循膀胱经推拿联合平衡针治疗急性腰扭伤的临床观察  

Clinical Observation on Massage Along the Bladder Meridian Combined with Balance Acupuncture for the Treatment of Acute Lumbar Sprain

作　　者：唐晓敏 林蓝 黄海城 黄洁 易玮 TANG Xiao-Min;LIN Lan;HUANG Hai-Cheng;HUANG Jie;YI Wei(Clinical Medical School of Acupuncture,Moxibustion and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China)

机构地区：[1]广州中医药大学针灸康复临床医学院,广东广州510405

出　　处：《广州中医药大学学报》2023年第8期1995-2001,共7页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省普通高校重点实验室项目(编号:2018KSYS006);广州中医药大学“双一流”与高水平大学学科协同创新团队项目(编号:2021XK01)。

摘　　要：【目的】观察循膀胱经推拿联合平衡针治疗急性腰扭伤(acute lumbar sprain,ALS)的临床疗效。【方法】将64例急性腰扭伤患者随机分为观察组和对照组,每组各32例。观察组采用循膀胱经推拿联合平衡针(腰痛穴)治疗,对照组单纯采用平衡针治疗,2组患者均每日治疗1次,连续治疗3次为1个疗程,并在治疗结束5 d后进行随访。观察2组患者治疗前后及随访时疼痛视觉模拟量表(VAS)评分、腰椎关节活动度(ROM)评分和功能障碍指数(ODI)评分的变化情况,并评价2组患者的中医证候疗效和安全性。【结果】(1)治疗1 d后,观察组的治愈率和总有效率分别为12.50%(4/32)、93.75%(30/32),对照组分别为0.00%(0/32)、71.88%(23/32),组间比较,观察组的总有效率优于对照组(P<0.05),而2组的治愈率和总体疗效比较,差异均无统计学意义(P>0.05)。(2)治疗3 d后,观察组的治愈率和总有效率分别为40.63%(13/32)、96.88%(31/32),对照组分别为12.50%(4/32)、81.25%(26/32),组间比较,观察组的治愈率优于对照组(P<0.05),而2组的总有效率和总体疗效比较,差异均无统计学意义(P>0.05)。(3)治疗8 d后(随访时),观察组的治愈率和总有效率分别为93.75%(30/32)、96.88%(31/32),对照组分别为50.00%(16/32)、81.25%(26/32),组间比较,观察组的治愈率明显优于对照组(P<0.01),而2组的总有效率和总体疗效比较,差异均无统计学意义(P>0.05)。(4)治疗1 d、3 d、8 d后,2组患者的VAS、ROM、ODI评分均较治疗前降低(P<0.05),且观察组各观察时点对VAS、ODI评分及治疗1 d、3 d后对ROM评分的降低作用均明显优于对照组(P<0.05或P<0.01)。【结论】循膀胱经推拿联合平衡针治疗急性腰扭伤可兼顾短期疗效及长期预后改善,在减缓疼痛、提升关节活动度和提高治愈率方面均优于单纯使用平衡针治疗。Objective To observe the clinical efficacy of massage along the bladder meridian combined with balance acupuncture for the treatment of acute lumbar sprain(ALS).Methods Sixty-four patients with ALS were randomly divided into the observation group and the control group,with 32 cases in each group.The observation group was treated with balance acupuncture combined with massage along the bladder meridian combined with balance acupuncture on Yaotong point(specific point),and the control group was treated with balance acupuncture alone.The treatment was performed once a day,and 3 continuous times constituted a course of treatment.The follow-up was conducted 5 days after the completion of treatment.The changes of pain visual analog scale(VAS)scores,lumbar joint range of motion(ROM)scores and Oswestry disability index(ODI)scores in the two groups were observed before and after treatment and at follow-up.Moreover,the traditional Chinese medicine(TCM)syndrome efficacy and the clinical safety in the two groups were evaluated.Results(1)After one day of treatment,the cure rate and overall effective rate of the observation group were 12.50%(4/32)and 93.75%(30/32),respectively,and those of the control group were 0.00%(0/32)and 71.88%(23/32),respectively.The intergroup comparison showed that the overall effective rate of the observation group was superior to that of the control group(P<0.05),while the differences in the cure rate and overall efficacy between the two groups were not statistically significant(P>0.05).(2)After 3 days of treatment,the cure rate and total effective rate of the observation group were 40.63%(13/32)and 96.88%(31/32),respectively,while those of the control group were 12.50%(4/32)and 81.25%(26/32),respectively.The intergroup comparison showed that the cure rate of the observation group was superior to that of the control group(P<0.05),but there was no significant difference in the total effective rate and overall efficacy between the two groups(P>0.05).(3)After 8 days of treatment(at the follow-up),the c

关 键 词：循膀胱经推拿 平衡针 腰痛穴 急性腰扭伤 腰椎关节活动度 功能障碍 

分 类 号：R246.9[医药卫生—针灸推拿学] R244.1[医药卫生—中医临床基础]