改良青龙摆尾针刺法联合拔罐治疗腰背肌筋膜炎的临床研究  

Clinical Study on Modified Green Dragon Wagging Tail Acupuncture Combined with Cupping in Treatment of Lumbar and Back Myofascitis

作　　者：李迎春[1] 汪英杰 周艳玲 王怀泽 聂勇[1] 苏毅[1] 朱俊琛[1] LI Yingchun;WANG Yingjie;ZHOU Yanling;WANG Huaize;NIE Yong;SU Yi;ZHU Junchen(The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061,China)

机构地区：[1]安徽中医药大学第二附属医院,安徽合肥230061

出　　处：《针灸临床杂志》2025年第3期11-15,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：安徽省教育厅科学研究重点项目,编号:2022AH050469;安徽省中医药传承创新科研项目,编号:2022CCZC02;长三角名中医工作室(詹红生工作室),编号:皖中医药发展秘(2023)16号。

摘　　要：目的:观察改良青龙摆尾针刺法联合拔罐治疗腰背肌筋膜炎(LBM)的临床疗效。方法:选取2023年1月—2023年12月期间收治的100例符合纳入标准的LBM患者,随机分为治疗组和对照组,每组50例。治疗组采用改良青龙摆尾针刺法联合拔罐治疗,针刺30 min,拔罐10 min,1次/d,5次/周,共治疗2周。对照组行平补平泻针刺法联合拔罐治疗,疗程同治疗组。于治疗前、治疗后和治疗结束后3个月进行中医症候积分评定、疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)评分和匹兹堡睡眠质量指数(PSQI)等观察指标,并在治疗结束后行疗效评估。结果:治疗组和对照组在治疗结束后的中医症候积分、VAS以及ODI评分方面均显著低于治疗前,表明两种治疗方式均能有效改善LBM患者的病情。而在治疗结束后以及随访期间,治疗组的评分指标均低于对照组,差异有统计学意义(P<0.05),说明改良青龙摆尾针刺法联合拔罐治疗的效果更为显著。同时,两组患者的PSQI评分在治疗后和3个月随访时相比治疗前均有所提高,其中治疗组的提高程度显著大于对照组,差异具有统计学意义(P<0.05),反映出治疗组患者的睡眠质量改善程度更佳。结论:改良青龙摆尾针刺法联合拔罐治疗能有效降低LBM患者中医症候积分,缓解疼痛程度,改善腰部活动功能,且远期疗效显著。Objective:To observe the clinical efficacy of the modified green dragon wagging tail acupuncture combined with cupping in treatment of lumbar and back myofascitis(LBM).Methods:100 patients with LBM,who met the inclusion criteria,were randomly divided into the treatment group and the control group,with 50 cases in each group.The treatment group was treated with modified green dragon wagging tail acupuncture combined with cupping,30 minutes of acupuncture and 10 minutes of cupping,once per day,5 times per week,for a total of 2 weeks.The control group was treated with even reinforcing and reducing acupuncture combined with cupping,and the treatment course was the same as that of the treatment group.The scores of TCM symptoms,VAS,ODI and PSQI were observed before the treatment,at the end of the treatment and during the 3-month follow-up.The clinical efficacy was evaluated after the treatment in the two groups.Results:The scores of TCM symptoms,VAS and ODI were significantly lower after the treatment than those before the treatment in the two groups,which showed that both treatment methods could significantly improve the disease conditions of the LBM patients.The scores of TCM symptoms,VAS and ODI were lower in the treatment group than those in the control group at the end of the treatment and during the 3-month follow-up(P<0.05),indicating that the effect of the modified green dragon wagging tail acupuncture combined with cupping was more significant.The score of PSQI was improved after the treatment and during the 3-month follow-up compared with that before the treatment in the two groups,and the improvement was more significant in the treatment group than that in the control group(P<0.05),which reflected that the improvement of sleep quality was more significant in the treatment group than that in the control group.Conclusion:Modified green dragon wagging tail acupuncture combined with cupping can effectively reduce the score of TCM symptoms,relieve the degree of pain,and improve the function of lumbar activities o

关 键 词：腰背肌筋膜炎 青龙摆尾针刺 拔罐 疼痛 

分 类 号：R246.2[医药卫生—针灸推拿学]