头针结合运动疗法治疗非特异性腰痛:随机对照试验  

Head acupuncture combined with exercise therapy for nonspecific low back pain:a randomized controlled trial

作　　者：孙明媚 毛翔[2] 刘金涛 吕彤 祝鹏宇[5] SUN Ming-mei;MAO Xiang;LIU Jin-tao;LV Tong;ZHU Peng-yu(Heilongjiang University of CM,Harbin 150040,China;Department of Acupuncture and Moxibustion,Chongqing TCM Hospital;School of TCM,Beijing University of CM;Physical Education Department,Harbin Engineering University;Second Department of Acupuncture and Moxibustion,Second Affiliated Hospital of Heilongjiang University of CM,Harbin 150001)

机构地区：[1]黑龙江中医药大学,哈尔滨150040 [2]重庆市中医院针灸科 [3]北京中医药大学中医学院 [4]哈尔滨工程大学体育部 [5]黑龙江中医药大学附属第二医院针灸二科,哈尔滨150001

出　　处：《中国针灸》2022年第5期511-514,共4页Chinese Acupuncture & Moxibustion

基　　金：国家重点研发计划资助项目:2018YFC1704100、2018YFC1704105;全国中医临床特色技术传承骨干人才培训项目:国中医药[2019]36号;孙申田全国名中医实施方案项目:国中医药办人教函[2018]119号。

摘　　要：目的:比较头针结合运动疗法与常规针刺治疗非特异性腰痛的临床疗效。方法:将64例非特异性腰痛患者随机分为观察组(32例,脱落2例)和对照组(32例,脱落2例)。对照组给予常规针刺治疗,穴取L1~L3夹脊穴、阿是穴、肾俞、大肠俞、腰阳关、委中;观察组采用头针结合运动疗法治疗,头针穴取健侧足运感区,患侧攒竹、瞳子髎,留针期间行麦肯基疗法。均留针40 min,每日1次,连续治疗6 d后休息1 d,共治疗14 d。比较两组患者治疗前后疼痛视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)评分及腰部疼痛部位红外热像温度。结果:治疗后两组患者VAS、ODI评分均较治疗前降低(P<0.01),且观察组低于对照组(P<0.01)。治疗后两组患者腰部疼痛部位红外热像温度较治疗前升高(P<0.01),且观察组高于对照组(P<0.01)。结论:头针结合运动疗法可减轻非特异性腰痛患者疼痛症状、改善功能障碍、升高疼痛局部温度,疗效优于常规针刺。Objective To compare the clinical effect between head acupuncture combined with exercise therapy and conventional acupuncture for nonspecific low back pain. Methods A total of 64 patients with nonspecific low back pain were randomized into an observation group(32 cases, 2 cases dropped off) and a control group(32 cases, 2 cases dropped off).In the control group, conventional acupuncture was applied at Jiaji(EX-B 2) of L1 to L3, ashi point, Shenshu(BL 23),Dachangshu(BL 25), Yaoyangguan(GV 3) and Weizhong(BL 40). The observation group was treated with head acupuncture combined with exercise therapy, head acupuncture was applied at foot-motor-sensory area on the healthy side and Cuanzhu(BL 2), Tongziliao(GB 1) on the affected side, and McKenzie therapy was performed during retention. The needles were retained for 40 min, once a day, continuous treatment for 6 days with the interval of 1 day, 14 days were required in the two groups. Before and after treatment, the pain visual analogue scale(VAS) score, Oswestry disability index(ODI) score and infrared thermography temperature of pain area in the low back were compared in the two groups. Results Compared before treatment, the VAS and ODI scores after treatment were decreased in the two groups(P<0.01), and those in the observation group were lower than the control group(P<0.01). Compared before treatment, the infrared thermography temperature of pain area in the low back after treatment was increased in the two groups(P<0.01), and that in the observation group was higher than the control group(P<0.01). Conclusion Head acupuncture combined with exercise therapy could relieve pain,improve dysfunction and increase the local temperature of pain area in patients with nonspecific low back pain, and its curative effect is better than conventional acupuncture.

关 键 词：非特异性腰痛 头针 足运感区 针刺 运动疗法 红外热像温度 

分 类 号：R246.2[医药卫生—针灸推拿学]