刃针治疗急性腰扭伤的临床疗效观察  

Observation on the Clinical Efficacy of Blade Acupuncture in the Treatment of Acute Lumbar Sprain

作　　者：陈明亮 冯海清 林剑虹 邱惠晶 廖俊辉 CHEN Ming-liang;FENG Hai-qing;LIN Jan-hong;QIU Hui-jing;LIAO Jun-hui(Fujian Provincial Institute of Sports Science,Fuzhou 350003,China;Fujian Sanming College,Sanming 365004,China)

机构地区：[1]福建省体育科学研究所,福建福州350003 [2]福建省三明学院,福建三明365004

出　　处：《福建体育科技》2024年第4期33-37,共5页Fujian Sports Science and Technology

基　　金：福建省科技厅省属公益类科研专项“刃针治疗运动员急性腰扭伤额疗效观察”(2020R1019001)。

摘　　要：目的:通过刃针疗法治疗急性腰扭伤的临床疗效观察,评价刃针治疗急性腰扭伤的效果。方法:将急性腰扭伤患者60例,观察组30例采用刃针疗法治疗,对照组30例采用针刺双侧后溪穴配合运动疗法治疗,比较两组治疗前后患者的疼痛视觉评分(VAS)、下背痛生活能力和工作能力评分(JOA)、腰部各个方向关节活动度、腰部肌力以及临床疗效。结果:治疗前,两组患者VAS评分、JOA评分、腰椎各个方向活动度、腰椎各个方向力量均无明显差异(P>0.05);组内对比,观察组治疗前后VAS评分、JOA评分、腰椎各个方向活动度、各个方向肌力差异均有统计学意义(P<0.01);对照组治疗前后VAS评分、JOA评分、腰椎前屈、后伸活动度、前屈、后伸肌力差异有统计学意义(P<0.01),腰椎左右侧屈、左右旋转活动度、左右旋转肌力差异有统计学意义(P<0.05);组间对比,观察组VAS评分降低程度、JOA评分升高程度、腰椎前屈活动度、后伸活动度、腰椎前屈肌力、后伸肌力提高程度均比对照组明显,差异均有统计学意义(P<0.05),观察组腰椎左右侧屈、左右旋转活动度、左右旋转肌力均比对照组显著提高,差异均有统计学意义(P<0.01);观察组痊愈率、显效率分别为26.67%、60%,高于对照组3.33%、43.33%,差异具有统计学意义(P<0.05),但总有效率差异无统计学意义。结论:刃针和针刺运动治疗急性腰扭伤均有效,但刃针疗法疗效优于针刺运动疗法,其方法安全简便,不需要留针,用时短,痊愈率、显效率高,为临床治疗急性腰扭伤提供一个更好的选择。Objective:To observe the clinical efficacy of blade needle therapy in the treatment of acute lumbar sprain and evaluate the effectiveness of blade needle therapy in treating acute lumbar sprain.Method:Sixty patients with acute lumbar sprain were treated with blade acupuncture therapy in the observation group,while 30 patients in the control group were treated with acupuncture at bilateral Houxi points combined with exercise therapy.The pain visual score(VAS),lower back pain life and work ability score(JOA),joint range of motion in various directions of the waist,lumbar muscle strength,and clinical efficacy of the two groups were compared before and after treatment.Result:Before treatment,there was no significant difference in VAS score,JOA score,lumbar range of motion in all directions,and lumbar strength in all directions between the two groups of patients(P>0.05);Intragroup comparison showed that there were statistically significant differences in VAS score,JOA score,lumbar range of motion in all directions,and muscle strength in all directions before and after treatment in the observation group(P<0.01);There was a statistically significant difference in VAS score,JOA score,lumbar flexion and extension range of motion,lumbar flexion and extension strength before and after treatment in the control group(P<0.01),while there was a statistically significant difference in lumbar lateral flexion range of motion,left and right rotation range of motion,and left and right rotation range of motion(P<0.05);Inter group comparison showed that the degree of VAS score decrease,JOA score increase,lumbar flexion and extension activity,lumbar flexion and extension muscle strength increase in the observation group were significantly higher than those in the control group,with statistical significance(P<0.05).The left and right lateral flexion,left and right rotation activity,and left and right rotation muscle strength of the observation group were significantly higher than those in the control group,with statistical significance(

关 键 词：刃针 急性腰扭伤 后溪穴 随机对照试验 

分 类 号：G804.53[文化科学—运动人体科学]