摘要
目的:观察刃针针刺结筋病灶点联合西药治疗髂腰肌劳损的临床疗效。方法:选取60例髂腰肌劳损患者,按随机数字表法分为观察组和对照组各30例。对照组给予塞来昔布胶囊、盐酸乙哌立松片治疗,观察组在对照组基础上联合刃针针刺结筋病灶点治疗。比较2组临床疗效、日本骨科协会评估治疗分数(JOA评分)、视觉模拟评分法(VAS)评分及不良反应发生率。结果:治疗后,观察组总有效率100%,对照组总有效率86.67%,观察组临床疗效优于对照组,差异有统计学意义(P<0.05)。2组JOA评分均较治疗前升高,VAS评分均较治疗前降低,差异均有统计学意义(P<0.05);观察组JOA评分高于对照组,VAS评分低于对照组,差异均有统计学意义(P<0.05)。治疗期间,观察组不良反应发生率10.00%,与对照组6.67%比较,差异无统计学意义(P>0.05)。结论:刃针针刺结筋病灶点联合西药治疗能改善髂腰肌劳损患者的腰椎功能、减轻疼痛,临床疗效优于单纯使用西药治疗,安全性较好。
Objective:To observe the clinical effect of the therapy of blade needling acupuncture at tendon lesion combined with western medicine on iliopsoas strain.Methods:A total of 60 cases of patients with iliopsoas strain were selected and divided into the observation group and the control group according to the random number table method,with 30 cases in each group.The control group was given Celecoxib Capsules and Eperisone Hydrochloride Tablets for treatment,and the observation group was additionally treated with blade needling acupuncture at tendon lesion based on the treatment of the control group.The clinical effects,scores of Japan Orthopaedic Association(JOA) and Visual Analogue Scale(VAS) and incidence of adverse reactions were compared between the two groups.Results:After treatment,the total effective rate was 100% in the observation group and 86.67% in the control group,and the clinical effect in the observation group was better than that in the control group,the difference being significant(P<0.05).The scores of JOA in the two groups were increased when compared with those before treatment,the scores of VAS in the two groups were decreased when compared with those before treatment,differences being significant(P<0.05);the JOA score in the observation group was higher than that in the control group,and the VAS score in the observation group was lower than that in the control group,differences being significant(P<0.05).During treatment,the incidence of adverse reactions was10.00% in the observation group and 6.67% in the control group,there being no significance in the difference(P>0.05).Conclusion:The therapy of blade needling acupuncture at tendon lesion combined with western medicine can improve the lumbar vertebral function of patients with iliopsoas strain,reduce the pain and has a better clinical effect than single oral administration of western medicine,with good safety.
作者
章浩
张亚妮
冯祯根
陈泽莉
方艳
林艳
ZHANG Hao;ZHANG Yani;FENG Zhengen;CHEN Zeli;FANG Yan;LIN Yan(Jinhua Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University,Jinhua Zhejiang 321017,China)
出处
《新中医》
CAS
2024年第2期115-118,共4页
New Chinese Medicine
基金
浙江省名老中医专家传承工作室建设项目(GZS2021039)
金华市科学技术研究计划项目(2021-4-283)。
关键词
髂腰肌劳损
结筋病灶点
刃针
塞来昔布胶囊
盐酸乙哌立松片
腰椎功能
疼痛
lliopsoas strain
Tendon lesion
Blade needling
Celecoxib Capsules
Eperisone Hydro-chloride Tablets
Lumbar vertebral function
Pain
作者简介
章浩(1988-),男,硕士,主治中医师,E-mail:haozhang9@qq.com;通信作者:冯祯根(1966-),男,主任中医师,E-mail:fzgjhzj@126.com。
