“调神针法”对产后腰痛的影响:随机对照研究  

Effect of “Tiaoshen Acupuncture” on postpartum low back pain: a randomized controlled trial

作　　者：李金霞[1] 谢晶军[2] 郭小青[1] 李烨[1] 傅瑞阳 LI Jin-xia;XIE Jing-jun;GUO Xiao-qing;LI Ye;FU Rui-yang(Department of Acupuncture and Tuina, Huzhou Hospital of TCM,Huzhou 313000,Zhejiang Province,China;Department of Rehabilitation,the First People's Hospital of Huzhou)

机构地区：[1]湖州市中医院针灸推拿科,浙江湖州313000 [2]湖州市第一人民医院康复科

出　　处：《中国针灸》2019年第1期24-27,共4页Chinese Acupuncture & Moxibustion

基　　金：国家中医药管理局“十二五”重点建设专科项目:ZJ1101TN010;浙江省中医药科技研究项目:2013ZST003;傅瑞阳全国老中医药专家学术经验继承工作建设项目[国医药人教发(2017)29号];浙江省傅瑞阳名老中医专家传承工作室建设项目[浙中医药(2017)28号]

摘　　要：目的:观察"调神针法"对产后腰痛的影响。方法:将98例产后腰痛患者随机分成观察组和对照组,每组49例。对照组脱落4例,45例进入统计分析,观察组脱落2例,47例进入统计分析。对照组采用常规针刺治疗,观察组在此基础上配合"调神针法",穴取百会、内关、太冲,每次治疗30 min,每周5次,共治疗10次。治疗前及治疗结束后,采用简式McGi1l疼痛问卷(SF-MPQ)评价疼痛情况,Oswestry功能障碍指数(ODI)评价功能障碍程度,爱丁堡产后抑郁量表(EPDS)评价抑郁程度,并观察治疗前后各项指标的变化。结果:治疗结束后,对照组与观察组患者SF-MPQ中疼痛分级指数(PRI)评分、视觉模拟量表(VAS)评分与现有疼痛强度(PPI)评分均较治疗前显著下降(均P<0.001),ODI评分及EPDS评分也较治疗前显著下降(均P<0.001),观察组治疗前后各项评分下降值明显大于对照组(P<0.001,P<0.01)。结论:"调神针法"配合常规针刺与单纯常规针刺均可有效改善产后腰痛患者的疼痛、功能障碍及抑郁等症状,且前者明显优于后者。Objective To observe the effect of "Tiaoshen Acupuncture" on postpartum low back pain. Methods A total of 98 cases of postpartum low back pain were randomly divided into a control group(45 cases, 4 cases dropping) and a treatment group(47 cases, 2 cases dropping). Conventional acupuncture was treated in the control group, and "Tiaoshen Acupuncture" was added in the treatment group on the basis treatment in the control group, acupuncture was applied at Baihui(GV 20), Neiguan(PC 6), Taichong(LR 3). The treatment was given 30 minutes each time, 5 times a week, 10 times for a total course of treatment. Before and after treatment, pain was assessed by the short-form of McGill pain questionnaire(SF-MPQ), dysfunction was assessed by Oswestry disability index(ODI), and depression was assessed by the Edinburgh postnatal depression scale(EPDS). And the changes of various indexs were observed before and after treatment. Results After treatment, the pain grade index(PRI) score, visual analog scale(VAS) score and present pain intensity(PPI) score in SF-MPQ of the control group and the treatment group were significantly lower than those before treatment(all P<0.001). The ODI score and EPDS score were also significantly lower than those before treatment(all P<0.001). The decline scores of the treatment group before and after treatment were significantly higher than those in the control group(P<0.001, P<0.01). Conclusion "Tiaoshen Acupuncture" combined with conventional acupuncture and conventional acupuncture can effectively improve the symptoms of pain, dysfunction and depression in patients with postpartum low back pain, and the former is significantly better than the latter.

关 键 词：产后腰痛 调神针法 针灸 简式McGi1l疼痛问卷 OSWESTRY功能障碍指数 爱丁堡产后抑郁量表 随机对照试验 

分 类 号：R246.2[医药卫生—针灸推拿学]