热敏灸联合运动疗法治疗慢性腰肌劳损的临床研究  

Clinical study on thermal moxibustion combined with exercise therapy for chronic lumbar muscle strain

作　　者：叶泽根 楼喜强[1] YE Zegen;LOU Xiqiang(Department of Rehabilitation,Lishui Hospital of Traditional Chinese Medicine in Zhejiang Province,Lishui323000,China)

机构地区：[1]浙江省丽水市中医院康复科

出　　处：《中国现代医生》2019年第35期114-117,共4页China Modern Doctor

基　　金：浙江省中医药科技计划项目（2015ZT028）

摘　　要：目的评价热敏灸联合运动疗法治疗慢性腰肌劳损的临床疗效。方法选取我院2016年5月~2018年9月收治的137例慢性腰肌劳损患者为研究对象,采取随机数字表法将其分为对照组68例,采取针灸联合运动疗法;观察组69例,采取热敏灸联合运动疗法,对比两组患者临床效果。结果ODI指数情况:治疗前,两组ODI指数评分比较,差异无统计学意义(P>0.05),治疗后,观察组评分明显优于对照组,且与治疗前比较差异有统计学意义(P<0.05);SF-MPQ评分情况:治疗前,两组PRI、VAS、PPI评分比较,差异无统计学意义(P>0.05),治疗后,观察组评分明显优于对照组,差异有统计学意义(P<0.05);疗效情况:对照组治疗总有效率89.71%,观察组总有效率98.55%,差异有统计学意义(P<0.05)。结论慢性腰肌劳损患者采取热敏灸联合运动疗法可明显改善患者临床疼痛症状,疗程短,全程无痛苦,特别是针对惧针患者接受程度高,值得临床应用与推广。Objective To evaluate the clinical efficacy of thermal moxibustion combined with exercise therapy in the treatment of chronic lumbar muscle strain.Methods A total of 137 patients with chronic lumbar muscle strain who were admitted in our hospital from May 2016 to September 2018 were enrolled in the study.They were randomly divided into the control group(n=68)treated with acupuncture combined with exercise therapy and the observation group(n=69)treated with thermal moxibustion combined with exercise therapy.The clinical effects of the two groups of patients were compared.Results Before treatment,there was no significant difference in ODI index between the two groups(P>0.05).After treatment,the ODI index score of the observation group was significantly better than that of the control group,and there was statistically significant difference compared with that before treatment(P<0.05).Before treatment,there were no significant differences in PRI,VAS,and PPI scores of SF-MPQ between the two groups(P>0.05).After treatment,the scores of the observation group were significantly better than those of the control group,and the difference was statistically significant(P<0.05).The total effective rate of the control group was 89.71%,and the total effective rate of the observation group was 98.55%.The difference between the two groups was statistically significant(P<0.05).Conclusion The thermal moxibustion combined with exercise therapy for patients with chronic lumbar muscle strain can significantly improve the clinical pain symptoms.The course of treatment is short and the pain is not painful.Especially for patients with fear of needles,they have high acceptance.It is worthy of clinical application and promotion.

关 键 词：热敏灸 运动疗法 慢性腰肌劳损 炎症 

分 类 号：R246.9[医药卫生—针灸推拿学]