火针点刺反阿是穴治疗急性腰扭伤疗效观察  

Therapeutic Observation of Pricking Anti-Ashi Points with Fire Needles for Acute Lumbar Sprain

作　　者：张群[1] 范春兰[1] 许金海[2] 莫文[2] 

机构地区：[1]上海市浦东新区南码头社区卫生服务中心,上海200125 [2]上海中医药大学附属龙华医院,上海200032

出　　处：《上海针灸杂志》2016年第3期322-325,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海市基层中医药服务能力提升工程社区中医药特色项目(Shjczyynlts-sqzyyts-13);上海市浦东新区社区名中医建设项目(PDZYXK-4-2013005);上海市进一步加快中医药事业发展三年行动计划(2014年-2016年)(ZY3-LCPT-1-1003)

摘　　要：目的观察火针点刺反阿是穴治疗急性腰扭伤的临床疗效。方法将76急性腰扭伤患者随机分为治疗组和对照组,每组38例。治疗组采用火针点刺反阿是穴治疗,对照组采用温针治疗。两组治疗1、5次后分别采用腰腿痛视觉模拟评分法(VAS)和汉译Roland-Morris腰痛功能障碍问卷表(RMDQ)对患者腰部疼痛及功能障碍进行评定,比较两组临床疗效。结果两组治疗1、5次后VAS评分和汉译RMDQ积分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗1、5次后VAS评分和汉译RMDQ积分与对照组比较,差异均具有统计学意义(P<0.05)。治疗组总有效率和治愈率分别为94.7%和63.2%,对照组分别为86.8%和42.1%,两组比较差异具有统计学意义(P<0.01)。结论火针点刺反阿是穴是一种治疗急性腰扭伤的有效方法,即刻止痛效果明显。The Back-Shu points of the five Zang-organs are a group of points where qi and blood pour into the back and lumbar regions. Acupuncture at these points has a wide indication scope. However, it＇s reported that internal organs were punctured in some cases because of improper control of needling depth, angle, and intensity during acupuncture. We used perpendicular needling instead of conventional oblique needling during the acupuncture of the Back-Shu points of the five Zang-organs. We found that when patients were completely relaxed, acupoints were correctly selected, the needling depth, the way of holding the needle, and inserting methods were well controlled, perpendicular needling of the Back-Shu points of the five Zang-organs can produce stronger needling sensation, and it＇s easier to operate, safer, and more effective compared to oblique needling.

关 键 词：针灸疗法 火针 腰扭伤 反阿是穴 温针疗法 

分 类 号：R246.2[医药卫生—针灸推拿学]