蜂针疗法、针刺联合常规西药治疗颈肩腰腿痛的效果分析  

Effect Analysis of Bee Needle Therapy,Acupuncture Combined with Conventional Western Medicine in Treatment of Neck,Shoulder,Low Back and Leg Pain

作　　者：董西源 王贵子 刘海龙 Dong Xiyuan;Wang Guizi;Liu Hailong(Department of Traditional Chinese Medicine General Practice,Longlin Town Health Center in Li County,Longnan 742221,Gansu Province,China;Department of Cerebrology,Li County Traditional Chinese Medicine Hospital,Longnan 742200,Gansu Province,China;Department of Physiotherapy,Longlin Town Health Center in Li County,Longnan 742221,Gansu Province,China)

机构地区：[1]陇南市礼县龙林镇卫生院中医全科,甘肃陇南742221 [2]陇南市礼县中医医院脑系科,甘肃陇南742200 [3]陇南市礼县龙林镇卫生院理疗科,甘肃陇南742121

出　　处：《中国社区医师》2024年第8期73-75,共3页Chinese Community Doctors

摘　　要：目的:探讨蜂针疗法、针刺联合常规西药治疗颈肩腰腿痛的效果。方法:选取2021年5月—2022年8月陇南市礼县三峪乡卫生院收治的90例颈肩腰腿痛患者作为研究对象,以随机数字表法分为对照组和观察组,各45例。对照组采用常规西药联合针刺治疗,观察组在对照组基础上采用蜂针疗法治疗。比较两组治疗效果。结果:观察组治疗总有效率高于对照组,复发率低于对照组,差异有统计学意义(P<0.05)。治疗前,两组日本矫形外科协会量表(JOA)、Oswestry功能障碍问卷(ODQ)评分比较,差异无统计学意义(P>0.05);治疗后,两组JOA评分高于治疗前,且观察组高于对照组,两组ODQ评分低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗前,两组血清丙二醛(MDA)、超氧化物歧化酶(SOD)、β-内啡肽(β-EP)、前列腺素E2(PGE2)水平比较,差异无统计学意义(P>0.05);治疗后,两组MAD、PGE2水平低于治疗前,且观察组低于对照组,两组SOD、β-EP水平高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:蜂针疗法、针刺联合常规西药治疗颈肩腰腿痛的效果显著,可缓解临床症状,降低复发率,改善机体氧化应激状态和颈肩腰腿功能。Objective:To investigate the effect of bee needle therapy,acupuncture combined with conventional western medicine in treatment of neck,shoulder,low back and leg pain.Methods:A total of 90 subjects with neck,shoulder,low back and leg pain admitted to Longnan City Li County Sanyu Town Health Center from May 2021 to August 2022 were selected as the study subjects.The patients were divided into control group and observation group according to random number table method,with 45 cases in each group.The control group was treated with conventional western medicine combined with acupuncture,and the ob⁃servation group was treated with bee needle therapy on the basis of control group.The treatment effects were compared between the two groups.Results:The total effective rate of treatment in the observation group was higher than that in the control group,and the recurrence rate in the observation group was lower than that in the control group,and the difference was statistically sig⁃nificant(P<0.05).Before treatment,there was no significant difference in the scores of the Japanese Orthopaedic Association(JOA)and Oswestry Disability Questionnaire(ODQ)between the two groups(P>0.05);After treatment,the JOA scores in the two groups were higher than those before treatment,and the scores in the observation group were higher than those in the control group,while the ODQ scores in the two groups were lower than those before treatment,and the ODQ scores in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in the levels of serum malondialdehyde(MDA),superoxide dismutase(SOD),β-endorphin(β-EP)and prostaglandin E2(PGE2)between the two groups(P>0.05);After treatment,the levels of MAD and PGE2 in the two groups were lower than those before treatment,and the levels in the observation group were lower than those in the control group,while the levels of SOD andβ-EP in the two groups were higher than those before

关 键 词：颈肩腰腿痛 蜂针疗法 针刺 功能障碍 关节肿胀 

分 类 号：R274[医药卫生—中医骨伤科学]