摘要
目的观察“经痹点”理论下火龙罐循经取穴疗法改善寒湿痹阻型腰痛病患者疼痛情况和腰腿部活动能力的临床疗效。方法选择2019年2月至2020年1月我院推拿科诊断治疗的90例寒湿痹阻型腰痛病患者为研究对象,随机分为治疗组和对照组,每组各45例。两组患者均在常规推拿治疗的基础上,对照组给予火罐治疗,治疗组给予火龙罐循经取穴治疗,每日1次,5 d为1个疗程,两组疗程均为10 d,观察并比较两组患者治疗前后中医病证诊断疗效、疼痛数字评分法(NRS)、日本骨科协会评估治疗分数(JOA)。结果两组患者治疗后,治疗组总有效率为91.11%,对照组总有效率为81.82%,差异有统计学意义(P<0.05)。治疗后治疗组患者疼痛数字评分(NRS)评分为(2.39±0.64)分,低于对照组(4.26±1.01)分和治疗前(6.23±1.44)分,差异均有统计有意义(P<0.05)。治疗后治疗组患者日本骨科协会评估治疗分数(JOA)评分(24.76±3.27)分,均高于对照组(18.94±2.87)分和治疗前(12.81±2.17)分,差异均有统计有意义(P<0.05)。结论基于经痹点理论采用火龙罐循经取穴疗法能明显改善寒湿痹阻型腰痛病患者的疼痛及腰腿部活动能力,提高临床疗效。
Objective To observe the clinical effect of selecting acupoints from the fire dragon jar along the meridian under the theory of"Jingbi Point"on the treatment of low back pain disease with cold-dampness impeding syndrome.Methods Ninety patients with cold-dampness blockage type low back pain diagnosed and treated in the Tuina department of our hospital from February 2019 to January 2020 were selected as the research object.They were randomly divided into the treatment group and the control group,with 45 cases in each group.Both groups were treated with conventional Tuina.The control group was given cupping therapy,and the treatment group was given acupoints-selection from the fire dragon jar along the meridian,once a day,five days as a course of treatment.Both groups were treated for ten days.The therapeutic effect of TCM disease diagnosis,numeric rating scale(NRS),and Japanese Orthopedic Association(JOA)before and after treatment were observed and compared.Results After treatment,the total effective rate of the treatment group was 91.11%,and the total effective rate of the control group was 81.82%.The difference was statistically significant(P<0.05).The numeric rating scale(NRS)score(2.39±0.64)points in the treatment group after treatment was lower than that of the control group(4.26±1.01)points and before treatment(6.23±1.44)points,and the differences were statistically significant(P<0.05).After treatment,the Japanese Orthopaedic Association Evaluation Treatment Score(JOA)(24.76±3.27)in the treatment group was higher than that of the control group(18.94±2.87)points and before treatment(12.81±2.17)points,and the differences were statistically significant(P<0.05).Conclusion Selecting acupoints from the fire dragon jar along the meridian under the theory of"Jingbi Point"can significantly improve the pain and waist and leg mobility of patients with cold-dampness-resistance low back pain and can improve the clinical efficacy.
作者
陈珺
王睿
王宝玉
黄雪燕
CHEN Jun;WANG Rui;WANG Baoyu;HUANG Xueyan(Department of Massage,Hangzhou Traditional Chinese Medicine Hospital,Hangzhou 310007,China)
出处
《中国现代医生》
2021年第12期134-137,共4页
China Modern Doctor
基金
浙江省中医药科技计划项目(2020ZB172)。
关键词
火龙罐
寒湿痹阻
腰痛
经痹点
Fire dragon jar
Cold-dampness impeding syndrome
Low back pain
Jingbi Point
作者简介
通讯作者:王睿。
