组均针刺1次,留针20 min。采用有效率作为主要观察指标,VAS量表、ROM关节活动度量表,腰部、脚底心红外最高绝对温度差(ΔT_(最高))与受试者针感临床评价量表作为次要指标。结果 针刺治疗后,针刺组总有效率为94.29%,假针刺组33.33%,差异有统计学意义(P<0.05);针刺组VAS、ROM评分以及两侧腰、脚底心ΔT_(最高)较治疗前下降,差异有统计学意义(P<0.05);两组比较,在VAS评分,两侧腰、脚底ΔT最高,患者针感评分等方面针刺组均较假针刺组有改善(P<0.05)。结论 超声引导下针刺委中穴得气对急性腰扭伤患者疗效显著。
Objective:To observe the clinical efficacy of ultrasound-guided acupuncture at Weizhong(BL40)in patients with the acute lumbar sprain.Methods:72 patients with acute lumbar sprain who met the criteria were randomly divided into acupuncture and sham acupuncture groups,with 36 cases in each group.In the acupuncture group,the needle depth reached the deep fascia position near the tibial nerve,twisting and lifting the needle to the arrival of qi.In the sham acupuncture group,the needle depth reached the superficial fascia,and the needle was not transported and without the arrival of qi.The primary outcome measure was the efficiency rate.The VAS scale,ROM joint mobility scale,infrared maximum absolute temperature difference(△T_(mx))between the waist and the soles of the feet,and the clinical evaluation scale of the subject's needle sensation were secondary outcome measures.Results:After acupuncture treatment,the total effective rate was 94.29%in the acupuncture group and 33.33%in the sham acupuncture group,and the dfference was statistically significant(P<0.05);the VAS and ROM scores,as well as the AT_(max) on both sides of the waist and the soles of the feet,decreased in the acupuncture group compared with that before treatment,and the difference was statistically significant(P<0.05);compared between the two groups,in terms of VAS scores,ATmax on both sides of the waist and the soles of the feet,and the patient's needle sensation scores,the acupuncture group showed improvement compared with the sham acupuncture group(P<0.05).Conclusion:There was a significant efficacy in ultrasound-guided acupuncture to the arrival of qi at the Weizhong(BL40)in patients with acute lumbar sprain.
作者
刘鑫
孙鲁源
李珊珊
李佳莹
陈颖棋
张超月
徐世芬
宓轶群
Liu Xin;Sun Luyuan;Li Shanshan;Li Jiaying;Chen Yingqi;Zhang Chaoyue;Xu Shifen;Mi Yiqun(Shanghai Municipal Hospital of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China)
出处
《中国中医急症》
2023年第5期796-800,共5页
Journal of Emergency in Traditional Chinese Medicine
基金
上海申康医院发展中心临床三年行动计划(SHDC2020CR3015A)
上海市科学技术委员会自然科学基金项目(21ZR1461000)
上海市科学技术委员会科普项目(21DZ2311400)。
关键词
急性腰扭伤
针刺
超声
委中
Acute lumbar sprain
Acupuncture
Ultrasound
Weizhong(BL40)
