调神止痛针法治疗慢性腰肌劳损的临床研究  

The Clinical Study of Tiaoshenzhitong Acupuncture Treatment of Low Back Pain

作　　者：杨元庆[1] 李思[1] 周星娅[1] 薛莉[1] 王栩[1] 邢晓彤 YANG Yuan-qing;LI Si;ZHOU Xing-ya;XUE Li;WANG Xu;XING Xiao-tong(Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital 300120)

机构地区：[1]天津市中医药研究院附属医院

出　　处：《内蒙古中医药》2019年第3期62-64,共3页Inner Mongolia Journal of Traditional Chinese Medicine

基　　金：国家中医临床研究基地业务建设科研专项(项目编号JDZX2015023)

摘　　要：目的:观察调神止痛针法治疗慢性腰肌劳损的有效性.方法:将96例慢性腰肌劳损患者,按就诊顺序采用随机数表法分为观察组和对照组,各48例.观察组采用调神止痛针法,对照组釆用常规针刺取穴,1次/d,6d为1个疗程,疗程之间间隔1d,共计2个疗程。以数字疼痛分级法(NRS)、JOA、VAS评价量表为评价指标,分别于治疗前后对两组疼痛程度、JOA、VAS评分及综合疗效判定,1个月后复发率随访,将结果进行统计学分析。结果:观察组总有效率为97.87%,对照组为87.50%,差异显著(P<0.05);观察组和对照组疼痛程度、VAS评分组间及组内比较,差异显著(P<0.05);JOA评分观察组较治疗前,显著差异(P<0.05),而对照组较治疗前,无显著差异(P<0.05),但二者组间比较有显著差异(P<0.05);1个月后随访腰痛复发情况比较,有显著差异(P<0.05).结论:调神止痛针法可明显改善慢性腰肌劳损患者的疼痛症状,临床疗效优于传统针刺法,且安全、简便,值得临床推广。Objective: To observe the clinical effect of regulating mind and relieving pain acupuncture on chronic lumbar muscle strain. Methods: Patients with chronic lumbar muscle strain who met the inclusion criteria were randomly divided into observation group and control group according to the order of patients'visits. I'he observation group was treated with the method of regulating mind and relieving pain. The control group was treated with routine acupuncture, once a clay, 6 days as a course of treatment. The interval between courses was 1 day, totally two courses of treatment. Digital pain grading(NRS), JOA and VAS scale were used to evaluate the pain degree, JOA, VAS score and coniprehensive efficacy of the two groups before and after treatment. The recurrence rate was followed up one month later, and the results were analyzed statistically. Results: The total effective rate of the observation group was 97.87%, and that of the control group was 87.75%. There was significant difference between the observation group and the control group (P<0.05 ). There were significant differences in pain degree, VAS score and intra-group comparison between the observation group and the control group (P<0.05 ). There was significant difference in JOA score between the observation group and the pre-treatment group (P<0.05 ), while there was significant difference between the control group and the pre-treatment group (P<0.05). There was no significant difference between the two groups (P>0.05), but there was a significant difference between the two groups (P<0.05);there was a significant difference in the recurrence of low back pain after one month follow-up (P<0.05 ). Conclusion:"Tiaoshen Zhitong acupuncture" can significantly improve the pain state and quality of life of patients with chronic lumbar muscle strain. Its clinical efficacy is superior to traditional acupuncture, and it is safe, effective and simple, which is worthy of clinical application.

关 键 词：慢性腰肌劳损 调神止痛针法 临床研究 

分 类 号：R274.34[医药卫生—中医骨伤科学]