电针围刺加中药热敷治疗运动员股后肌群拉伤疗效观察  

Efficacy observation on rear thigh muscles strain of athletes treated with surrounding needling of electroacupuncture and hot compress of Chinese medicine

作　　者：许凯声[1] 林维培[2] 陈剑英 虞露长[2] 黄志华[1] 

机构地区：[1]莆田学院附属医院康复科,福建莆田351100 [2]福建中医药大学 [3]莆田市重点体校医务室

出　　处：《中国针灸》2012年第6期511-514,共4页Chinese Acupuncture & Moxibustion

基　　金：莆田学院2009年校级教育教学改革研究立项项目:莆院教[2009]79号

摘　　要：目的:验证电针围刺加中药热敷治疗运动员股后肌群拉伤的临床疗效。方法:将86例患者随机分为观察组、对照组,每组43例。观察组取股后部病变局部四周的阿是穴施行电针围刺加中药热敷治疗,对照组予常规针刺加局部拔罐,穴取患侧承扶、殷门、委中等,均每日治疗1次,10次为一疗程,治疗2个疗程。比较两组治疗前后股后肌群的疼痛积分、肿胀压痛积分、行走功能恢复积分和总积分变化,并比较两组疗效。结果:两组均可减轻疼痛、肿胀,改善行走功能与总积分(均P<0.01),且观察组的改善程度均优于对照组(P<0.01,P<0.05),观察组的愈显率为83.7%(36/43),优于对照组的60.5%(26/43,P<0.05)。结论:电针围刺加中药热敷治疗运动员股后肌群拉伤疗效显著,在症状、体征的改善和行走功能的恢复方面优于常规针刺加拔罐。Objective To verify the clinical efficacy on rear thigh muscles strain of athletes treated with sur-rounding needling of electroacupuncture and hot compress of Chinese medicine.Methods Eighty-six cases were randomly divided into an observation group and a control group,43 cases in each one.In the observation group,surrounding needling of electroacupuncture and hot compress of Chinese medicine were used at Ashi points around the local affected area of rear thigh muscles.In the control group,conventional needling method and local cupping were applied at Chengfu（BL 36）,Yinmen（BL 37）,Weizhong（BL 40）,etc.The treatment was given once a day.Ten treatments made one session.Two sessions were required.The score of rear thigh muscles pain,swel-ling and tenderness,walking function recovery and the total score were compared before and after treatment between two groups.The efficacy was compared between two groups.Results The score of pain,swelling and tenderness,walking function recovery and the total score were reduced obviously after treatmeat in two groups（all P0.01）,and the improvements in the observation group were superior to those in the control group（P0.01,P0.05）.The cured and remarkably effective rate was 83.7%（36/43） in the observation group,which was better than 60.5%（26/43） in the control group（P0.05）.Conclusion The efficacy of the surrounding needling of electroacupuncture and the hot compress of Chinese medicine is significant on rear thigh muscles strain for the athletes,which is superior to that of the conventional needling method and cupping in terms of the improvements in the symptoms and physical signs as well as the recovery of the walking function.

关 键 词：肌肉拉伤 股后肌群 针刺疗法 电针 围刺 中药外敷 

分 类 号：R274.915[医药卫生—中西医结合]