八髎穴齐刺联合红外偏振光治疗急性非特异性下腰痛临床研究  

Clinical Study on Triple Needling Baliao Points Combined with Infrared Polarized Light Irradiation in Treatment of Acute Non-Specific Low Back Pain

作　　者：苏毅[1] 王怀泽 王超[1] 熊应宗[1] 朱俊琛[1] SU Yi;WANG Huaize;WANG Chao;XIONG Yingzong;ZHU Junchen(The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061,China)

机构地区：[1]安徽中医药大学第二附属医院,安徽合肥230061

出　　处：《针灸临床杂志》2024年第6期21-26,共6页Journal of Clinical Acupuncture and Moxibustion

基　　金：安徽省中医药传承创新科研项目,编号:2022CCZC02;长三角名中医工作室(詹红生工作室),编号:皖中医药发展秘(2023)16号;安徽省“十四五”省级中医优势特色专科,编号:皖中医药服务秘(2021)71号。

摘　　要：目的:观察八髎穴齐刺联合红外偏振光照射治疗急性非特异性下腰痛的临床疗效。方法:60例急性非特异性下腰痛患者随机分为观察组和对照组,每组各30例。两组患者均使用红外偏振光采用振荡模式照射针刺部位,1次/d;对照组采用常规针刺治疗,观察组采用八髎穴齐刺法针刺治疗,两组均治疗5 d。观察两组的临床疗效,比较两组治疗前后采用视觉模拟评分法(VAS)评价腰腿部疼痛程度,采用Oswestry功能障碍指数(ODI)评价腰椎功能,采用指地距离(FFD)评价腰部主动前屈受限程度,采用健康状况调查问卷SF-36在治疗前后评价患者的生活质量。结果:与治疗前比较,两组VAS评分、ODI评分和FFD评分均明显下降,差异有统计学意义(P<0.05),且观察组评分降低值均显著大于对照组,差异有统计学意义(P<0.05);与治疗前比较,两组SF-36评分明显提高,差异有统计学意义(P<0.05),且观察组评分明显高于对照组,差异有统计学意义(P<0.05)。观察组总有效率为96.67%(29/30),显著高于对照组的80.00%(24/30),两组差异有统计学意义(P<0.05)。两组均未出现明显不良反应。结论:以八髎穴齐刺针刺法联合红外偏振光照射治疗急性非特异性下腰痛疗效显著,在缓解患者疼痛及改善腰部前屈活动方面效果优于常规针刺方式,改善患者生活质量早期疗效明显。Objective:To observe the clinical efficacy of triple needling Baliao points combined with infrared polarized light irradiation in treatment of acute non-specific low back pain.Methods:60 patients with acute non-specific low back pain were randomly divided into the observation group and the control group,with 30 cases in each group.Patients in both groups were irradiated with infrared polarized light using oscillating mode at the needling site,once a day;on which basis,the control group was treated with conventional needling and the observation group was treated with triple needling Baliao points,and the needling lasted for 5 days.The clinical efficacy was compared between the two groups.The score of visual analogue scale(VAS) was used to evaluate the degree of pain in the low back and legs,the score of Oswestry dysfunction index(ODI) was used to evaluate the function of the lumbar spine,and the score of finger-ground distance(FFD) was used to evaluate the degree of active forward flexion restriction in the low back before and after the treatment in the two groups.The quality of life was evaluated by using the Health Status Questionnaire SF-36 before and after the treatment.Results:After 5 days of the treatment,the scores of VAS,ODI and FFD decreased significantly in the two groups(P<0.05),and the decreases were more significant in the observation group than those in the control group(P<0.05).The score of SF-36 increased significantly in both groups after the treatment(P<0.05),and the score of the observation group was significantly higher than that of the control group after the treatment(P<0.05).The total effective rate of the observation group was 96.67%(29/30),which was significantly higher than 80.00%(24/30) of the control group(P<0.05).There were no significant adverse reactions in the two groups.Conclusion:Triple needling Baliao points combined with infrared polarized light irradiation is effective in treatment of acute non-specific low back pain,which is better than conventional needling in terms of reliev

关 键 词：急性非特异性下腰痛 八髎穴 齐刺法 红外偏振光 

分 类 号：R246.2[医药卫生—针灸推拿学]