摘要
目的:探究腕踝针配合正骨手法治疗急性腰扭伤的临床疗效。方法:选取60例急性腰扭伤患者,以随机数字表法分为两组。治疗组为针刺(常规针刺及腕踝针)结合正骨组,对照组采用常规针刺,每组30例,因病例脱落最终治疗组29例,对照组28例,比较两组的临床疗效、下腰痛功能障碍[腰椎Oswestry功能障碍指数评分量表(ODI)]、腰椎活动度[腰椎活动度评分量表(ROM)]、疼痛程度[疼痛视觉模拟评分量表(VAS)],并记录不良反应。结果:治疗组总有效率100.00%高于对照组的92.86%(P<0.05)。组内比较中,两组治疗后VAS、ROM、ODI量表评分均低于治疗前(P<0.05);而治疗后两组间各量表评分比较差异具有统计学意义(P<0.05)。治疗组1例患者因腕踝针刺点留针期间疼痛,患者自行提前取针后疼痛消失;在治疗过程中两组均未出现皮下血肿、晕针、滞针及不良事件等现象。结论:腕踝针配合正骨手法治疗急性腰扭伤临床疗效显著,可有效缓解患者疼痛、改善腰椎活动度,提升患者日常生活质量。
Objective:To explore the clinical efficacy of wrist-ankle acupuncture combined with bone-setting manipulation in treating acute lumbar sprain.Methods:A total of 60 patients with acute lumbar sprain were selected and divided into treatment group by random number table method,acupuncture(including ordinary acupuncture and wrist-ankle acupuncture)combined with bone-setting manipulation group,control group(ordinary acupuncture group),30 cases in each group.29 cases in treatment group and 28 cases in control group were finally included due to case loss.The clinical efficacy,low back pain dysfunction[Oswestry Dysfunction Index(ODI)],lumbar activity[Range of Motion(ROM)],and pain degree[Visual Analogue Scale(VAS)]of the two groups were compared,and adverse reactions were recorded.Results:The total effective rate of the treatment group was 100.00%higher than that of the control group by 92.86%(P<0.05).In intra-group comparison,compared with before treatment,the scores of VAS,ROM and ODI were lower after treatment in both groups(P<0.05).After treatment,huge differences were manifested in the scores of the above scales between both groups(P<0.05).One patient in the treatment group had pain during the period of needle retention at the wrist-ankle acupuncture point,and the pain disappeared after the patient removed the needle in advance.There were no subcutaneous hematoma,needle fainter,needle stagnation and major adverse events in the two groups during treatment.Conclusion:Wrist-ankle acupuncture combined with bone-setting manipulation in treatment of acute lumbar sprain has significant clinical effect,which can also effectively relieve patients’pain,improve lumbar motion,and enhance patients’daily life quality.
作者
朱吕群
王丹
高加巍
沈建军
ZHU Lvqun;WANG Dan;GAO Jiawei;SHEN Jianjun(Nanjing Hospital Affiliated to Nanjing University of Chinese Medicine and Nanjing Second Hospital,Nanjing 210003,China)
出处
《陕西中医》
CAS
2024年第6期837-840,845,共5页
Shaanxi Journal of Traditional Chinese Medicine
基金
江苏省中医药管理局中医药科技发展计划项目(YB2020038)。
关键词
急性腰扭伤
骨筋肉并重
正骨
腕踝针
针刺
Acute lumbar sprain
Paying equal attention to bone,sinew and muscle
Bone-setting manipulation
Wrist-ankle acupuncture
Acupuncture
