针刺手三里、腰痛点结合运动疗法治疗基层官兵急性腰扭伤的疗效观察  

Clinical Efficacy Observation on Acupuncture at Shousanli and Yaotongdian Combined with Exercise Therapy in Treating Acute Lumbar Sprain in Grassroots Officers and Soldiers

作　　者：李春明 潘喆 解卓 窦志 罗雪姣 苏小芳 胡艳梅 赵建龙 Li Chunming;Pan Zhe;Xie Zhuo;Dou Zhi;Luo Xuejiao;Su Xiaofang;Hu Yanmei;Zhao Jianlong(Affiliated Hospital of Noncommissioned Officer School of Army Medical University,Hebei,Shijiazhuang 050047,China)

机构地区：[1]陆军军医大学士官学校附属医院,河北石家庄050047 [2]陆军军医大学士官学校,河北石家庄050041

出　　处：《中国中医急症》2024年第5期884-887,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：陆军军医大学士官学校卫勤科研专项课题(2022WQ-04)。

摘　　要：目的观察针刺手三里、腰痛点结合运动疗法治疗基层官兵急性腰扭伤的临床疗效。方法将71例基层官兵急性腰扭伤患者纳入本次研究,随机分为两组,治疗组35例,予针刺手三里、腰痛点结合运动疗法治疗,对照组36例口服双氯芬酸钠缓释胶囊治疗。比较两组患者的治疗效果,统计分析两组患者在治疗前和治疗后的疼痛评分以及腰椎活动度评分。结果治疗前两组患者的疼痛视觉模拟量表(VAS)评分、腰椎活动度(ROM)评分比较无明显差异(P>0.05);与对照组比较,治疗后治疗组患者VAS评分、ROM评分更低(P<0.05)。治疗组总有效率更高(P<0.05)。结论针刺手三里、腰痛点结合运动疗法治疗基层官兵急性腰扭伤比口服常规非甾体消炎药治疗的临床疗效更理想,能够快速改善患者的疼痛症状和腰椎活动度。Objective:To observe the clinical efficacy of acupuncture at Shousanli and Yaotongdian combined with exercise therapy in the treatment of acute lumbar sprains in grassroots officers and soldiers.Methods:A to⁃tal of 71 patients with acute lumbar sprain among grassroots officers and soldiers were included in this study and randomly divided into two groups.The treatment group consisted of 35 patients received acupuncture at Shousanli and Yaotongdian combined with exercise therapy,and the control group consisted of 36 patients was treated with oral sustained-release diclofenac sodium capsules.The treatment effects of two groups of patients were observed and analyzed,and the pain scores and lumbar range of motion scores of the two groups of patients before and after treatment were statistically analyzed.Results:There was no obvious difference in pain visual analogue scale(VAS)score and lumbar range of motion(ROM)score between the two groups before treatment(P>0.05);com⁃pared with the control group,the VAS score and ROM score were better in the treatment group after treatment(P<0.05).The total effective rate of the treatment group was higher than that of the control group(P<0.05).Conclu⁃sion:Acupuncture at Shousanli and Yaotongdian combined with exercise therapy has a more ideal clinical effica⁃cy in treating acute lumbar sprains in grassroots officers and soldiers compared with oral conventional nonsteroidal anti-inflammatory drugs,which can quickly improve the patient′s pain symptoms and lumbar range of motion.

关 键 词：急性腰扭伤 针刺 运动疗法 军事训练伤 

分 类 号：R681.55[医药卫生—骨科学]