基于软外理论的棍针拨筋法联合火熨术治疗颈肩腰腿痛的效果分析  

Effect Analysis of Stick Needle Tendon Pulling Based on Soft External Theory Combined with Hot Compress in Treatment of Neck,Shoulder,Low Back and Leg Pain

作　　者：项丹 赵芳 张美娟 王蓉 Xiang Dan;Zhao Fang;Zhang Meijuan;Wang Rong(Changsha Hospital of Traditional Chinese Medicine(Changsha Eighth Hospital),Changsha 410100,Hunan Province,China)

机构地区：[1]长沙市中医医院(长沙市第八医院),湖南长沙410100

出　　处：《中国社区医师》2024年第5期65-67,共3页Chinese Community Doctors

摘　　要：目的:探讨基于软外理论的棍针拨筋法联合火熨术治疗颈肩腰腿痛的效果。方法:选取2022年7月—2023年3月长沙市中医医院收治的98例颈肩腰腿痛患者作为研究对象,采用抽签法随机分为试验组和对照组,各49例。对照组采用火熨术治疗,试验组在对照组基础上采用基于软外理论的棍针拨筋疗法治疗。比较两组临床疗效、疼痛程度、腰椎功能、血清炎性因子水平、不良反应发生情况。结果:试验组治疗总有效率高于对照组,差异有统计学意义(P=0.025)。治疗后,两组疼痛评分低于治疗前,且试验组低于对照组,两组腰椎功能评分高于治疗前,且试验组高于对照组,差异有统计学意义(P<0.05)。治疗后,两组血清降钙素原、C反应蛋白水平低于治疗前,且试验组低于对照组,差异有统计学意义(P<0.05)。两组均未发生不良反应。结论:基于软外理论的棍针拨筋疗法联合火熨术可减轻颈肩腰腿痛患者的疼痛程度,改善腰椎功能,抑制炎性反应,且安全性高。Objective:To explore the effect of stick needle tendon pulling based on soft external theory combined with hot compress in treatment of neck,shoulder,low back and leg pain.Methods:A total of 98 patients with neck,shoulder,low back and leg pain admitted to Changsha Hospital of Traditional Chinese Medicine from July 2022 to March 2023 were selected as the study subjects.They were divided into experimental group and control group by drawing lots,with 49 cases in each group.The control group was treated with hot compress,and the experimental group was treated with stick needle tendon pulling based on soft external theory on the basis of the control group.The clinical efficacy,pain degree,lumbar vertebral function,serum inflammatory factor levels and adverse reactions of the two groups were compared.Results:The total effective rate of treatment in the experimental group was higher than that in the control group,and the difference was statistically significant(P=0.025).After treatment,the pain score in the two groups was lower than that before treatment,and the score in the experimental group was lower than that in the control group,while the lumbar vertebral function score in the two groups was higher than that before treatment,and the score in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the serum procalcitonin and C-reactive protein levels in the two groups were lower than those before treatment,and the levels in the experimental group were lower than those in the control group,and the difference was statistically significant(P<0.05).No adverse reactions occurred in two groups.Conclusion:Stick needle tendon pulling based on soft external theory combined with hot compress in patients with neck,shoulder,low back and leg pain can relieve the degree of pain,improve the function of lumbar spine,and inhibit the inflammatory reaction,with high safety.

关 键 词：软外理论 棍针拨筋疗法 火熨术 颈肩腰腿痛 

分 类 号：R244[医药卫生—针灸推拿学]