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温针灸结合中药外敷治疗中青年慢性腰肌劳损临床研究▲
Clinical study of warm acupuncture combined with external application of traditional Chinese medicine in the treatment of young and middle-aged people with chronic lumbar muscle strain

内科 202015卷06期 页码:662-664

作者机构:郑州市骨科医院疼痛中心,河南省郑州市450002

基金信息:▲基金项目:2015年河南省重点中医学科学术带头人培养项目(2015ZY03013);河南省科技攻关计划项目(142102310160)

DOI:DOI:10.16121/j.cnki.cn45-1347/r.2020.06.08

  • 中文简介
  • 英文简介
  • 参考文献
目的探讨温针灸结合中药外敷治疗中青年慢性腰肌劳损的临床疗效。方法选择2017年10月至2019年10月我院收治的中青年慢性腰肌劳损患者97例为研究对象,采用随机数字法分为观察组(48例)与对照组(49例)。对照组患者进行太极拳、慢跑、腰部拉伸等康复训练,观察组患者在此基础上给予温针灸结合中药外敷治疗,疗程20 d。比较两组患者的临床疗效;比较两组患者治疗前后的疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)以及症状体征改善情况。结果观察组患者的治疗总有效率(93.75%)显著高于对照组(79.59%),VAS、ODI评分、腰部压痛评分、腰部活动评分及精神气质评分降低幅度均明显大于对照组,差异有统计学意义(P<0.05)。结论温针灸结合中药外敷可有效改善中青年慢性腰肌劳损患者的腰部疼痛症状、中医症候及肢体活动功能,临床治疗效果显著。
ObjectiveTo investigate the clinical efficacy of warm acupuncture combined with external application of traditional Chinese medicine in the treatment of young and middle-aged patients with chronic lumbar muscle strain. MethodsA total of 97 cases of young and middle-aged patients with chronic lumbar muscle strain admitted to our hospital were randomly divided into observation group (48 cases) and control group (49 cases). The control group was given rehabilitation training, including Tai Chi, jogging and waist stretching etc., based on which the observation group was treated with warm acupuncture and external application of traditional Chinese medicine, for a twenty-day treatment course. The clinical efficacy of the two groups was compared. The pain visual analog scale (VAS), Oswestry dysfunction index (ODI) and the improvement of symptoms and signs before and after treatment were compared between the two groups. ResultsThe total effective rate of treatment in the observation group (93.75%) was significantly higher than that in the control group (79.59%). The decrease in scores of VAS, ODI, waist tenderness, waist activity and mental temperament in the observation group were more obvious than those in the control group, with statistically significant differences (P<0.05). ConclusionWarm acupuncture combined with external application of traditional Chinese medicine can effectively improve the symptoms of lumbar pain, TCM symptoms and physical activity functions in young and middle-aged patients with chronic lumbar muscle strain, with significant clinical therapeutic effect.

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