脊针穴位针灸在腰部疼痛中的治疗效果评价  

Evaluation of the Therapeutic Effect of Spinal Acupoint Acupuncture on Lumbar Pain

作　　者：李丽 蔡守良 李小华[1] 陈松 LI Li;CAI Shouliang;LI Xiaohua;CHEN Song(Department of Rehabilitation,Shunchang County Hospital,Nanping,Fujian,353200,China;Department of Acupuncture and Moxibustion,Nanping People's Hospita,Nanping,Fujian,353000,China)

机构地区：[1]顺昌县医院康复科,福建南平353200 [2]南平市人民医院针灸科,福建南平353000

出　　处：《中外医疗》2024年第29期190-194,共5页China & Foreign Medical Treatment

摘　　要：目的探讨脊针穴位针灸在腰部疼痛中的治疗效果评价。方法随机选取2021年1月—2023年6月顺昌县医院收治的100例慢性腰部疼痛患者为研究对象,根据治疗方法不同分为两组,每组50例。对照组使用常规腰背功能康复治疗,观察组在此基础上使用脊针穴位针灸,对比两组的临床疗效、疼痛及腰背功能、腰背肌力、炎性及疼痛因子。结果观察组的治疗有效率为94.00%(47/50),高于对照组的76.00%(38/50),差异有统计学意义(χ^(2)=6.353,P<0.05)。治疗后,观察组的视觉模拟评分(Visual Analogue Scale,VAS),Oswestry功能障碍指数(Oswestry Disability Index,ODI)和Roland-Morris(Roland-Morris Disability Questionnaire,RMDQ)分别为(2.56±0.72)分、(18.12±3.21)分与(9.31±2.56)分,均低于对照组的(4.41±1.03)分、(24.37±3.48)分与(12.90±3.94)分,差异有统计学意义(t=10.409、9.335、5.403,P均<0.05)。治疗后,观察组的腰背肌力高于对照组,差异有统计学意义(P<0.05)。治疗后,观察组白细胞介素-1β(interleukin-1β,IL-1β)、白细胞介素-6(interleukin-6,IL-6)、C反应蛋白(C-reaction protein,CRP)与前列腺素E2(prostaglandin E2,PGE2)均低于对照组,内啡肽(β-endorphin,β-EP)水平高于对照组,差异有统计学意义(P均<0.05)。结论脊针穴位针灸在腰部疼痛中的治疗效果显著,能减少炎性及疼痛介质的释放,有效增强腰背肌力,改善腰背功能活动。Objective To explore the evaluation of the therapeutic effect of spinal acupoint acupuncture on lumbar pain.Methods A total of 100 patients with chronic lumbar pain admitted to Shunchang County Hospital from January 2021 to June 2023 were randomly selected as the research objects.According to different treatment methods,they were divided into two groups,with 50 cases in each group.The control group was treated with routine low back func⁃tion rehabilitation,and the observation group was treated with spinal acupuncture on this basis.The clinical efficacy,pain and low back function,low back muscle strength,inflammatory and pain factors were compared between the two groups.Results The effective rate of treatment in the observation group was 94.00%(47/50),which was higher than 76.00%(38/50)in the control group,and the difference was statistically significant(χ^(2)=6.353,P<0.05).After treat⁃ment,the Visual Analogue Scale(VAS),Oswestry Disability Index score(ODI)and Roland-Morris Disability Question⁃naire score(RMDQ)of the observation group(2.56±0.72)points,(18.12±3.21)points and(9.31±2.56)points,which were lower than(4.41±1.03)points,(24.37±3.48)points and(12.90±3.94)points of the control group,and the differ⁃ences were statistically significant(t=10.409,9.335,5.403,all P<0.05).After treatment,the back muscle strength of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the levels of interleukin-1B(IL-1β),interleukin-6(IL-6),C-reactive protein(CRP)and prosta⁃glandin E2(PGE2)in the observation group were lower than those in the control group,and the level ofβ-endorphin(β-EP)was higher than that in the control group,the differences were statistically significant(all P<0.05).Conclusion The therapeutic effect of spinal acupoint acupuncture on lumbar pain is significant,which can reduce the release of in⁃flammatory and pain mediators,effectively enhance the strength of lumbar and back muscles,and improve the func⁃t

关 键 词：腰部疼痛 脊针穴位针灸 治疗效果 腰部功能 

分 类 号：R246[医药卫生—针灸推拿学]