长针透刺治疗急性腰扭伤即时效应的临床随机对照研究  

A Randomized Controlled Clinical Study on Immediate Effect of Long-Needle Penetration for Acute Lumbar Sprain

作　　者：胡中平[1] 杨佐琴[1] 吴勇 刘艳琴[1] 李淑英 付雪 Hu Zhongping;Yang Zuoqin;Wu Yong;Liu Yangqin;Li Shuying;Fu Xue(Chengdu Pidu District Hospital of Traditional Chinese Medicine/Third Clinical Medical College of Chengdu University of Traditional Chi-nese Medicine,Sichuan,Chengdu 611730,China)

机构地区：[1]四川省成都市郫都区中医医院,成都中医药大学第三临床医学院,四川成都611730

出　　处：《中国中医急症》2020年第10期1788-1790,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：成都中医药大学医院专项(YYZX1704)。

摘　　要：目的观察长针透刺对急性腰扭伤患者疼痛、腰椎活动度及腰椎功能障碍改善的疗效。方法急性腰扭伤患者230例随机分为治疗组与对照组各115例,分别应用长针透刺秩边穴及美洛昔康片口服。两组均只治疗1次。分别记录两组患者治疗前和治疗后0.5、1、2、4、24 h的疼痛视觉模拟量表(VAS)、腰椎活动度(ROM)、腰椎功能障碍问卷(RMDQ)评分,评估治疗前后患者疼痛症状、腰椎活动度及腰椎功能障碍3方面的改善情况。结果治疗组VAS、RMDQ及ROM评分治疗后0.5、1、2、4及24 h均较治疗前明显改善(P<0.05);对照组VAS、RMDQ及ROM评分治疗后0.5 h无明显改善(P>0.05),治疗后1、2、4及24 h明显改善(P<0.05)。治疗后0.5、1、2、4及24 h,治疗组VAS、RMDQ及ROM评分均优于对照(P<0.05)。结论长针透刺治疗急性腰扭伤,能明显改善患者的疼痛症状、腰椎活动度及腰椎功能障碍,疗效优于美洛昔康,且起效更快。Objective:To observe the improvement effect of long-needle penetration in pain symptom,lumbar mobility and lumbar dysfunction of acute lumbar sprain patients.Methods:A total of 230 patients were randomly divided into the treatment group and control group,115 cases in each group.The treatment group was treated with long-needle penetration at Zhibian point(BL54),while the control group was prescribed with oral medication(meloxicam).Both groups were treated once only.The visual analogue scale(VAS),lumbar range of motion(ROM),and Roland-Morris disable question(RMDQ)scores of the two groups before treatment and 0.5,1,2,4,and 24 h after treatment were recorded in order to evaluate improvement of pain symptom,lumbar mobility and lumbar dysfunction.Results:The VAS,RMDQ and ROM scores in the treatment group were significantly improved at 0.5,1,2,4,and 24 h after treatment(P<0.05);VAS,RMDQ and ROM scores in the control group had no significant improvement at 0.5 h after treatment(P>0.05),and then significantly improved 1,2,4 and 24 h after treatment(P<0.05).At 0.5,1,2,4,and 24 h after treatment,the VAS,RMDQ and ROM scores of the treatment group were better than those of the control group(P<0.05).Conclusion:Long-needle penetration can significantly improve the patient’s pain symptoms,lumbar mobility and lumbar dysfunction.The effect is better than meloxicam,and the effect is faster.

关 键 词：急性腰扭伤 长针透刺 秩边 随机对照研究 

分 类 号：R681.55[医药卫生—骨科学]