针刺运动疗法联合被动屈髋屈膝治疗急性腰扭伤的临床分析  

Clinical Analysis of Acupuncture Exercise Therapy Combined with Passive Hip Flexion and Knee Flexion in the Treatment of Acute Lumbar Sprain

作　　者：牛瑞敏 潘小红 NIU Ruimin;PAN Xiaohong(Department of Treating Preventive Medicine,Xuzhou Hospital of Traditional Chinese Medicine,Xuzhou,Jiangsu Province,221000 China)

机构地区：[1]徐州市中医院治未病科,江苏徐州221000

出　　处：《中外医疗》2023年第26期21-24,共4页China & Foreign Medical Treatment

摘　　要：目的探讨针刺运动疗法联合被动屈髋屈膝治疗急性腰扭伤的临床疗效。方法方便选择2021年3月—2023年5月于徐州市中医院就诊的72例急性腰扭伤患者作为研究对象,利用随机数表法分为对照组和研究组,各36例。对照组采用西药予以常规治疗,研究组在对照组基础上,采取针刺运动联合被动屈髋屈膝中医治疗。对比两组患者治疗后总有效率以及治疗前后腰部活动度和疼痛分数、日本骨科协会(Japanese Or-thopedics Association,JOA)分数。结果研究组治疗总有效率显著高于对照组,差异有统计学意义(P<0.05)。治疗前,两组患者前屈角度和旋转角度比较,差异无统计学意义(P>0.05)。治疗后,研究组前屈角度和旋转角度明显大于对照组,差异有统计学意义(P<0.05)。治疗前,两组患者疼痛分数和JOA分数比较,差异无统计学意义(P>0.05)。治疗后,研究组患者疼痛分数低于对照组,JOA分数高于对照组,差异有统计学意义(P<0.05)。结论针刺运动疗法联合被动屈髋屈膝可有效迅速缓解急性腰扭伤患者的疼痛,改善腰部活动度。Objective To explore the clinical efficacy of acupuncture exercise therapy combined with passive hip flexion and knee flexion in the treatment of acute lumbar sprain.Methods A total of 72 patients with acute lumbar sprain who were treated in Xuzhou Hospital of Traditional Chinese Medicine from March 2021 to May 2023 were conveniently selected as the study objects,and were divided into control group and study group by random number table method,with 36 cases in each group.The control group was treated with western medicine,and the study group was treated with acupuncture combined with passive hip flexion.The total effective rate after treatment,lumbar motion and pain scores before and after treatment,and Japanese Orthopedics Association(JOA)scores were compared between the two groups.Results The total effective rate of the study group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in the Angle of flexion and rotation between the two groups(P>0.05).After treatment,the flexion Angle and rotation Angle of the study group were significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in pain scores and JOA scores between the two groups(P>0.05).After treatment,the pain score of the study group was lower than that of the control group,and the JOA score was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Acupuncture exercise therapy combined with passive hip flexion and knee flexion can effectively and rapidly relieve pain and improve lumbar mobility in patients with acute lumbar sprain.

关 键 词：急性腰扭伤 针刺运动疗法 被动屈髋屈膝 疗效 

分 类 号：R246[医药卫生—针灸推拿学]