基于“子午流注”与“下病上治”理论的腕踝针联合穴位注射治疗急性腰扭伤疗效观察  

Curative Observation of Wrist-ankle Acupuncture Combined with Acupoint Injection for Patients with Acute Lumbar Sprain Based on the Theory of“Ziwu Liuzhu”and“Treatment of the Next Disease”

作　　者：王强[1] WANG Qiang(The Affiliated Sports Hospital of Chengdu Sport University,Chengdu Sichuan 610000,China)

机构地区：[1]成都体育学院附属体育医院,四川成都610041

出　　处：《四川中医》2021年第7期172-175,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：四川省(成都市)成都体育学院运动医学与健康科研所项目(编号:CX17B06)。

摘　　要：目的:观察腕踝针联合穴位注射对急性腰扭伤患者的疗效。方法:2018年11月~2020年1月在成都体育学院附属体育医院收治的急性腰扭伤患者共计150例,随机分为综合组、穴位注射组和对照组各50例。对照组采用常规治疗方案,包括非甾体抗炎药内服、中药熏洗、推拿治疗;穴位注射组在对照组的基础上增加苦碟子注射液在委中穴的穴位注射;综合组在穴位注射组的基础上,增加腕踝针治疗,选择下5、下6刺激点进行针刺。3组均干预1周,观察治疗前后3组的VAS评分、ODI指数、实验室检查(肿瘤坏死因子、白细胞介素-6、白细胞介素-10)以及疗效。结果:治疗前3组在VAS疼痛评分与ODI指数的组间比较,差异均无统计学意义(P>0.05);治疗后,3组VAS疼痛评分与ODI指数均优于治疗前,差异有统计学意义(P<0.05)。而组间比较,综合组在VAS与ODI指数评分优于对照组和穴位注射组,差异有统计学意义(P<0.05)。在TNF-α、IL-6、IL-10含量方面,治疗前3组组间比较,差异均无统计学意义(P>0.05)。治疗后,3组TNF-α、IL-6、IL-10含量均低于治疗前,差异有统计学意义(P<0.05)。而组间比较,综合组在TNF-α、IL-6、IL-10含量低于对照组和穴位注射组,差异有统计学意义(P<0.05)。在疗效方面,综合组优良率高于对照组和穴位注射组,差异有统计学意义(P<0.05)。结论:本研究对急性腰扭伤患者在常规治疗的基础上采用腕踝针和苦碟子穴位注射,能有效缓解患者疼痛、关节功能障碍;降低炎症因子的含量,取得较好的治疗效果,值得进一步推广和应用。Objective:To observe the effect of wrist-ankle acupuncture combined with acupoint injection for patients with acute lumbarsprain.Methods:From November2018 to January 2020,a total of 150 patients with acute lumbar sprain were admitted to the Affiliated Sports Hospital of Chengdu Institute of Physical Education.They were randomly divided into a comprehensive group,an acupoint injection group and a controlled group with 50 cases each.The controlled group was treated with conventional treatments,including oral non-steroidal anti-inflammatory drugs,traditional Chinese medicine fumigation and washing,and massage;the acupoint injection group added Kudiezi Injection at the point of Weizhong on the basis of the controlled group;the comprehensive group was injected at the acupoint on the basis of the group,the wrist-ankle acupuncture treatment was added,and the loweR5 and loweR6 stimulation points were selected for acupuncture.All three groups were intervened for1 week,and the VAS score,ODI index,laboratory tests(tumor necrosis factor,interleukin-6,interleukin-10)and curative effect of the three groups before and after treatment were observed.Results:Before treatment,there was no significant difference between the VAS pain score and ODI index in the three groups before treatment(P>0.05);after treatment,the VAS pain score and ODI index in the three groups were betteRthan before treatment,and the difference was statistically significant significance(P<0.05).In comparison among groups,the comprehensive group was betteRthan the controlled group and the acupoint injection group in the VAS and ODI index scores,and the difference was statistically significant(P<0.05).In terms of the contents of TNF-α,IL-6,and IL-10,there was no statistically significant difference among the three groups before treatment(P>0.05).After treatment,the levels of TNF-α,IL-6 and IL-10 in the three groups were loweRthan before treatment,and the difference was statistically significant(P<0.05).In comparison among groups,the levels of TNF-α,IL-6,and IL-

关 键 词：急性腰扭伤 腕踝针 苦碟子注射液 穴位注射 上病下治 子午流注 申时 

分 类 号：R246.2[医药卫生—针灸推拿学]