循经点穴疗法结合易筋经治疗寒湿型腰肌劳损临床疗效观察  

Clinical efficacy observation of meridian acupoint therapy combined with Yijinjing exercise in the treatment of cold-damp type lumbar muscle strain

作　　者：张琪[1] 马信龙[1] 赵娜[2] 李海波[1] 李云涛[1] ZHANG Qi;MA Xin-long;ZHAO Na(Department of Orthopaedics and Traumatology of Integrated Traditional Chinese and Western Medicine,Tianjin Hospital,Tianjin 300211,China)

机构地区：[1]天津大学天津医院中西医结合骨伤科,天津300211 [2]天津中医药大学第一附属医院,天津300110

出　　处：《中国中西医结合外科杂志》2025年第2期176-181,186,共7页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：国家自然科学基金(81973971);天津市中医药管理局中医药重点领域科技项目(2023015);天津市中医药管理局中医中西医结合科研课题(2021201);天津医院科技基金项目(Tjyy2107)。

摘　　要：目的:研究循经点穴疗法结合易筋经对寒湿型腰肌劳损的临床疗效。方法:选取2023年1月—6月于天津市天津医院收治的100例寒湿型腰肌劳损患者,按随机数字表法随机分为循经点穴疗法结合易筋经功法组(实验组)和单纯易筋经功法组(对照组)两组,每组各50例。实验组在点穴治疗后,在医师指导下行易筋经功法锻炼相应动作,对照组单纯进行易筋经功法锻炼相应动作,1次/d,共治疗2周。比较两组患者治疗前后中医证候积分、Oswestry功能障碍指数(ODI)评分、腰骶部平均温度、腰肌弹性,以及血清肿瘤坏死因子-α(TNF-α)、肌酸激酶(CK)变化。结果:与治疗前比较,两组治疗后中医证候积分、ODI评分,血清TNF-α、CK,腰肌弹性模量数值均降低,实验组均优于对照组(P<0.01),实验组腰部平均温度高于对照组(P<0.01)。两组治疗后均无明显不良反应。结论:循经点穴疗法结合易筋经功法锻炼治疗寒湿型腰肌劳损安全有效,较单纯易筋经功法锻炼更有优势。Objective To investigate the clinical efficacy of meridian acupoint therapy combined with Yijinjing exercise in treating cold-damp type lumbar muscle strain.Methods 100 patients with cold-damp type lumbar muscle strain were randomly combined with Yijinjing group(experimental group)or the Yijinjing-only group(control group),with 50 cases in each.In the experimental group,patients performed Yijinjing exercises following acupoint therapy under physician supervision,while the control group engaged solely in Yijinjing exercises.Treatments were administered once daily for two weeks.The study compared traditional Chinese medicine syndrome scores,Oswestry Disability Index(ODI)scores,average lumbosacral skin temperature,lumbar muscle elasticity,and changes in serum tumor necrosis factor-alpha(TNF-α)and creatine kinase(CK)levels before and after treatment in both groups.Results Post-treatment,both groups showed decreased TCM syndrome scores,ODI scores,serum TNF-α,CK levels,and lumbar muscle elasticity,with the experimental group showing significantly better outcomes than the control group(P<0.01).Additionally,the average waist skin temperature in the experimental group increased(P<0.01).No significant adverse reactions were observed in either group post-treatment.Conclusion Meridian acupoint therapy combined with Yijinjing exercise is a safe and effective treatment for cold-damp type lumbar muscle strain,demonstrating advantages over Yijinjing exercise alone.

关 键 词：腰肌劳损 点穴治疗 易筋经 临床疗效 

分 类 号：R681.57[医药卫生—骨科学] R274[医药卫生—外科学]