病灶点密集针刺与循经取穴针刺治疗髂胫束劳损疗效观察  

Observations on the Efficacies of Focal Clustered Needling Versus Along-meridian Point Selection-based Needling in Treating Iliotibial Tract Strain

作　　者：杨翊[1] 杨宗云[1] 王魁[1] 刘智权[1] 刘经星[1] 唐小莉[1] 

机构地区：[1]湖北医药学院附属人民医院,十堰442000

出　　处：《上海针灸杂志》2014年第5期454-455,共2页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的比较病灶点密集针刺与循经取穴治疗髂胫束劳损的疗效差异。方法将172例髂胫束劳损患者随机治疗组和对照组,每组86例。治疗组在患者患侧阔筋膜张肌、臀中肌、髂胫束中下1/3交界处以及胫骨外髁和小腿外侧面仔细查找病灶点(压痛点),然后在病灶点上施以密集毫针刺。对照组采用针刺患侧环跳、风市、梁丘、足三里、阳陵泉、昆仑、悬钟治疗。两组均每日治疗1次,治疗7次后统计疗效。结果疗组治愈率与总有效率分别为90.7%和100.0%,对照组分别为52.3%和89.5%。两组治愈率比较,差异具有统计学意义(P<0.01)。结论病灶点密集针刺是一种治疗髂胫束劳损的有效方法。Objective To compare the efficacies of focal clustered needling versus along-meridian point selection-based needling in treating iliotibial tract strain. Methods One hundred and seventy-two patients with iliotibial tract strain were randomly allocated to the treatment and control groups, 86 cases each. In the treatment group of patients, foci （pressure pain points） were carefully sought on affected-side tensor fascia latae, gluteus medius, junction of middle third and lower third of iliotibial tract, lateral condyle of the tibia and lateral aspect of the lower leg. Then, clustered filiform needle acupuncture was performed at the foei. In the control group, acupuncture was performed on affected-side points Huantiao, Fengshi, Liangqiu, Zusanli, Yanglingquan, Kunlun and Xuanzhong. Both groups were treated once daily. The therapeutic effects were evaluated after seven treatments. Results The cure rate and the total efficacy rate were 90.7% and 100.0%, respectively, in the treatment group and 52.3% and 89.5%, respectively, in the control group. There was a statistically significant difference in the cure rate between the two groups （P〈0.01）. Conclusion Focal clustered needling is an effective way to treat iliotibial tract strain.

关 键 词：针刺疗法 髂胫束劳损 循经取穴 软组织损伤 

分 类 号：R246.2[医药卫生—针灸推拿学]