常规针刺与经筋疗法治疗腰背肌筋膜炎临床疗效比较  

Clinical Study of Jingjin Therapy Compared with Normal Acupuncture for Waist and Back Muscle Fasciitis

作　　者：周嘉仪[1] 黄泳[1] 

机构地区：[1]南方医科大学中医药学院,广东广州510515

出　　处：《针灸临床杂志》2015年第1期25-28,共4页Journal of Clinical Acupuncture and Moxibustion

摘　　要：目的:比较常规针刺与经筋疗法治疗腰背肌筋膜炎的临床疗效。方法:80例腰背肌筋膜炎患者,按随机数字表法随机分为常规针刺组(40例)及经筋疗法组(40例),分别进行常规针刺及经筋疗法治疗,治疗4个疗程后观察两组治疗前后Mc Gill量表、身体损害指数评定量表,并观察疗效。结果:简化Mc Gill量表评分表明,两组治疗后与治疗前比较均有统计学差异(P<0.05);治疗后比较,经筋疗法改善程度均优于常规针刺组(P<0.05);身体损害指数评定量表(PII)评分表明,常规针刺组腰后伸、仰卧起坐治疗后较治疗前有好转(P<0.05);经筋疗法组腰前屈、腰后伸、脊柱触痛、仰卧起坐及总分均较治疗前有改善(P<0.05);两组比较,在腰前屈、脊柱触痛及总分测试上有统计学差异(P<0.05),其余项均无统计学差异(P>0.05);总疗效评定表明,经筋疗法组治疗后总有效率90%,常规针刺组有效率70%,两组比较有统计学意义(P<0.05)。结论:常规针刺与经筋疗法对腰背肌筋膜炎均有较好的治疗效果,但经筋疗法的治疗效果优于常规针刺。Objective：To compare clinically curative effects on waist and back muscle fasciitis treated by nor- mal acupuncture and the Jingjin therapy ;Methods：80 patients with low back muscle fasciitis were randomly di- vided into a normal acupuncture group （40 cases） and a Jingjin treatment group （40 cases）, respectively. For ordinary acupuncture and the Jingjin treatment, after four treatment periods, observe McGill scale before and af- ter treatment, body damage index rating scale and the total curative effect in both groups. Results：As to the simplified MeGill scale, the two groups after treatment were compared with before treatment and there was a sta- tistical significance （ P 〈 0.05 ） ; after treatment, the improved muscle therapy was superior to the ordinary acu- puncture group （P 〈 0.05 ）. As to the body damage index rating scale （ PⅡ）, ordinary acupuncture group after the waist stretched, sit - ups were improved after treatment compared with before treatment （ P 〈 0.05 ） ; after the waist muscle therapy group proneness, waist stretch, spine tenderness, sit -ups and total scores were im- proved （ P 〈 0.05 ） ; compared between two groups, as to the lumbar flexion, spine tenderness and total score there was a statistical difference （P 〈 0.05 ）, and the rest of the items and the total score had no statistical difference （ P 〉 0. 05 ）. As to the total curative effect evaluation, after Jingjin treatment the total effectiveness was 90%, and in the ordinary acupuncture group the effectiveness was 70%, and there was a statistical signifi- cance （ P 〈 0. 05 ）. Conclusion： Normal acupuncture and the Jingjin treatment for lumbar back muscle fasciitis have a good treatment effect, but the effect of muscle therapy treatment is superior to the ordinary acupuncture.

关 键 词：常规针刺 经筋疗法 腰背肌筋膜炎 

分 类 号：R246.2[医药卫生—针灸推拿学]