针刺治疗腰大肌损伤型急性腰痛的临床疗效  

Clinical Efficacy of Acupuncture in Treatment of Acute Low Back Pain with Psoas Injury

作　　者：宋路遥 齐荣霞 SONG Luyao;QI Rongxia(Department of Acupuncture and Physiotherapy,Beijing Nuclear Industry Hospital,Beijing 102413,China)

机构地区：[1]北京核工业医院针灸理疗科,北京102413

出　　处：《医学综述》2025年第5期626-629,635,共5页Medical Recapitulate

摘　　要：目的观察针刺治疗腰大肌损伤型急性腰痛的临床疗效。方法选取2022年8月至2024年1月北京核工业医院诊治的100例腰大肌损伤型急性腰痛患者为研究对象,根据治疗方式不同分为对照组和观察组,每组50例。对照组采用运动针刺疗法治疗,针刺双侧后溪穴和腰痛点;观察组在对照组治疗基础上结合针刺腰大肌止点-股骨小转子治疗。两组每周治疗3次,共治疗2周。比较两组疗效以及治疗前后视觉模拟评分法(VAS)评分、Barthel评分、腰椎活动度。结果治疗前,两组VAS评分、Barthel评分、腰椎活动度比较差异无统计学意义(均P>0.05)。治疗后,观察组总有效率高于对照组[96.0%(48/50)比84.0%(42/50)](χ^(2)=4.000,P=0.045),观察组疗效优于对照组(Z=-2.974,P=0.003)。治疗后,两组VAS评分较治疗前降低(P<0.05),两组Barthel评分及腰椎前屈、后伸、侧曲、旋转活动度活动度均较治疗前升高(P<0.05),且观察组VAS评分低于对照组[(3.0±1.6)分比(3.9±1.8)分](P<0.01),观察组Barthel评分及腰椎前屈、后伸、侧曲、旋转活动度活动度高于对照组[(82±10)分比(77±10)分,(76.7±5.3)°比(69.3±3.7)°、(24.7±5.4)°比(19.2±3.7)°、(25.3±5.5)°比(20.8±3.7)°、(37.7±5.9)°比(33.4±6.0)°](P<0.05或P<0.01)。结论运动针刺疗法联合针刺腰大肌止点治疗腰大肌损伤型急性腰痛可有效缓解患者疼痛,促进腰椎关节恢复正常活动,具有较好的临床疗效。Objective To observe the clinical efficacy of acupuncture treatment for acute lower back pain with psoas injury.Methods A total of 100 patients with acute back pain with psoas injury treated at Beijing Nuclear Industry Hospital from Aug.2022 to Jan.2024 were included as the study objects and divided into a control group and an observation group according to different treatment methods,with 50 cases in each group.The control group was treated with exercise acupuncture therapy,with acupuncture at the bilateral Houxi acupoint and lower back pain points;the observation group received acupuncture treatment at the psoas insertion point and the lesser trochanter of the femur in addition to the treatment of the control group.Both groups were treated three times a week for a total of two weeks.The efficacy of the two groups,as well as the visual analog scale(VAS)score,Barthel score,and lumbar spine range of motion before and after treatment were compared.Results Before treatment,there was no statistically significant difference in VAS score,Barthel scores,and lumbar spine range of motion between the two groups(all P>0.05).After treatment,the total effective rate of the observation group was higher than that of the control group[96.0%(48/50)vs 84.0%(42/50)](χ^(2)=4.000,P=0.045).The efficacy of the observation group was better than that of the control group(Z=-2.974,P=0.003).After treatment,the VAS scores of both groups decreased compared to before treatment(P<0.05),while the Barthel scores of both groups,including lumbar flexion,extension,lateral curvature,and rotational range of motion,increased compared to before treatment(P<0.05).The VAS score of the observation group was lower than that of the control group(3.0±1.6 vs 3.9±1.8)(P<0.01),while the Barthel scores of the observation group,including lumbar flexion,extension,lateral curvature,and rotational range of motion,were higher than those of the control group[(82±10 vs 77±10),(76.7±5.3)°vs(69.3±3.7)°,(24.7±5.4)°vs(19.2±3.7)°,(25.3±5.5)°vs(20.8±3.7)°,(3

关 键 词：急性腰痛 腰大肌损伤 针刺治疗 

分 类 号：R274.34[医药卫生—中医骨伤科学]