颊针治疗非特异性腰背痛患者的效果及对疼痛程度的影响  

Effect of Buccal Acupuncture on Chronic Nonspecific Low Back Pain and Its Influence on Pain Degree

作　　者：付志敏 董凡晖 FU Zhimin;DONG Fanhui(Department of Traditional Chinese Medicine,Rizhao People’s Hospital,Rizhao 276800,China)

机构地区：[1]山东省日照市人民医院中医科,山东日照276800

出　　处：《中国伤残医学》2024年第17期128-130,160,共4页Chinese Journal of Trauma and Disability Medicine

基　　金：日照市中医药科技项目(RZY2022B01)。

摘　　要：目的:观察颊针治疗慢性非特异性腰背痛(CNLBP)患者的效果及对疼痛程度的影响。方法:选择2022年10月—2023年10月日照市人民医院中医科就诊的170例CNLBP患者为研究对象(n=57),随机将其分为颊针组(n=55)、常规针刺组和西药对照组(n=58)。西药对照组采用塞来昔布胶囊口服治疗,颊针组采用颊针治疗,常规针刺组采用常规针刺治疗。比较两组疼痛程度和治疗效果。结果:治疗后,颊针组简化McGill量表中疼痛评级指数、疼痛视觉模拟评分、现时疼痛强度评分及整体总分均低于常规针刺组和西药对照组,差异均有统计学意义(P<0.05)。颊针组治疗总有效率为98.25%,高于常规针刺组的85.45%和西药对照组的82.76%,差异有统计学意义(P<0.05)。传统针刺组不良反应发生率为7.27%,西药对照组不良反应发生率为3.45%,颊针组未出现不良反应,三组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:颊针治疗CNLBP疗效确切,能够改善患者疼痛症状,提高临床疗效,且安全性尚佳。Objective:To observe the effect of buccal acupuncture on chronic nonspecific low back pain(CNLBP)and its influence on the degree of pain.Methods:A total of 170 CNLBP patients treated in the Department of Traditional Chinese Medicine of Rizhao People’s Hospital from October 2022 to October 2023 were selected as the study objects and randomly divided into a buccal acupuncture group(n=57),a conventional acupuncture group(n=55)and a western medicine control group(n=58).The western medicine control group was treated with Celecoxib Capsules orally,the buccal acupuncture group was treated with buccal acupuncture,and the conventional acupuncture group was treated with conventional acupuncture.The pain degree and treatment effect of the two groups were compared.Results:After treatment,the scores of Pain Rating Index,pain Visual Analogue Scale,Present Pain Intensity and total score in the simplified McGill scale of the buccal acupuncture group were lower than those of the conventional acupuncture group and the western medicine control group,with statistical significances(P<0.05).The total effective rate of buccal acupuncture group was 98.25%,which was higher than 85.45%in conventional acupuncture group and 82.76%in western medicine control group,the differences were statistically significants(P<0.05).The incidence of adverse reactions was 7.27%in the traditional acupuncture group,the incidence of adverse reactions was 3.45%in the western medicine control group,and no adverse reactions occurred in the cheek acupuncture group,there was no statistical significance in the incidence of adverse reactions among the three groups(P>0.05).Conclusion:Buccal acupuncture is effective in the treatment of CNLBP,can improve the pain symptoms of patients,improve clinical efficacy,and the security is good.

关 键 词：慢性非特异性腰背痛 颊针 简易McGill量化表 随机对照研究 

分 类 号：R255.6[医药卫生—中医内科学]