针刀松解法治疗腰肋韧带损伤的临床研究  

Clinical study on the treatment of lumbocostal ligament injury by acupotomy release method

作　　者：林惜玉 刘刚 郭长青[2] LIN Xiyu;LIU Gang;GUO Changqing(The Seventh Medical Center,Chinese People’s Liberation Army General Hospital,Beijing100700,China;College of Acupuncture and Massage,Beijing University of Chinese Medicine,Beijing100029,China)

机构地区：[1]中国人民解放军总医院第七医学中心,北京100700 [2]北京中医药大学针灸推拿学院,北京100029

出　　处：《中国医药导报》2024年第9期153-157,共5页China Medical Herald

基　　金：北京市自然科学基金面上项目(7192110)。

摘　　要：目的 探讨针刀松解法治疗腰肋韧带损伤的临床有效性。方法 选取2015年1月至2018年12月中国人民解放军总医院第七医学中心疼痛门诊就诊的80例腰肋韧带损伤患者,按照随机数字表法将其分为针刀组和针刺组,每组40例。针刀组以针刀松解第12肋、髂嵴压痛点,每3天1次,共治疗5次;针刺组以肾俞、命门、委中、阿是穴为主穴,每2天1次,共治疗8次。观察两组患者治疗前后视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)评分、日本骨科学会(JOA)腰痛评分及临床疗效。结果 两组治疗后即刻、治疗后6个月VAS评分均较治疗前降低(P<0.05);针刀组治疗后即刻、治疗后6个月VAS评分均低于针刺组(P<0.05)。两组治疗后即刻、治疗后6个月ODI评分均较治疗前降低(P<0.05);针刀组治疗后即刻、治疗后6个月ODI评分低于针刺组(P<0.05)。两组治疗后即刻、治疗后6个月JOA评分均较治疗前降低(P<0.05);针刀组治疗后即刻、治疗后6个月JOA评分低于针刺组(P<0.05)。针刀组临床疗效优于针刺组(P<0.05)。结论 针刀松解法治疗腰肋韧带损伤效果显著,疗效优于针刺治疗。Objective To investigate the clinical effectiveness of acupotomy release method in the treatment of lumbocostal ligament injury.Methods A total of 80 patients with lumbocostal ligament injury treated in the pain clinic of the Seventh Medical Center,Chinese People’s Liberation Army General Hospital from January 2015 to December 2018 were selected and they were divided into acupotomy group and acupuncture group according to random number table method,with 40 cases in each group.In the acupotomy group,the tender points of twelve ribs and iliac crest were relieved with acupotomy,once every three days,and a total of five times were treated.In the acupuncture group,shènsyú,mìngmén,wěizhōng,and ashi point were the main points,once every two days,and a total of eight times were treated.The visual analogue scale(VAS)and Oswestry disability index(ODI)score,Japanese orthopaedic association(JOA)low back pain score,and clinical efficacy were observed before and after treatment in the two groups.Results The VAS scores of both groups immediately after treatment and six months after treatment were lower than those before treatment(P<0.05).The VAS scores of acupotomy group immediately after treatment and six months after treatment were lower than those of acupuncture group(P<0.05).The ODI scores of both groups immediately after treatment and six months after treatment were lower than those before treatment(P<0.05).The ODI scores of acupotomy group immediately after treatment and six months after treatment were lower than those of acupuncture group(P<0.05).The JOA scores of both groups immediately after treatment and six months after treatment were lower than those before treatment(P<0.05).The JOA scores of acupotomy group immediately after treatment and six months after treatment were lower than those of acupuncture group(P<0.05).The clinical effect of acupotomy group was better than that of acupuncture group(P<0.05).Conclusion The treatment of lumbocostal ligament injury with acupotomy release method is more effective th

关 键 词：腰肋韧带损伤 针刀 针刺 松解法 腰痛 

分 类 号：R686.5[医药卫生—骨科学]