基于红外热像图评价调神针法对产后腰痛的干预效应  

The effect of"Tiaoshen"Acupuncture for postpartum low back pain based on the infrared thermography

作　　者：潘中强 李金霞[1] 郭小青[1] 王娅玲[1] Pan Zhongqiang

机构地区：[1]浙江省湖州市中医院,313000

出　　处：《浙江临床医学》2022年第12期1784-1786,共3页Zhejiang Clinical Medical Journal

基　　金：湖州市科技计划项目(2019GY21);浙江省中医药“新苗”计划项目(浙中医药[2021]1号)。

摘　　要：目的探讨红外热像图评价调神针法对产后腰痛的干预效应.方法选取112例产后腰痛患者随机分成对照组和观察组各56例.对照组采用常规针法,观察组在此基础上配合调神针法,1次/d,5次/周,2周为1个疗程,连续治疗2个疗程.治疗前、2个疗程后及治疗结束后6个月随访,采用红外热像图观察温度情况,简式McGill疼痛问卷评估疼痛程度,爱丁堡产后抑郁量表评估抑郁程度.结果2个疗程后,两组患者腰部红外热像图温度、疼痛及抑郁程度均较治疗前明显下降(P<0.05),且观察组较对照组明显下降(P<0.05).治疗结束后6个月随访,两组患者腰部红外热像图温度、疼痛及抑郁程度均较2个疗程后明显下降(P<0.05),且观察组较对照组明显下降(P<0.05).结论调神针法在降低产后腰痛患者腰部红外热像图温度、减轻疼痛及改善抑郁方面均有明显的近期与远期疗效.Objective To evaluate the effect of"Tiaoshen"Acupuncture for postpartum low back pain based on the infrared thermography.Methods 112 patients with postpartum low back pain were randomly divided into control group(n=56)and treatment group(n=56).The control group was treated with conventional acupuncture,and the treatment group was treated with"Tiaoshen"Acupuncture on this basis.Both groups were treated once a day,5 times a week,2 weeks as a course of treatment.The treatment lasted for 4 weeks,with 20 times of treatment,namely 2 courses of treatment.Before the treatment,after 2 courses of treatment and 6 months after the end of the treatment,infrared thermography was used to observe the temperature.The Short-Form of McGill Pain Questionnaire(SF-MPQ)was used to assess pain.The Edinburgh Postpartum Depression Scale(EPDS)was used to assess depression.Results After 2 courses of treatment,the temperature of waist infrared thermography,the degree of pain and depression in 2 groups were significantly decreased compared with before treatment(P<0.05),and the treatment group was significantly decreased compared with the control group(P<0.05).At 6 months follow-up after the treatment,the temperature of waist infrared thermography,the degree of pain and depression in 2 groups were significantly decreased compared with after 2 courses of treatment(P<0.05),and the treatment group was significantly decreased compared with the control group(P<0.05).Conclusion"Tiaoshen"Acupuncture has obvious short-term and long-term effects on reducing the temperature of waist infrared thermogram,alleviating pain and improving depression symptoms in patients with postpartum low back pain.

关 键 词：调神针法 红外热像 产后腰痛 抑郁 随机对照研究 

分 类 号：R246.3[医药卫生—针灸推拿学]