推拿结合针刺不同远端穴位治疗急性腰扭伤:随机对照研究  

Acute lumbar sprain treated with massage combined with acupuncture at different distal acupoints:a randomized controlled trial

作　　者：曹晔 王月秋 

机构地区：[1]张家港市金港人民医院针灸科,江苏张家港215631 [2]张家港市大新社区卫生服务中心

出　　处：《中国针灸》2015年第5期453-457,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察推拿后针刺不同远端穴对急性腰扭伤的治疗效果。方法:将150例急性腰扭伤患者随机分为腰痛穴组、后溪穴组、委中穴组、承山穴组、水沟穴组5组,每组30例。在使用相同的推拿治疗后再根据分组选取上述不同的远端穴进行针刺,并评价5组间的视觉模拟量表(VAS)评分、腰部活动度和疗效。结果:推拿后再针刺远端穴位,5组患者的VAS评分较推拿治疗后均下降(均P<0.05),腰部活动度均明显增加(均P<0.01),愈显率较推拿治疗后均明显提高(均P<0.01);但5组患者组间比较,VAS评分、腰部活动度、愈显率差异均无统计学意义(均P>0.05)。结论:在推拿治疗的基础上再针刺远端穴位,可进一步提高对急性腰扭伤的治疗效果,但各远端穴位间无明显的疗效差异,只要选择痛阈值低的腧穴,给予足够的刺激量,均能对急性腰扭伤产生较好的疗效。Objective To observe treatment efficacy of acupuncture at different distal acupoints for acute lumbar sprain after massage.Methods One hundred and fifty patients with acute lumbar sprain were randomly divided into a Yaotongdian（Extra）group,a Houxi（SI 3）group,a Weizhong（BL 40）group,a Chengshan（BL 57）group and a Shuigou（GV 26）group,total 5groups,30 cases in each one.After the same massage treatment and based on groups divided,different distal acupoints above-mentioned were selected to be acupunctured.Visual analogue scale（VAS）scores,lumbar activity and treatment efficacy of patients in 5groups were evaluated.ResultsWith acupuncture at distal acupoints after massage,VAS scores of patients in 5groups were decreased compared with those after massage treatment（all P〈0.05）;lumbar activity was all obviously improved（all P〈0.01）;and cured and markedly effective rates were all increased in comparison with those after massage（all P〈0.01）.But among 5groups the differences of VAS scores,lumbar activity and cured and markedly effective rates were not statistically significant（all P〉0.05）.Conclusion Based on massage treatment,acupuncture at distal acupoints could further improve the treatment efficacy for acute lumbar sprain,but there is no obvious effective difference among every distal acupoint.As long as choosing acupoints with lower pain threshold and stimulating enough,good efficacy could be acquired for acute lumbar sprain.

关 键 词：急性腰扭伤 推拿 针刺 远端穴位 随机对照试验(RCT) 

分 类 号：R246.2[医药卫生—针灸推拿学]