畅气通络点穴法治疗非特异性下腰痛的临床观察  

Clinical Observation on Qi-Promoting and Collateral-Unblocking Digital Acupressure Therapy for Treatment of Non-specific Low Back Pain

作　　者：吴树旭 黄俊霖 郭俊彪[2] WU Shu-Xu;HUANG Jun-Lin;GUO Jun-Biao(The Second Clinical Medical School,Guangzhou University of Chinese Medicine,Guangzhou 510370 Guangdong,China;Dept,of Orthopedics,Fangcun Branch,Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510370 Guangdong,China)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510370 [2]广东省中医院芳村分院骨科,广东广州510370

出　　处：《广州中医药大学学报》2021年第5期973-979,共7页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省中医药局科研项目(编号:2018110020180202)。

摘　　要：【目的】观察畅气通络点穴法治疗非特异性下腰痛(NLBP)的临床疗效,并探讨其可能的作用机制。【方法】将94例NLBP患者随机分为观察组和对照组,每组各47例。对照组给予常规推拿按摩治疗,观察组在对照组治疗的基础上,给予畅气通络点穴法治疗。2组患者均每周治疗3~4次,2周内治疗7次为1个疗程。2组均治疗1个疗程。治疗后,评价2组患者的临床疗效,观察2组患者治疗前后视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)评分以及超声检测肌筋膜激痛点(TrPs)剪切波弹性模量的变化情况。【结果】(1)治疗后,2组患者的TrPs的VAS评分明显改善(P<0.05),且观察组在改善TrPs的VAS评分方面均明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的Oswestry功能障碍指数评分明显改善(P<0.05),且观察组在改善Oswestry功能障碍指数评分方面均明显优于对照组,差异有统计学意义(P<0.05)。(3)观察组愈显率为95.7%(45/47),对照组为78.7%(37/47)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(4)治疗后,2组患者的超声检测TrPs剪切波弹性模量均值、最大值、最小值均明显改善(P<0.05),且观察组在改善超声检测TrPs剪切波弹性模量均值、最大值、最小值方面均明显优于对照组,差异有统计学意义(P<0.01)。2组患者超声检测TrPs剪切波弹性模量治疗前后差值比较,差异有统计学意义(P<0.01)。【结论】畅气通络点穴法治疗非特异性下腰痛,能有效地缓解非特异性下腰痛患者的疼痛症状,改善腰部的功能,其机制可能与减少腰部TrPs活性相关。Objective To observe the clinical efficacy of qi-promoting and collateral-unblocking digital acupressure therapy for the treatment of non-specific low back pain(NLBP), and to explore the possible mechanism. Methods Ninety-four cases of patients with NLBP were randomly divided into observation group and control group,47 cases in each group. The control group received routine massage therapy,and the observation group received qi-promoting and collateral-unblocking digital acupressure therapy on the basis of the treatment of the control group,3-4 times a week,7 times within 2 weeks constituted one treatment course. The treatment covered one course. After treatment,the clinical efficacy of the two groups was evaluated,the changes of Visual Analogue Scale(VAS)score,Oswestry Disability Index(ODI)score,and ultrasonic shear wave elastic modulus of myofascial trigger points(TrPs)were observed in the two groups before and after treatment. Results(1)After treatment,the VAS scores for myofascial trigger points were significantly improved in the two groups(P < 0.05),and the improvement in VAS scores for myofascial trigger points of the observation group was significantly superior to that of the control group,the difference being statistically significant(P < 0.05).(2)After treatment,the ODI scores were significantly improved in the two groups(P < 0.05), and the improvement in ODI scores of the observation group was significantly superior to that of the control group,the difference being statistically significant(P < 0.05).(3)The marked effective rate in the observation group was 95.7%(45/47),and that in the control group was 78.7%(37/47). The clinical efficacy of the observation group was superior to that of the control group,the difference being statistically significant(P < 0.05).(4)After treatment,the average value,maximum value and minimum value of ultrasonic shear wave elastic modulus of trigger points were significantly improved in the two groups(P < 0.05),and the improvement in average value,maximum value and minimum v

关 键 词：畅气通络点穴法 非特异性下腰痛 肌筋膜激痛点(TrPs) 超声剪切波弹性模量 临床观察 

分 类 号：R246.9[医药卫生—针灸推拿学]