[1]王立华,马惠昇,穆 静,等.针刺后行推筋散结刮痧疗法治疗腰背肌筋膜炎临床疗效观察[J].医学信息,2022,35(07):177-179.[doi:10.3969/j.issn.1006-1959.2022.07.047]
 WANG Li-hua,MA Hui-sheng,MU Jing,et al.Clinical Observation on Treatment of Lumbodorsal Myofascitis by Acupuncture Followed by Pushing Tendons and Dispersing Joints and Scraping Therapy[J].Medical Information,2022,35(07):177-179.[doi:10.3969/j.issn.1006-1959.2022.07.047]
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针刺后行推筋散结刮痧疗法治疗腰背肌筋膜炎临床疗效观察()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年07期
页码:
177-179
栏目:
中医中药
出版日期:
2022-04-01

文章信息/Info

Title:
Clinical Observation on Treatment of Lumbodorsal Myofascitis by Acupuncture Followed by Pushing Tendons and Dispersing Joints and Scraping Therapy
文章编号:
1006-1959(2022)07-0177-03
作者:
王立华马惠昇穆 静
(1.宁夏医科大学中医学院,宁夏 银川 753400;2.宁夏医科大学附属回医中医医院针灸推拿科,宁夏 银川 750003)
Author(s):
WANG Li-huaMA Hui-shengMU Jinget al.
(1.College of Traditional Chinese Medicine,Ningxia Medical University,Yinchuan 753400,Ningxia,China;2.Department of Acupuncture and Massage,Affiliated Hospital of Hui Medicine & Traditional Chinese Medicine,Ningxia Medical University,Yinchuan 750003,Nin
关键词:
针刺推筋散结刮痧腰背肌筋膜炎Roland-Morris功能障碍评分下腰部功能
Keywords:
AcupuncturePushing tendon and dispersing joints and scrapingLumbodorsal myofascitisRoland-Morris dysfunction scoreLower lumbar function
分类号:
R246
DOI:
10.3969/j.issn.1006-1959.2022.07.047
文献标志码:
A
摘要:
目的 观察针刺后行推筋散结刮痧疗法治疗腰背肌筋膜炎临床疗效。方法 选取2019年4月-2021年5月在宁夏医科大学附属回医中医医院针灸推拿科诊治的腰背肌筋膜炎患者64例为研究对象。采用随机数字表法分为对照组和观察组,各32例。对照组采用常规针灸治疗,观察组采用针刺后行推筋散结刮痧疗法治疗。比较两组临床治疗疗效、疼痛(VAS)评分、Roland-Morris功能障碍评分、下腰部功能评分以及临床不良反应发生情况。结果 观察组治疗总有效率为96.88%,高于对照组的84.38%,差异有统计学意义(P<0.05);两组VAS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组Roland-Morris功能障碍评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组下腰部功能评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组不良反应发生率为6.25%,与对照组的9.38%比较,差异无统计学意义(P>0.05)。结论 针刺后行推筋散结刮痧疗法治疗腰背肌筋膜炎效果确切,可提高治疗总有效率,减轻疼痛,降低功能障碍评分,促进下腰功能障碍恢复,不增加不良反应,有效性和安全性较好,值得临床应用。
Abstract:
Objective To observe the clinical effect on treatment of lumbodorsal myofascitis by acupuncture followed by pushing tendons and dispersing joints and scraping therapy.Methods From April 2019 to May 2021, 64 patients with lumbodorsal myofascitis diagnosed and treated in the Department of Acupuncture and Massage, Affiliated Hospital of Hui Medicine & Traditional Chinese Medicine,Ningxia Medical University were selected as subjects. They were randomly divided into control group and observation group, with 32 cases in each group. The control group was treated with conventional acupuncture, and the observation group was treated with pushing tendons and dispersing joints and scraping therapy. The clinical therapeutic efficacy, pain (VAS) score, Roland-Morris dysfunction score, lower lumbar function score and clinical adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 96.88%, which was higher than 84.38% of the control group, and the difference was statistically significant (P<0.05). The VAS scores of the two groups were lower than those before treatment, and the observation group was lower than the control group, the difference was statistically significant (P<0.05). The Roland-Morris dysfunction scores of the two groups were lower than those before treatment, and the observation group was lower than the control group, the difference was statistically significant (P<0.05). The lower lumbar function scores of the two groups were higher than those before treatment, and the observation group was higher than the control group, the difference was statistically significant (P<0.05). The incidence of adverse reactions in the observation group was 6.25%, which was compared 9.38% in the control group, the difference was not statistically significant (P>0.05).Conclusion The therapy of pushing tendon and dispersing joints and scraping after acupuncture is effective for the treatment of lumbodorsal myofascitis, which can improve the total effective rate, relieve pain, reduce the score of functional disorder, and promote the recovery of low back functional disorder, and there is no significant adverse reaction in clinic, the utility model has the advantages of good effectiveness and safety, and is worthy of clinical application.

参考文献/References:

[1]陈奕兆,黄聪敏,彭旭明.彭氏分筋推拿疗法治疗腰背肌筋膜炎的临床疗效观察[J].广州中医药大学学报,2021,38(2):340-345.[2]程凯,魏光仪,罗汉华,等.深层肌肉刺激治疗腰臀肌筋膜炎的临床疗效研究[J].颈腰痛杂志,2021,42(5):751-752.[3]薛威,王斐,吴陈欢.针药结合治疗腰背肌筋膜炎临床研究[J].中医学报,2017,32(6):1110-1113.[4]颜富雄.经筋系统—人体十二条运动力线的探讨与临床应用[D].济南:山东中医药大学,2016.[5]周占文,董宝强,林星星.基于CT影像评价针刺结筋病灶点治疗腰三横突综合征临床疗效[J].辽宁中医药大学学报,2017,19(6):174-177.[6]方剑乔,邵晓梅.针刺镇痛的新思路:针灸参与疼痛多维度调节的可行性[J].针刺研究,2017,42(1):85-89.[7]董宝强,林星星,王树东,等.经筋刺法与针至病所理论的关系[J].中医杂志,2017,58(3):189-191,194.[8]沈兴邦,彭旭明.彭氏“分筋推拿”疗法治疗早期桡骨茎突狭窄性腱鞘炎疗效观察[J].中医药导报,2018,24(13):87-89.[9]王可欣.赞刺结合拔罐法治疗腰背肌筋膜炎的临床疗效观察[D].哈尔滨:黑龙江中医药大学,2019.[10]岑毕文,吴亚鹏,王达义,等.滋阴壮骨中药内服合双柏散外敷治疗慢性腰肌劳损疗效及对血栓素B2和6-酮前列腺素F1a的影响[J].现代中西医结合杂志,2018,27(7):778-781.[11]Dommerholt J,Finnegan M,Hooks T,et al.A critical overview of the current myofascial pain literature [J].J Bodyw Mov Ther,2018,22(3):673-684.[12]冉维佳,于洋.针刺结筋病灶点治疗腰背肌筋膜炎[J].中医学报,2019,34(11):2454-2458.[13]林艳霞,刘田梅.针刺治疗腰背肌筋膜炎临床观察[J].山西中医,2018,34(12):28-29.[14]杨武斌.浮针疗法辅助温针灸治疗腰背肌筋膜炎31例临床观察[J].中国民族民间医药,2019,28(13):136-138.[15]Fischer MJ,Horvath G,Krismer M,et al.Evaluation of mitochondrial function in chronic myofascial trigger points-a prospective cohort pilot study usinghigh-resolution respirometry[J].BMC Musculoskelet Disord,2018,19(1):388.[16]黄京华.火针针刺肌筋膜激痛点治疗腰背肌筋膜疼痛综合征疗效观察[J].实用中医药杂志,2019,35(9):1141-1142.[17]冀全谋,张国庆,陈国梁,等.孙其斌提拿手法治疗腰背肌筋膜炎临床研究[J].实用中医药杂志,2016,32(3):264-265.[18]兰小春,唐宏亮,庞军,等.枢经推拿法治疗腰背肌筋膜疼痛综合征的疗效观察[J].广西医学,2017,39(9):1411-1412,1418.[19]李盛琳,李伟赣,向前锟,等.推拿结合易罐治疗腰背肌筋膜炎临床观察[J].现代诊断与治疗,2018,29(14):2213-2215.[20]黄剑,曾杨,宋国新,等.激痛点针刺疗法治疗腰背肌筋膜炎的疗效观察[J].按摩与康复医学,2018,9(6):38-39.

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更新日期/Last Update: 1900-01-01