穴位敷贴结合推拿改善射击射箭运动员腰痛的临床观察  

Clinical observation on acupoint application combined with tuina improving the back pain of archer and shooter

作　　者：李进愈 傅勤慧[1] 裴建[1] 仲维萍 陆信侃 周茜 Li Jinyu;Fu Qinhui;Pei Jian;Zhong Weiping;Lu Xinkan;Zhou Qian(Department of Acupuncture,Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China;Shanghai Shooting and Archery Sport Center,Shanghai 201100,China)

机构地区：[1]上海中医药大学附属龙华医院针灸科,200032 [2]上海市射击射箭运动中心,201100

出　　处：《中华针灸电子杂志》2023年第3期106-110,共5页Chinese Journal of Acupuncture and Moxibustion（Electronic Edition）

基　　金：上海市体育局“备战攻关计划”项目(20J020,21J013);上海市卫健委海派中医流派“陆氏针灸”传承研究项目[ZY(2018-2020-CCCX-1006)];上海市卫健委中医重点专科项目(Shzjzk201906)。

摘　　要：目的观察穴位敷贴结合推拿改善射击射箭运动员腰痛的临床疗效。方法选择2021年5月至2021年10月上海市射击射箭运动中心的腰痛运动员60例。以60名射击射箭腰痛运动员为研究对象,将其随机分为治疗组(穴位敷贴结合推拿)与对照组(推拿),每组各30例,在治疗前和治疗4周后以麦吉尔疼痛问卷(MPQ)评分、日本骨科协会评估治疗分数(JOA)评分及压痛阈作为标准进行疗效评价。结果(1)治疗组与对照组治疗4周后MPQ评分比较,差异具有统计学意义(t=-4.608,P<0.05)。(2)治疗组与对照组治疗4周后JOA评分比较,差异具有统计学意义(t=2.16,P<0.05)。(3)治疗组与对照组治疗4周后压痛阈值比较,差异具有统计学意义(t=3.656,P<0.05)。研究过程中,受试运动员未出现不良反应。结论穴位敷贴结合推拿疗法可以改善射击射箭运动员腰痛症状及活动度,值得临床推广应用。Objective To observe the effect of acupoint application combined with tuina to improve the back pain of shooting and archery athletes.Methods A total of 60 athletes with low back pain in archers and shooters from May 2021 to October 2021 were selected from Shanghai Shooting and Archery Sport Center.Sixty athletes with low back pain in shooting and archery were randomly divided into a treatment group(acupoint application combined with massage)and a control group(massage group),with 30 cases in each group.The efficacy was evaluated before and 4 weeks after treatment according to the McGill pain questionnaire(MPQ)score,the Japanese orthopaedic association evaluation treatment score(JOA)score and tenderness threshold.Results(1)The MPQ scores of the treatment group and the control group were significantly different after 4 weeks of treatment(t=-4.608,P<0.05).(2)There was significant difference in JOA scores between the treatment group and the control group after 4 weeks of treatment(t=2.16,P<0.05).(3)After 4 weeks of treatment,the difference of tenderness threshold between the treatment group and the control group was statistically significant(t=3.656,P<0.05).During the study,the athletes did not have adverse reactions.Conclusion Acupoint application combined with massage can significantly improve the symptoms of back pain in shooting and archery athletes,which is worthy of clinical promotion and application.

关 键 词：穴位敷贴 推拿 腰痛 

分 类 号：R246.9[医药卫生—针灸推拿学]