摘要
目的观察缪刺后溪穴配合运动疗法治疗急性腰扭伤的临床疗效。方法将2019年1月-2020年10月于松原市中西医结合医院收治的70例急性腰扭伤的患者随机分为治疗组和对照组,每组35例。治疗组采用缪刺后溪穴配合运动疗法治疗,对照组采用常规针刺腰痛点配合运动疗法治疗。2组治疗频次均为每日1次,共治疗3次。观测腰扭伤患者治疗前后腰部疼痛情况、腰部活动度、临床综合疗效。结果治疗前,2组VAS评分比较,差异无统计学意义(P>0.05)。治疗后,治疗组VAS评分低于对照组,差异有统计学意义(P<0.05)。治疗前,2组患者的腰椎前屈、后伸、侧屈、旋转活动度比较,差异均无统计学意义(P>0.05)。治疗后,2组腰椎前屈、后伸、侧屈、旋转活动度差异有统计学意义(P<0.05)。治疗组治疗总有效率为100%(35/35),显著高于对照组的94.29%(33/35),差异有统计学意义(P<0.05)。结论缪刺后溪穴配合运动疗法与常规针刺腰痛点配合运动疗法对治疗腰扭伤都有较好的疗效,但缪刺后溪穴配合运动疗法在改善腰扭伤患者腰部疼痛、腰部活动度、临床综合疗效等方面效果更明显。
Objective To observe the clinical curative effect of contralateral needling Houxi(SI3)combined with exercise therapy in the treatment of acute lumbar sprain.Methods 70 cases of patients with acute lumbar sprain admitted to Songyuan Hospital of Integrated Traditional Chinese and Western Medicine from January 2019 to October 2020 were randomly divided into treatment group and control group,with 35cases in each group.The treatment group was treated with contralateral acupuncture at Houxi(SI3)and exercise therapy,and the control group was treated with routine acupuncture at lumbago point and exercise therapy.The treatment frequency of both groups was once a day,for a total of 3times.The waist pain,the activity of the waist and the clinical effect were observed before and after treatment.Results Before treatment,there was no significant difference in VAS scores between the two groups(P>0.05).After treatment,VAS score of the treatment group was lower than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in lumbar flexion,extension,lateral flexion and rotation activity between the two groups(P>0.05).After treatment,there were statistically significant differences in lumbar flexion,extension,lateral flexion and rotation activity between the two groups(P<0.05).The total effective rate in the treatment group was 100%(35/35),which was significantly higher than 94.29%(33/35)in control group,and the difference was statistically significant(P<0.05).Conclusion Contralateral needling Houxi(SI3)combined with exercise therapy and routine acupuncture at lumbago point and exercise therapy have better therapeutic effect on lumbar sprain.But contralateral needling Houxi(SI3)combined with exercise therapy is more effective than routine acupuncture at the waist pain point combined with exercise therapy in improving the waist pain,the activity of the waist and the clinical comprehensive effect.
作者
林祥军
LIN Xiangjun(Rehabilitation Department,Songyuan Hospital of Integrated Traditional Chinese and Western Medicine,Jilin Province,Songyuan 138000,China)
出处
《中国中医药现代远程教育》
2022年第13期99-101,共3页
Chinese Medicine Modern Distance Education of China
关键词
缪刺
后溪穴
运动疗法
腰扭伤
contralateral needling
Houxi(SI3)
exercise therapy
lumbar sprain