摘要
目的 分析中医温针灸治疗对腰肌劳损患者腰椎功能障碍及疼痛改善程度的影响。方法 选取2021年4月至2022年4月我院治疗的120例腰肌劳损患者,按随机数字表法将患者分为试验组(60例)和参考组(60例),参考组患者实施常规针灸治疗,试验组患者应用中医温针灸治疗,对比分析两组腰肌劳损患者治疗前后腰椎功能障碍评分、疼痛评分和生活质量(指标包括:躯体功能、社会功能、物质功能、心理功能)评分改善情况、治疗总有效率和不良反应(指标包括:晕针、血肿、局部感染)发生情况。结果 试验结果显示,两组腰肌劳损患者治疗前腰椎功能障碍评分、疼痛评分和躯体功能、社会功能、物质功能、心理功能等生活质量评分相比无明显差异(均P>0.05),治疗后腰椎功能障碍评分、疼痛评分和躯体功能、社会功能、物质功能、心理功能等生活质量评分均显著改善(均P<0.05),且试验组腰肌劳损患者腰椎功能障碍评分、疼痛评分和躯体功能、社会功能、物质功能、心理功能等生活质量评分改善情况显著优于参考组(均P<0.05);试验组腰肌劳损患者治疗总有效率为96.67%,参考组腰肌劳损患者治疗总有效率为85.00%,试验组腰肌劳损患者治疗总有效率显著高于参考组(P<0.05);试验组中出现1例晕针和1例血肿,无局部感染发生,不良反应发生率为3.33%,参考组腰肌劳损患者出现1例局部感染,无晕针和血肿发生,不良反应发生率为1.67%,两组腰肌劳损患者晕针、血肿、局部感染等不良反应发生率相比无明显差异(均P>0.05)。结论 中医温针灸治疗能有效改善腰肌劳损患者腰椎功能障碍及疼痛程度,其疗效显著优于常规针灸方式,且不会明显引起不良反应,是一种安全有效的治疗方式。
Objective To analyze the effect of warm acupuncture and moxibustion of traditional Chinese medicine on lumbar dysfunction and pain improvement in patients with lumbar muscle strain.Methods A total of 120 patients with lumbar muscle strain treated in our hospital from April 2021 to April 2022 were selected and divided into experimental group(60 cases)and reference group(60 cases)according to random number table method.The reference group received routine acupuncture treatment,and the experimental group received warm acupuncture treatment of traditional Chinese medicine.The improvement of lumbar dysfunction score,pain score and quality of life(including physical function,social function,material function and psychological function)score before and after treatment,the total effective rate of treatment and adverse reactions(including acupuncture dizziness,hematoma and local infection)of patients with lumbar muscle strain in the two groups were compared and analyzed.Results The results showed that there were no significant differences in lumbar dysfunction score,pain score and life quality scores of physical function,social function,material function and psychological function before treatment between the two groups of patients with lumbar muscle strain(P>0.05).After treatment,lumbar dysfunction score,pain score and life quality scores of physical function,social function,material function and psychological function were significantly improved(all P<0.05).The improvement of lumbar dysfunction score,pain score and life quality scores of physical function,social function,material function and psychological function in patients with lumbar muscle strain in experimental group was significantly better than that in reference group(all P<0.05).The total effective rate of patients with lumbar muscle strain in experimental group was 96.67%,the total effective rate of patients with lumbar muscle strain in reference group was 85.00%,the total effective rate of patients with lumbar muscle strain in experimental group was significantly higher than that in reference group(P<0.05).In the experimental group,there was 1 case of needle fainting and 1 case of hematoma,without local infection,and the incidence of adverse reactions was 3.33%;in the reference group,there was 1 case of local infection in patients with lumbar muscle strain,without needle fainting and hematoma,and the incidence of adverse reactions was 1.67%.There were no significant differences in the incidence of acupuncture dizziness,hematoma and local infection in the patients with lumbar muscle strain between the two groups(all P>0.05).Conclusion Warm acupuncture and moxibustion of traditional Chinese medicine can effectively improve the degree of lumbar dysfunction and pain in patients with lumbar muscle strain,and its curative effect is significantly better than conventional acupuncture and moxibustion,and will not cause obvious adverse reactions,so it is a safe and effective treatment.
作者
李元鸿
LI Yuanhong(Department of Rehabilitation,Fuzhou Gulou District Huada Street Community Health Service Center,Fuzhou 350000,China)
出处
《中国医药指南》
2023年第30期137-139,152,共4页
Guide of China Medicine
关键词
中医
温针灸
腰肌劳损
腰椎功能障碍
疼痛
不良反应
Traditional Chinese medicine
Warm acupuncture
Lumbar muscle strain
Lumbar spine dysfunction
Pain
Adverse reaction